HomeMy WebLinkAboutBuilding Permit 09-0414
D~ D~DOD "tI 0 )I' -0
0 z_
::t ~ 0 ~~
0 en ."."." 0 C
3: --Z~OO Z m ;;0 mO
0 ~ -4ZCIl CO m ;;0 m 0."
0 s: m>cJ:Z"" CIl ::!"V
~ -r~ C- Z en
;;0 ::0 m Z - Z P 0;;0
;;0 " Z Ul :j~~(;) Z-
m '00_ - zO
0 Ul -i m Z 0 -1 0;;0
lla .... > en ~ Z
t'l > ::!~
to I 0 (5 0"
S CD .... z mm
CIO i5
~ en
0 Z
." 0 >
~ 0 > Z
;;0 r c
r
~ -4 ." "V 000000
:r 0 ;;0
~ m ;;0 0 J:"VUl==J:~
~ 0
Z ::a m mE~>~c
~ m m m ~J: nl:rJ: "V 0 CIl
>< Z 0
-4 c .,,!!!;;o;;o;;o!!! m 0
:.t:r Ul ;;0 Z :r
Z ~ "V -Z:r:r-Z m
a ~(;)OO (;) J: -4
;::; CIl m =i ~ c
~ "V ~ 0 r."OO ;;0 C
~ (1) .... -"" - r
::! m ~ (5 Zcc Z 17 m
0 () 9
~ -4 0 Z ~"V"tI C
~ (5 a- lJl
Z :"1 m
C ." '.(\
N 0
~ ~ ;;0 I
:r m tfc
~ 0 0 000000 ~
c 0 ~ ~
;;0 < (;)"''''O~ -
Ul m --0 m
~ Z ::0 ~~~J:Gl
Z C"V"V"V~
> G>
~ 0 ~~~~c
~ < >ooz:;,
> _mm...._ -4
~ Z ::a.,,;;o r i
0 ....-_ r m
""l rn UlZ z
::: ....~ (;)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
,\4~
n at bottom)
Date Rec' d
(,.1.-Z-;1
] White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 01.04-14
W \ ld eY(J-('~~~ \ ~~l \
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone) 95~ qqd O~ ICJ
L6Yi()Dr Eyo
\ I ,4-(p \.J..) ;\d-E' V-n-f'o5 "\Y
(Address)
BUILDER () -L. j/")" .c. \ .
(Company Name) rfOrey: - 't \.../IQ\(y) -JO U+\ on_S
(Contact Name) h" Ch nOVeL ~
(Address)
(Phone)
(Phone)
CoSl qq4 'dO;d-R
&5l qq4a;-a8
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OLR.C. OLB.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
10; 0 t)C)
.
PROJECT COST /V ALUE
(excluding land)
$
U
I hereby certifY that I have furnished Information on this applicatIOn which IS to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-mentIOned property and that all constructIOn Will conform to all existIng state and local laws and will proceed in accordance with submitted plans I am aware that the buildIng
:"::r({~~' ,""" (1"mm' I'",,,;,,, '""' ,"on" om,; ~'5 q' '?; "'t"s'~"' '0 ,,'mm ''''(; '7~cr~">1 D q
siL ~ Contractor's License No. , Oat.!
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlllg Otlieial
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 $ 7(,.()O
tNo.ShUr
ThIS IS to certifY that the request in the above applicatIOn and accompanYIng documents IS In accordance With the City Zoning Ordinance and may proceed as requested Tlus document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslIed
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