HomeMy WebLinkAboutBuilding 06-1012
:;- oX 0 ~~ 000 "V 0 > -0
lJl 0 :I: ~ C Z_
-0 0 ~ en." ."."." 0 C ~:;!
~ CD 0 i: :::jzen~OO Z Z "
0 !l " m mO
> 0 ;lJ 3: !!!>Ca:~S m " m 0."
, ~ ;lJ '" Z'!;ZCz z en :j"'D
m m en
, 0 en 9
~ t ~ > Z ~ ::!G'l~G'l 0;:0
z-
> ~ -t m<.Jj - zO
Ie) ... en o 0
S cO 0 ." C/) ~Z 0"
~
CXl ;lJ 5 > ::!!;
~ (ft ?' 0
0 z ~ 0",
." 0 > 0 mm
~ 0 > z 9!
;:0 ,
, C
~ ~ ." "V "V
:to. :I: 0 ;lJ ;lJ
~ m " 0 0 000000
z ;lJ 0 0
~ m m m m a::::"Ven~a::::"V
x Z m m m'~>m'
~ C C OC ~OC
~ en
,. ~ z ~ "V :I:a:::: m:I:a: "'D 0 en
~ en m "'!;!!;:O",,!;!! m 0 0
~ "V ::l 0 zZ:I::I:-Z " Z :I:
::! m CD ~ >G'l00 G'l a: ~ m
~
~ 0 (") 5 ,.,,00 ;lJ :::j ;:a C
~ 0 Z -"'''' - C
5 ;a. zcc z ,
~ OJ ~"V"V 9 m
z ~ m C
."
~ N 0
~
:I: ;lJ
m
~ 0 0 6'"
c f~
" 0
< 000000
en m
~ Z ;lJ G'l."."om ~
> z >5i5i0~
R- G'l -
C ~mma:G'l
~ < _"V"V"V~
> ~!;!;!;c
~ Z >ooz:;'
~ 0 _mm-4-
rn ;lJ"';lJ , -l
~-- , i
enz z m
~~ G'l
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Q4.
er S\--
Date Rec' d
LEGAL DESCRIPTION (office use only)
WE-
I. While File I PERM! 0/ ~
~ :e1~w ~~Zlicant T NO. u - /d1cr-
I ZONlNG,__> I
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition DAlteration DUtility Connection 0 Misc.
CODE: DI.R.C. ~.B.C.
Type of Constmction: I
Occupancy Group: A B E
Division:
mished information on this applicalion which is 10 [he best of my Icnowledge lrUe and correct. I also certify thaI I am Ihe owner or authonzed agent for the
nd lhat all conslrUction will conform 10 all existing stale and local laws and will proceed in accordance with submilted plans. I am aware thatlhe building
;, "'j~ a'~ '"",,_re ".'" - ",..". "";<;~9 ~';'Z:::" """"''' -.. ~ =7 0 ~
Signature Contractor's License No. D'te
LOT
BLOCK
ADDITION
OWNER
(Name)
s~
DQ.\,,) -\~
\~(.~%
(Address)
BUll.DER
(Company Name)e..~aW\.{)\o"" u...') \.\A('~u... \
(Contact Name) C;co-\.-~ Q,.eVS()..........
(Address)' leo . ~ \0
IT
F
1
V
M
4
ill IV
H I
2 J
x
Permit Valuation
Pennit Fee $ ~
Plan Check Fee $ e;-
State Surcharge $
Penalty $
Plumbing Pennit Fee $
Mechanical Pennit Fee $
Sewer & Water Pennit Fee $
Gas Fireplace Pennit Fee $
This Application Becomes Your Building Pennit When Approved
Building Official
Date
PID CJ30 Oeo9-1
(Phone) (9S,-) ~'-\S- -~-,
1\.j~
lO of':: hplL (Phonl, '" 2~ s -") ~ - LCO S<..(
(Phone) (., ) Sl \..\-LOs4
~*. -z. "2...
OLower Level Finish 0 Fireplace
A
R
5
PR.OJECT COST IV ALUE $ C(~ \ L _ e> a
(excluding land)
B
S U
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 $ /7(P .-
I Paid 1'~ .-:::::
. Date / I - 7 -rn
1~~'~SIIV
ThIS IS to cmify Ihalthe request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requl'Sled. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows conslrUction to commence. Before occupancy, a Certificate of Occupancy musI be
issued
Planning Director
Date Special Conditions, if anv
24 hour nolice for all inspections (9!12) 447-9850, fax (9!12) 447-424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372