HomeMy WebLinkAboutBuilding 08-0477
5" 0 0 i~ 0 D~DDD "lJ 0 > -0
z_
11l 0 X ~ C ~~
-g n :=: en." ."."." 0 C
8 0 i: ::jzen~OO
0 a ;u '0 z m ;u mo
> 0 ::0 3: ~>cs::~S m ::0 m 0""
:;: , :'1 ;u ;" z'~zcz z en ~"lJ
, m I!/) m 9 en
>:l n :... Z ~ ::!Ci)~Ci) O;u
-f z-
~ > .oi -f m 0 - zo
K:> u; o z 0
S n "Tl en -f Z 0::0
-f :... 0 ::!!;
~ 0 n
Z .oi Z 0"
." 0 > '0 mm
~ 0 > ::0
;u r Z ::<
, c
~ -4 ( ." "tl "'ll
).. :z: 0 ;a ::0
~ m ;a 0 <0 000000
z ;u 0 n
~ m m m 1m I: "tlen:El:"tl
>< m 1m
-f Z C '0 '~>m'
>il en OC -fOC
~ <:i z ~ "tl :z:1: m:z:1: "lJ 0 en
en m .,,!!!;a;a;a!!! m 0 0
Q fiiJ "tl ::J 0 ZZ:Z::Z:-Z ;u Z X
::! m (1) -f >Ci)00 Ci) s:: -4 m
:::!. 0
~ 0 (') ,.,,00 ;a ~ ~ C
-f 0 Z -"'''' - C
~ 0 3- tll zcc Z ,
~"tl"tl 9 m
Z :'1 m c
~ ."
N 0
".. ~
~ X ;a
m
~ 0 n
c 0 J:::.. f
;u < 000000
(J) m -..J
:il Z ;a Ci)"''''n~ -.J c
z ,.
> >;0;00 ....
R- Ci) f!!mml:Ci) m
c
~ ~ _"lJ"lJ"tl~
~ ~!;!;!;c
z >ooz:;;
0
'-i !" _mm-f_ ....
~ ;u.,,;u ,
-f-- , i
(J)z Z m
-f~ Ci)
CITY OF PRIOR LAKE RUILDING PERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
5''14'5
C ro s S4-1l dr^ S'.'.
Date R.ee J d
I White
Pink
Yellow
I PERMIT NO. 0(3 - f7J
File
City
Applicant
ZONING (office use)
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
&t.':-~~'"
(Address)
(Phone)
(~.>z.) y.c.fb- qf;;l.~
BUILDER
(Company Name) tv#!. '~5r~ ~"
(Contact Name)
(Address)
C4",.)'IY"ch~.
(Phone) (t;,Sf) :;l....o 9.- ;:Sf':3 d
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch [}I'Re-Roofing
OAdd:tion DAlteration o Utility ConnectIOn
CODE: ~C. OLB.C.
Type of Construction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
B
A
R
5
ORe-Siding OLower Level FinIsh
o Fireplace
o Mise.
B
S
PROJECT COST IV ALUE $
(excluding land)
U
I hereby certify that I have turnIshed mformation on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner OJ" authorIzed agent for the
above-mentIOned property and that all construction w1l1 conform to allexistmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
nfficial can revoke thiS permIt flH" Just cause Furthermore, I hereby agree that the Clty official or a deSIgnee may enter upon the propelty to perform needed mspectlons
- /
_____r~ 5l-OSct7.;;2.G./J ~~O
Contractor's License No Date
x
~~.
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ I .
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
$
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ -z.c,- -
~~~ jl~~
I Receipt No. -i.' 3} 0
By J'lIlt .
ThiS IS to certify that the request 111 the above applicatIon and accompanymg documents is m accordance WIth the City Zoning Ordinance and milY proceed as requested ThiS document
when signed by tbe City Planner coostltutes a temporary Certificate of Zonmg comphance and allows CIlnSlructlOn In commence Bef"re occupancv. a Ccrlllicale of Occupancy muSI be
lssued
Planning Direclor
Special Condilions, if any
Dale
24 hour notice for all inspectiolls (952) 447-985ll, fax (952) 447-.n45
4646 Dakota Street Prior Lake, MN 55372