HomeMy WebLinkAboutBuilding 07-0819
~
~
::!
g
~
~
~
s
~
~
~
:..
~
~
~
~
~
~
~
~
~
5!
Ilo
~
~
3
o
)>
1
1
t
....
ch
ell
(It
o
"TI
o
"
-I
::c
m
z
m
><
-I
Z
CJl
"0
m
o
-I
o
Z
N
.".
::c
o
c
"
CJl
Z
)>
~
z
o
~
5"
l/l
"0
11l
n
o
:"'!
g ~ ~
" " "
~ ~ "
o 0 CJl
-I -t ~
~o>Ui
~ "TI
" 0 >
'?' z ~
~ > 0
1 ~ ~
"TI "0 'll
~ ~ ~
:u 0 0
m m m
Z ~ ~
rn
"0
m
o
-I
o
Z
tll
m
"TI
o
"
m
o
o
<
m
"
Z
G'l
~
:J
11l
::!.
()
o
:J
-
:"'!
o
o
s:
s:
m
z
.....
en
000000
rn"TIz"TI"TI"TI
:::jZCJl~OO
~>c!Ci~
Zl>-O-
rn -I~>~
'll _ '" -I UI
m 0 -
o Z 0
-I Z
o
Z
000000
!C"OCJl:E!C"O
ml~>mr-
OC -tOC
::c!C m::c!C
"TI!!!":U"!!!
zZ::C::C-Z
>G'l00 G'l
1"T100 "
-"" -
Zc:c:
~."."
000000
G'l"TI"TIO[l'!
>--o~
!!!~~!CG'l
l.."""O~
tfi~~~g
~mm~:!!
:U"T1;o r-
-1__ r-
rnZ Z
-t~ G'l
"0
::c
o
z
m
z
9
~
m
"
?;~~
Iro
~>O\
g~~
""'0C/5
00"'"
-...l>-:rj......
'z(J
~Q~
\0 C/J
tr:l
)>
o
o
"
m
CJl
CJl
-0
z_
~~
mo
(')"TI
::1."
0"
z-
zO
0:U
::1>
0"
mm
CJl
o
::c
m
o
c
1
m
o
~~
~
-l
i
m
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
1 Yellow
File
CIty
Applicant
1 PERMIT NO. c> 1- g 'q
ZONING (office use)
Q\.:;
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK
ADDITION
()A.~'-AIVO b~~ G ~ ~p
PID "Zc;-- \40 -003...0
~'::~(;\n y ~X\( 1J SfY\\W
(Address) loto Olo \.At >\\ (J D
(Phone) G)0L- 4YO-lCl2Y
TYPE OF WORK 0 New Construction ODeck OPorch 0'Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: ~I.R.C. DI.B.c. o Mise.
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $ I'd- ,J./OO. 00
Occupancy Group: A B E F H I M R S U ,
Division: I 2 3 4 5 (excluding land)
i I herl'by certify that [ have htrnishcd Information on this applicatlOo which is to the best of my knowledge truc and currect. I alsu certify that I am the owner or authorized agent for the
\ ahnve-mentH.Jned property and that illl Clll1structllJn will conform to all CXlstmg state and local laws and will pruceed in accordance with submitted plans. I am aware that the buildmg
II:tjCm~~~lust.cause, Furthermore. hereby agree that the CIty official '; O~maY enter upon the prupeny tn perttJrm ne~ ;spectlll/{II/J1 0''7_ f
I Si);:;" C,"",ctm', L'IT"" N" ' ~"
Sewer & Water Permit Fee
$
$
$
$
$
$
I $
$
L-z...<'
Park Support Fee # $
SAC # $
Water Meter Size 5/8", I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit i $
Other $
TOTAL DUE $ 1<.:, _ -
Permit Valuation
Permit Fee
2.500. -
4. .t\. ., ~
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Paid
Date
l~ -
$ ~ 11 01
I ~~ceift;; S-1-~2- \
Thls IS to certify that the request m the above applicatIon and accompany 109 documents is in accordance with the City Zoning Ordinance and may prllcl'ed as requested. ThiS dllcument
when signed by the City PIilnncr crmstltutes a temporal)' Certificate of ZOl1l1lg compliance and allows construction to commence Bcfun.' occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 honr notice for all inspections (')52) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372