HomeMy WebLinkAboutBuilding 06-0445
5" 0 0)( 0 0)1..0000 ." 0 )0 -0
II> 0 :J: ~ C Z_
"0 0 0 ~ en"Tlz"Tl"Tl"Tl 0 C !g~
(II Z
g 0 n 0 0 3: =izen~OO Z m ::u mO
)0 0 ::u ;U ;U 3: ~)oC:ilCiS m ;U m 0"Tl
.... :-! ;U ;U " z....!;zoz z en ::I."
l'>l m m m en
.... 0 0 en en~C)>C) ~ O;u
:.a t ..... ..... > Z ." 0 ..... z-
l'>l > ..... -t m(1z (5 zO
Ie .... en
cD 0 C/) o Z o;;tl
S ..... "Tl ::10
co > ::I!;
~ Ul (5 0 ~..,.,
0 Z ..... 0"
"Tl 0 > 0 mm
~ 0 > Z ;U
;U r C :<
r
~ ..... "Tl ." ."
~ :J: 0 ;U ;U
~ m ;U 0 0 000000
Z ;U 0 0
m m m ilC."en~ilC'"
g >< m m m
z mr~>mr
..... 0 0 oC: .....oc:
CIl
,. ~ z ~ ." :J:ilC m:J:ilC ." 0 en
~ en m "Tl~;U;U;U~ m 0 0
Q ~ ." :l 0 zZ:J::J:-z ;U Z :J:
::! m (\) ..... >(j)00 (j) 3: ..... m
0 ::t (5 r"TlOO ;U =i ;n c
~ ()
..... 0 Z -"" - Z c:
~ (5 3- tll zc:c: r
~."." 9 m
Z :-! m 0
~ "Tl
N 0
",.
~ :J: ;u
m
~ 0 0 .I:.
c: 0
;u < 000000 f
en m
:xl z ;u C)"Tl"Tlo~ (:) ~
)0 Z >;ij;ij0
Ro c (j) ~mm3:(j)
~ < -.".".,,~
)0 ~!;!;!;o
~ Z
0 >ooz:;'
""i !Tl _mm....._ -t
~ ;U"Tl;U ....
.....-_ r i
enz z m
.....~ (j)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;;l
Ke~t-r'O\ j
Date Rec' d
I White
Pink
3 Yellow
[ PERMIT NOa/p_ l/ l/ 0-1
File
City
Applicant
St ~w
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER L/ I ,
(Name) r'\e u y
(Address)
OOY{\
(Phone)
LfLf7-{,/(; -3
: BUILDER . ,
I (Company Nam')~ pSer
I (Contact Name) M l)~
(Address) 3 G, so
l20d~' ^-,
0+1\ 5-J-
.I='r1C
YC(t) -3ry~
q~J, ~41 a - ~ 7 I Y
(Phone)
(Phone)
:JG. V-C), ~ h.,
TYPE OF WORK 0 New Construction ODeck OPorch -Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Conn ctlOn
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
o Misc.
A
R
5
B
S
PROJECT COST IV ALUE
(excluding land)
$
u
I hereby certify that I have hlrnished mli)rmation on this application whICh IS to the best of my knowledge true and conect. 1 also certify that I am the owner or authoJ'!zed agent for the
above-mentIoned property and that all constructIOn will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
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 mspectlOns
X~ ~ ,;;LOJ#-)/7~-- S/3)/()~
Signature
x
Permit Valuation ;)66tJ,--
Permit Fee $ ~Lt7~_
Plan Check Fee $ /'~S
State Surcharge $
Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
I Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
BlIildll1~ Oniclal
Date
Contractor's License No.
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 $ 7fc,-
I Paid 'l~---;; I R'C'i~J!N'7 ~
Date ". , 0' b By
~O' 0"
\. 1,-- , .u..(,
(.II ,.--
ThIS IS to certify that Ihe request in the "buve applicatIon and accompanymg documents IS In accordance WIth the City Zoning Grdmance and may proceed as requested. ThIS document
when signed by the City Planner constllutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued
I
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372