HomeMy WebLinkAboutBuilding 08-0437
5" ~};\ (") o~o 0 0 0 " 0 > -0
I/l 0 :I: ~ C z_
~ en."z"''''''' 0 C ~~
~ Sl o c:> i: =izen~OO z m " mO
0 " :n 3C !!!>ca:iS m ;:0 m 0."
:-! ~ " zl"">:ZCZ z en ::!"
m en
:., o ~ Z ~ ::!1i)~1i) 9 0"
~ -l .-4 z-
-t m 0 - zO
~ > i~ en o Z 0 ...c::
s 0 o ." -I Z 0;:0
;D ::! .~ 0 ::!!;
~ ?' o ;n
0 Z ..... Z 0"
." 0 > >0 mm
~ 0 > Z .~
;:0 I""
I"" C
~ -I ." " "'tI
:lo. :I: >0 ;:0 ;:0
~ m ;D 0 0 000000
z ;D 0 0
~ m m m m a:"en~i:"
>< z m m ml""~>ml""
-I C C oC: -IOC:
:., Z ~ en
i ~ "'tI :I:i: m:I:a: " 0 en
en m .,,2!;:O;:O;:o2! m 0 0
<:> ~ " ::l 0 ZZ:I::I:-Z " Z :I:
::! m 1Il -I >1i)00 Ii) 3: -I m
0 ~ 0
~ 0 1"".,,00 ;D =i ;a C
-I 0 Z -"'''' - c:
~ 0 ~ lJl Zc:c: Z I""
Z m ~,,"'tI 9 m
c N ." C
~ ,.. 0
:I: ;:0
m
~ 0 0
c: 0 f~
;:0 < 000000
en m
~ z ;D Ii)"''''o~
> Z >;;;;0
Ro ~ Ii) f!!mmi:1i)
~ _"""'tI~
> ~!;!;!;c
~ z
0 >ooz:;;
~ !11 _mm-l_
;:0"';:0 I"" ~
-1-- I"" i
enz z m
-I~ Ii)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 308
n at bottom)
I White
Pin~
Yellow
I PERMIT NO. 08 . O~3~
File
City
Applicant
ZONING (office use)
o !11c-<) 777
Sj}-~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
BUILDER
I (Company Name)
I
I (Contact Name)
I (Address)
EV~.rfrLe n
~
(;o 11 Sff vcfi t1 ...,
k Il)f'c.f~~
,
Jo-o:S"OIl
q.., " f!.
ytr-o "() ~il. 1.':f,.
(Phone) ((p~() ,HJ"i.- 3( 1'0
(Phone)
Rv./ /
TYPE OF WORK 0 New Construction ODeck o Porch e-Roofing ORe-Siding OLower Level FInISh 0 Flrepl,lCe
OAdditlOn OAlteration o Utility Connec
CODE: DI.R.C. DI.B.c. o Mise.
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have hlrmshcd mformatlon on this applicatIOn which lS to the hest of my knowledge true and correct I also certify that I am the owner or authOrized agent for the
Jhove-mentwned property and that all ClmstructlOn will conform to allexistlOg state and local laws and will proceed in accordance with submItted plans. I am awarc that thc buildmg
nfticial CJn revnke tlus ptTmlt for Just calise Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the propel1y to perform necded IOspectlOns
~~ /..
~~/../'. - 7/3/~e
Signature Contractor's License No ' Date
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fcc $
I
~echanical Permit Fee i $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
lllllldlllg UlflClal
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 tn certIfy that thl' request 10 the above applIcation and accompanY111g documents IS 111 accordance with the City Zoning Ordinance and may prDcl'cd as rcqucsted ThiS document
whcn signed by the City Planner CllI:stltutcs a temporal)' Certificate of Zonmg complIance and allows cllnstruction to commence Before occupancy, a CcrtlfH.:ate of Occupancy must be
isslled
Planning D rector
Special Conditions, if any
Date
24 honr notice for all inspections (9:;2) 447-98:;0, fax (9:;2) 447-424:;
4646 Dakota Street Prior Lake, MN 55372