HomeMy WebLinkAboutBuilding 05-0428
:; 0 0 0 i* 000 " 0 )0- -0
en :z: ::E c z_
"0 0 ~ 0 (I) -TITITI 0 0 ~~
CD 0 !: :::jZ ~OO Z
g 0 0- 0 Z m ::0 mo
)0- 0 ;;u ;;u 3: m>c CO m ;;u m
::u _r>i:Z-I oTl
r :"'! '" Z (I) ::I"
t!l m m Z -0- (I)
r 0 (I) (J) -Iz>z P
~ t -I > Z "tl _G')-IG') O;;u
z-
~ > -I -I m 0 - zO
K:l ..... Cii en o Z 0
S cD 0 ~ -I Z 0::U
-I
ClCl ::u (5 (5 ::I>
~ 01 ?' 0
0 Z -I Z 0",
"Tl 0 > 0 mm
~ 0 > Z ~
;:0 r
r 0
~ -I TI "tl "
. :x: 0 ::u ::u
~ m ;;u 0 0 000000
Z ::u 0 0
~ m m m m i:"(J)::Ei:"tl
>< m m
-I Z C C mr~)imr
~ (J) OC -IOC
~ ~ z ~ "tl :z:i: m:z:i: "tl 0 (I)
~ en m TI!!!::U::U::U!!! m 0 0
~ " ::l 0 zZ:Z::Z:-Z ;:0 Z J:
::! lD -I
m ~ >(i)OO (i) 3: -I m
~ 0 () (5 rTlOO ::u =i ~ 0
-I 0 Z -"'''' - C
~ 0 a !Xl ZCC Z r
Z :"'! m ~"tl"tl 9 m
~ N TI 0
~ 0
~ :x: ::u
m
~ 0 0
c: \J1
;:0 0 t~
<
(I) m 000000 ,
~ Z ::u (i)TlTlO~
)0- Z >;ij;ij0 J::..
~ 0 G') ~mmi:(i) ~
~ < _"""tl~
)0-
~ Z ~>>>o
0 >ooz:;;
~ !'" _mm-l_ -4
::UTl::U r
-1-_ r i
(l)z Z m
-I~ (i)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
S-./ 3 o.~
I. WIrite Fill
2. _ C-tty
] Yellow AppIiconl
I PERMIT NO. O~ () 4- zlV I
IZO~GI__) I
LEGAL DESCR.IPTION (ollke use only)
LOT
BLOCK
ADDITION
PID 26 187 072. ()
~'2,+e.v (2 + Mo.::h=he.~
(AddresslJ lo \ P1? \ f-Q~ A \\ i C? . I~
(Phone) C\~1. -2'L~-lo4'10
=~Name)LaY0~n0 ~~dll'"\\ -J- WI f")d0 w'S
(Contact Name) \~ r\\s+-o..\' \ O--'b~r-
(Address) ~Cn () ~~ l+ve \;= '"Q\)~-e
(phone) '50'1 z.-BpJ'- t-) \ \ \
(phone)
\-er rnN 5590
TYPE OF WORK 0 New Construction ODedc OPordl ORe.Roofing -.!liRe-Siding OLower Level Finish o Fireplace
OAddition OAlteration OUtility Connection o Misc.
CODE: OI.R.C. OI.B.C. PROJECT COST IV ALUE S 2~I:) 0 0
Type of CODStruction: I n m IV V A B (uc:luding land)
Oc:aapaac:y Group: A B E F H I M R S U
Dbision: 1 Z 3 4 5
I bmby certify lllat I haft fumisllcd information 011 this application whicb is to the bat of nty knowledtle 1IW and correct. I also catilY that I am the OWDl'T or authorized agent Iilr thr
above-mmnoned propcny and that aU coastruction willl"Ol\form to aU c:xistin8 state and local laws and will proceed in accordance with sullmitted plans. 1 am aware that the buildinB
ofIiciaJ can revoke this permit Iilr ~\use. FurthCl1llOR:.1 bmby qRe that the city officiaJ or a desisnee may enter upon the property to perfurm needed Inspections.
X ~ ~te-.Q' Q.lr€..A-_ \4-~ '2- ~J q J Cl ~
Signature Contractor'S License No. ' Dare
Permit Valuation 2 000.0C;
Permit Fee S I
P1anCheclcFee S
State Surcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gu Fireplace Permit Fee S
This Application Becomes Your BuUdinl Permit When AppI'OYed
Buildinll Offi<:ial
Date
Park Support Fee # S
SAC # S
Water Meter Size 5/8"; I"; S
Pressure Reducer S
SewerlWater Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE S '7 (/J , 0 ()
I Paid
Date
~. 00
r..- ~'.3 . (.i~
I ~ ~ql'l.7
.
nus is to certify that the request in the above application and lCCOIIIpIJIyinB documents is in accordance witb the City Zonin, Ordinana and may proceed as requc:stl:d. This document
when signed by the City Planner constitutes a temporary Certiftcate of Zonm, c:oltlpliancc and aUows construction to C:OIllltlCtlCe. Before cxcupancy. a ClTlirlCate of Occupancy must be
issued
PIanninI Director
Date SDOCial CoadkioIlI. if anv
24 lIour notice for an Inspections (~1) 447-98!lO. fax (,g) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372