HomeMy WebLinkAboutBUILDING 07-1098
:;- 0 n D~DDDD ." 0 > -C')
lI> 0 :J: ~ 0 z_
" U1"T1Z"T1"T1"T1 0 0 ~~
g 11l s:: =1zen~OO z ;;a
0 II m mO
> 0 3: !!!>c:l:~S m ::u m C')"T1
:"! zr-s:zoz Z en ::!."
hl m 9 en
z ~ ::!(;)~(;) O::u
z-
hl -4 m 0 - ~ zO
~ en C') Z 0
S ~ z o::U
co (5 ::!s:
~ (II
0 z 0"
"T1 mm
~ 0
::u
~ -4
:l.. :J:
m
~ Z 000000
~ m :I:"U1~:I:"
>< mr-~)lOmr-
-4 OC ~oc
~ C5 z ~ :J::I: m:J::I: " 0 en
en "T1!!!::U::U;:a!!! m 0 0
~ ~ " ::J ZZ:Z::Z:-Z ;;a z :z:
11l
::! m :::!. >(;)00 (;) 3: -4 m
~ 0 () r-"T100 ;:a =1 ?' 0
-4 0 -"" - z c
(5 3- zcc r-
~ ~"" 9 m
z :"! C
~ N
....
~ :z:
~ 0
c
::u 000000
en
:i! Z (;)"T1"T10~
> >~~O
Ro C ~mm3:G>
~ < -.".,,"~
~ > ~S:S:S:o
z >C')C')z=t;
3 0 _mm~_
rn ;:a"T1;:a r- -i
~-_ r- i
enZ z m
~~ (;)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
4///
8~UC'~
Date Rec' d
1/ IS 07
I White
Pink
Yellov..'
File
City
Applicant
PERMIT NO. 0 I. 10
lY~vLJ.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
i BUILDER.......... a 1:a '"\ 4d
I (COmpanYName)~~~ -n C^C~ (\{1
I (Conta"Name~1'\ Pit) 10
I (Address(~\ --) U. (" ~
(Phone) 10~~ /IQ,
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdclitIon OAlteratlOn o Utility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
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 certJly that I have hlrmshed mt(1Imatllln nn this application which IS III tlie best Df my knowledge true and correct I abn certify that I am Ihe nwnl'r (11 authnllzed agent tor Ihe
JboVl'-ml'ntlOned property and that all construction will conform to all CXlstmg state and lncallaws and will proceed In ilccordance with submitted plans_ I am aware that the buildmg
Iltflu,ll can levokc thiS pt'lmit tor lust cause F.,!-llthelmme, I heleby agtt.'e that the city official or a deSIgnee may enter upon the plope11y to peltorm needed 1l1SpcctlOJ1S
X (tuLQJ ;\ \-:'V-~ J l- 15-01
\ .1 Signature Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $ i
This Application Becomes Your Building Permit When Approved
Iluildlllg on.cial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThiS IS to certify that the request 111 the aboyL' application and accompanYll1g documents IS ll1 accordance with the City Zoning Ordinance and may proceed as requested ThiS dlH.'Ument
when signed by the City Planner Clln<;tltutes a tempurary Certificate of Zonmg complIance and allows construction to commence. Bcfnrl' occupancy, a Certificate of Occupancy mllst be
isslled
Planning Director
Special Conditinns, if any
Date
H hour notice for all inspections (952) ~~7-9850, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372