HomeMy WebLinkAboutBuilding Permit 09-0283
:;- 0 0 ~oooo "0 0 ,. -(")
'" 0 :I: ~ C z_
"0 0 en z"TI"TI"TI 0 C ~~
g CD 0 3: ::::jZ(I)~OO z ;;u
(") n. m mo
> 0 ;;U 3: !!!>c~iS m ;;u m O"TI
r :-! ;:a zr):zcz Z (I) :j"O
t!l m m (I)
r 0 9
:.a z ~ :jG'l~G'l O;;u
t 004 z-
t!l > -t m 0 - ~ zO
l<:l ..... o z 0
cb 0 en O;;U
S 004 004 Z
co 5 5 5i :j!;
~ en
0 Z Z 0"
"TI 0 > mm
~ 0 > z
;;U r
r 0
~ -I "TI "tl
:to.. :I: 0 ;:a
~ m ;:a 0 000000
z ;:a 0
~ m m m 3l:"tlen~3l:"tl
X Z m mr~>mr
-I 0 OC oo4Oc
:.a en
a ~ z ~ "tl :I:3l: m:I:3: "0 0 (I)
(I) m "TI!!!;;U;;U;;u!!! m 0 0
~ ~ "tl :l 0 ZZ:I::I:-Z ;;u Z :I:
::! m 1II 004 >G'l00 G'l !C -I m
0 ::t 5 r"TIOO ;:a ::::j ?1 c
~ ()
004 0 Z -"" - C
~ 5 ~ OJ zcc Z r
~"tl"tl 9 m
z m c
~ "TI
N 0
~
~ :I: ;:a
m
~ 0 0
C 0 fa
;:0 < 000000
en m
~ Z ;:0 G'l"TI"TI0~
> z >;0;00 ( ~
Slo G'l ~mm3:G'l "'
c
~ < _"tl"tl"tl~ tJ
~ ,. ~):):):o
z > (")oz:;;
""'l 0 _mm-l_ ~
~ !TI ;:a"TI;;U r -4
004-- r i
enz z m
oo4~ G'l
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5. 2g,09
File
City
Applicant
I PERMIT NO. () r. 0 zB3!
White
Pink
Yellow
(Please
ADDRESS
u~
54-(P 5 'b/Z-o O,K.,S
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
..:::ro fhJ S P / e- t- /'1 q- rJ
(Phone) 952-. 4-6f1. ,,~~ 0
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
~9~N
Ct)rJ J77tA/ c::17 OA)PhOne)
tf;5!. 755. /389
/
I1IJ
PI rtvg s
5:
TYPE OF WORK 0 New Construction OOeck OPorch
OAddition DAlteration DUtihty Conn
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
I
E
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
n application which is to the best of my knowledge true and correct. I also certify that I am the owner or iluthonzed agent It)r the
n will conform to all eXistIng state and local laws and will proceed in accordance with submllted plans am aw re that the buildIng
Irthermore, I hereby agree that the City official or ":;)3n5m~e)e;o60ropeI1Y to perform neS I pectlo.
Contractor's License No.
Park Support Fee
SAC
#
#
? .5lJ 0.. 0 ()
$ .1S-
Plan Check Fee $ ---
State Surcharge $ .-
I
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Y our Building Permit When Approved
5.pr'~J
,
Date
$
$
$
$
$
$
$
$
$
ThIS IS to ce tify that the request In the above applicatIOn and accompanYIng documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constJtutes a temporary Certificate of Zomng compliance and allows constructIon to commence. Before occupancy, a Certlticate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any