HomeMy WebLinkAboutBuilding 03-1409
:; 0 0 0 (") 000000 "0 0 )> -0
z_
l/l 0 :r: ~ c ~~
-0 ~ cn"'z"''''''' 0 C
g CD 0 3: ::jzcn~OO % % "
0 U- m mO
)> 0 " 3: ~>ca:~S m " m 0."
: ::-; %r>zoz Z cn ::1"0
t>l cn m 9 en
:>o:l t > z ~ :jG'l~G'l 0"
- %-
t>l -i -t m 0 - %0
Ie """ (jj en 0%0
S cD ." -i % 0"
CXl > (5 ::I>
~ UI 0
0 -i Z 0::-;
~ ." 0 mm
0 ~
<: "
~ -i ." "0
;:t... :x: 0 "
~ m :;0 0 000000
Z :;0 0
~ m m m 3C"'Dcn~3C"'D
>< z m mr~)>mr
-i c OC -iOC r
cn
~ ~ z ~ "'D :z:a: m:z:a: "'D 0 cn
!i1 cn m .,,!!!:;O;:O;:o!!! m 0 0
Q ~ "'D ::l 0 zZ:X::X:-z ;:0 z :x:
::! m ~ -i >G'l00 G'l :!: -i m
~ 0 0 (5 r."OO ;:0 ::j ~ C
-i 0 % -::-;::-; - z C
0 a. ZCC r
~ m ~"'D"'D 9 m
z :-1 m c
~ ."
N 0
"..
~ :x: ;:0 vJ
m
~ 0 0
C 0 I l~
"
cn < 000000
m
:i! z ;:0 G'l."."om
,.. Z >;;;;O~
~ C G'l ~mmi!CG'l
~ < _"O"O"O~
)> ~>>>o
~ z >ooz;;
~ 0 _mm-i-
!'" ;:0"';:0 r -1
-i-- r i
cnZ Z m
-i~ G'l
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White File
2 Pink City
3. Yellow Applicant
I PERMIT NO'03-14-07
.
ADDRESS
ZONING (office use)
C,LI-
/6ff/ OULU7ll
LEGAL DESCRIPTION (office use only)
ADDITION &/111 (/IL) / sr ,11001 nON
LOT
BLOCK
PIDZb. uf:? 0 0/. ()
OWNER
(Name)
(Phone)
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
mn
(Phone) 71:13. 4---79. 1$00
(Phone)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
o Alteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
POST oFFle6
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform eded inspections.
...A7 .::>?\ -, ;7 - 'J~
)("'" I f1. )/,'." I..uO l;~ ~/- M
Signature
Contractor's License No.
11- -<f - 03.>
Date
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $ .
SAC /2...75 # 4- $ S; /00.00
Water Meter Size 5/8"; I"; 2'" $ 500.00
Pressure Reducer $ 2-4-0. 00
City SAC and WAC /200 # 4- $ 4, 800.00
Water Tower Fee 70a # +- $ 2/ 600.00
Builder's Deposit $
Other ~ W~ JE,e. ;::66" $ / 4-~ 0 II. reo
TOTAL DUE $ Zl4-5"/. (00
Permit Valuation
Date
ermit When Approved
i\~JAtU)
lj~LU--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372