HomeMy WebLinkAboutBuilding 03-0420
:J 0 0 0 C') 050000 "\J ~ > -0
z_
In 0 ::I; 0 ~~
"0 0 ~ (II"n-TIT1T1 0 0
2 (Jj 0 5: -zz~oo z z :xl
0 $l -1 (II co m mo
)> 0 ;:.0 ;:.0 3: ~)>Ca:Z-f m ;:.0 m OTl
~ r- :; ;:0 =" zr-!;zoz Z en ~"\J
r- m en m 9 (II
~ 0 > z !S ~G)~G) 0;:0
t -f z-
-f -f m 0 - zo
l<::> . en en o Z 0 c-
S CD j! -f Z V1 0;:.0
co 0 ~~
~ UI 0
C) -f Z ~ O="
"TI 0 mm
~ 0 > ;:.0
;:0 r- .-<
~ -1 r-
"TI "\J
:l... ::t: 0 ;:0
~ m ;:0 0 000000
Z ;:0 0
~ m m m !:"\Jen~!:"\J
>< z m mr-~>mr-
-1 0 OC -fOC
~ en
;< cs Z 0 "\J J:!: mJ:!: "\J 0 ? en
!l1 en :E m "TI!!!;:O;:O;:o!!! m 0 0
c ~ "\J :3 0 ZZJ:J:-Z ;:0 Z ::t:
::! m (Jj -f >G)OO G) 3!: -1 m
~ 0
;;; 0 () r-T100 ::0 ::j ?' ,\ 0
-I 0 Z -="" - C
~ 0 a- m zcc Z r-
Z :-! m ~"\J"\J 9 m
~ TI 0
N 0
".
~ J: ::0
m
~ 0 0
C )
::0 0 f"
< 000000 1:::
en m
:i! Z ;:0 G)T1T1om ~
Z ~ )>
)> >StiStio~ -i
~ G) ~mm3!:G) m
0
~ ~ _"\J"\J"\J~ CO
~ Z ~!;!;!;o
0 )>ooz=n
""l rn _mm-1_
::; ::O"TI;:O r- -i
-f-- r- i:
enz z m
-f~ G)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4- -1/-q;X
/1531-
F I? /h>.Jk;;.tV
.r; ('race-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
I. White File
2. Pink City
] . Yellow Applicant
PERMIT NO. 03-- () 4-Z-(J
ZONING (office use)
.SE
PID 25- 2 t()- 6 Oi - 0
OWNER
(Name)
-eM b
n. htJ J e..5
(Phone)
752- crlf-O -z076
(Address)
54-A
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
SELA ROOFING & REMODELING, INC.
4100 EXCELSIOR BLVD.
ST LOUIS PARK, MN 55416
10 #0001050
TYPE OF WORK
ODeck
ORe-Siding
o New Construction
o Lower Level Finish
o Fireplace
o Misc.
0&.1 Hefts
PROJECT COST IV ALUE (excluding land) $ Z. 6. 9/0
,
o Porch
~e-Roofing
OAlteration
o Utility Connection
OAddition
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 needed ~
X :;$a 4 ooO/()so if-I/-V5
Signature Contractor's License No. Date
Permit Valuation 'Z" , SOl) ,I.'V
Permit Fee $ -7--/ 7 J'
, .
Plan Check Fee $ ---
State Surcharge $ 7 ,) ~
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $/
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