HomeMy WebLinkAboutBUILDING 08-0803
0 ~\oooo "0 ~ > -0
z_
0 :I: C ~~
en."z."."." 0 C
3: ::::jzen~OO Z m ;u mO
g 3: m>C:3:iS m ;u m 0."
en ::!"O
m z'>-cz Z en
en -I~>G) p O;u
n, Z z-
" - -I ~ zO
=-:, -t m 0 -
n, en o Z 0 O;u
~ -I Z ::I>
S (5
Z 0"
~ mm
~ 0 , Z
;u , 0
~ -l ." "tl
~ :I: 0 ;U 000000
~ m ;U 0
Z ;U 0 3:"tlen~3:"
m m m m'~>m'
~ >< Z m oi -Ioi
-I 0 :I: m:I: "tl 0 en
=-:, z ~ en .,,2!;U;U;u2! m 0 0
)< " :I:
cs m -Z:I::I:-Z ;u Z
~ en :J 0 ~G)OO G) 3: -I m
Sii "tl C1l -I ::::j ;:0 C
::! m :::!. (5 ,.,,00 ;U c:
0 () -"" - Z ,
~ -l Z Zc:c:
0 ~"tl"tl P m
~ 0 a- ID ~ C
Z :-1 m
~ N ."
".. 0
~ ;U
:I: m
~ 0 0 :t~
c: 0 000000
;U <
en m G)"''''O~
~ Z ;U >-;30
Z enfilm3:G)
Ro > G) C'tl'tl'tl~
C
~ ~ ifi>>>o 4J
~ >ooz:;;
Z _mm-l_ -l
0 ;U"';U , i
~ !T1 -1-- ,
enz Z m
-I~ G)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
3 Yellow
File
City
Applicant
PERMIT NO. tJf5,g03
ZONING (office use)
S'HIW,v'()!J
-----
/QAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
f:!?EO +..SANV :z eUINbG:-R
(Phone)
'="~-48;( -;;<Iq~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ~ofing
OAddition OAlteration OUtility Connec~ . .
CODE: ro?m.C. OI.B.C.
Type of &'~~~ction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
o Misc.
PROJECT COST IV ALUE $
(excluding land)
7/5ocJLZ
I hereby certify that 1 have hlrDlshed mformatllln 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 Ill[ the
above-mentIOned property and that all constructIOn WIll conform to all eXlstmg state and lllcallaws and will proceed in accordance with submltted plans I am aware that the buildmg
:.tlciaI can re lke this perml r Just cause Flllthelmore, I heleby agree that the City llf~O ,s;;ay SrZln the plOpetty III pettorm ne;~n7~lns/ 20(;1f3
Contract!f.s Llcense'No f D~
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; }"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 700_ -
e Approved I Paid f- ~ ~ I Rec;z; No. .S (0885
Date I I. /tJ~ By ,~
. /
ThIS IS tll certIfy th,t the request m the abuve applicatIOn and accompanymg documents is m accordance wIth the City Zunmg Ordinance and may proceed as requested. ThIS document
when signed by the Clty Pbnner constItutes a tempmary Certificate llf Zoning compliance and allows constructIOn to commence. Before llccupancy, a Certlticate of Occupancy must be
isslled
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