HomeMy WebLinkAboutBuilding 06-1083
5' 0 ~} (") o~oooo "tl 0 > -0
l/l ~ :I: ~ C z_
"0 0 0 VI -"Tl"Tl"Tl 0 0 ~~
11l 0 3: --Z~OO Z
t":\ 0 0- o 0 -lZVI co Z m ;U mO
c > 0 ;U ;U ;U 3: ~>C!:Z-l m ;U m 0"Tl
~ r- :"1 ;U ;U ~ Zr-!;-OZ Z VI ~"tl
t'l r- m m VI m 9 VI
>:l 0 o > Z ~~ ~ ~ Gl O;u
t -l -l -l z-
t'l -t zO
lC ...... > - en m~z a
~ o VI ~ Z O;U
S -l "Tl
co - > 0 ::j!;
~ UI o 0
0 Z -l Z o~
"Tl 0 > 0 mm
~ 0 > Z ~
;u r- ~
r- o _
~ -I "T1 "tl "tl
~ :I: 0 ::0 ::0
~ m :;0 0 0 000000
z ;u 0 0
m m m i!:"tlVl~i!:"'tI ,
~ x m m m ()
Z mr-~>mr-
-l c C OC -lOc
>:l VI
;< ~ Z ~ "D :I:!: m:I:!: "tl 0 VI
~ VI m "Tl!!!;u;u:;o!!! m 0 r\) 0
~ "'tI :l 0 zZ:I::I:-Z ;u Z :I:
::! m 11l -l >GlOO Gl 3: -l ~ m
:::t
ti: 0 () 0 r-"TlOO ;u ::j ;n C
-I 0 Z -~~ - Z C
0 a. Zcc r-
~ OJ ~"'ll"tl 9 m
Z :"1 m C
"Tl
~ N 0
...
:I: ::0
m
~ 0 0 "
c 0 =F
;u < 000000 I
VI m
:i! z :;0 Gl"Tl"Tlom -
> z >;ii;iio~ 0
Ro C Gl ~mmi!:Gl c:O
~ < _"'ll"'tl"'ll~
> ifi!;!;!;o
~ z >00%:;;
~ 0 _mm-l-
rn ::O"T1;U r- -4
-l-- r- i
VI~ Z m
-lr- Gl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2 -1. {)c,
ADDRESS
(P570
'::'~J77 ~/ KLJ .
I White
Pink
Yellow
File
City
Applicant
\ PERMIT NO.
~ ./063
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zs-. 1+-0. obI U
I OWNER
(Name)
(Address)
~~~~~~ Name) CUfl-K /ljj.4)iJt',~ + ;/oftff?'
(Contact Name) /L I CJ..{A/20 C ~k
(Address) S l/N~ ET .-
(Phone)
R~-r'.1:hn
.
(Phone) 7~3 -'13"3- D" Lf "3
(Phone) lv/a' ,;J9c; -/~ 7 s-- C
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
OAdditlon OAlteration OUtility Conne tlOn
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
o Mise.
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrnlShed mformation on this appl1catlon which IS to the best of my knowledge true and correct I also certIfy that 1 am the owner ()! authorized agent fur the
dbnve-menttoned . )perty and that .111 constructIOn will conlllrm :Istmg state and local laws and will pruceed in accordance with submItted plans I am aware that the blllldmg
':'''"' CO" " ~5"? {:1"~"" "~,,,",, "u'" "m,", "c:'~7;;"'" "e"" ", '"'''''' '" "amm ";';':';:~ ~
Signature Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
! Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
:
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
Illllldmg Uftlcial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit 1 $
Other $
TOTAL DUE $ 1&00
ThIS IS to cl'rtlty that the requl'st in the above applicatiOn and accompanymg documents is 111 accordance with the City Zoning Ordinance and m,lY procl'ed as requestcd This document
when signcd by the CIty Planner Cl1l1stltutcS a tcmplJralY Certificate of Zon!l1g compliance and allows constructIOn to commence. Befme llCcupancy, a CertIticate of Occupancy musl be
isslIed
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372