HomeMy WebLinkAboutBuilding Permit 09-0437
5" 0 0 o~ 000 "ll 0 > -0
11l :r: ~ c z_
"'0 0 0 ~ 0 en z"""""" 0 c ~~
g lb 0 0 3l: =izenS'ZOO z z ;;0
0 0- " " m mO
> 0 " 3l: !!!>C:3:~~ m " m 0.,.,
, :-! " " " Z'>ZCZ Z en :!"ll
h1 m m m en
, 0 0 en 9
llll > Z ~ ::!Cil~Cil 0"
t -I -I z-
l'l'l > -I -t m 0 - zO
to ""4 en en o Z 0
I 0 -I Z 0;;0
S CD -I .,., ....J
co " 5 > 5 ::!>
~ UI ?' 0
0 Z -I Z ~ 0"
.,., 0 > 0 mm
~ 0 > Z "
" , .:<
, c ~
~ -I .,., "tl "tl
. :r: 0 " "
~ m " 0 0 000000
Z " 0 0
~ m m m m 3:"tlen:e3:"tl
>< z m m m'~>m'
-I c C oC: -IOC:
en
~ (:l Z ~ "tl :r::I: m:r:3: "tl 0 en
en m ) ",,~;;o""~ m 0 0
~ ~ "tl :l 0 ZZ:r::r:-Z ;;0 Z J:
::! m lb -I >CilOO Cil 3: -I m
::t 5
~ 0 () ,.,.,00 " =i ;U C
-I 0 Z -"" - Z c:
5 3- zc:c: ,
~ o:l ~"tl"tl 9 m
Z :-! m c
~ .,.,
N 0
".
~ :r: "
m
~ 0 0
c: 0 t-~
;;0 < 000000
en m
~ Z " Cil""""O~
> Z >;;;;0
Ro C Cil ~mm3:Cil
~ < _"ll"ll"tlS'Z
> t;i>>>c
~ Z >ooz:;;
0
~ rn _mm-l_ -l
:u.,.,,, ,
-1-- , i
enz z m
-I~ Cil
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White File I N
2. Pink City PERMIT O.
3. Yellow Applicant ,
9 --q.3'7 I
ADDRESS
t 72.'2. C1 'P-J Ltt2.Q DML L..6JJ E" P K.I oR.. r All (:. M N 5 t::J ?:n'2
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
OWNER
(Name) ~l M. ~D ~t-l.!d rrlLO
(Address) I C1 1QlAQQ OM.. LhNL.
(phone) OJ ~ ') - 44f) - 4h ?>~
PR.IOR- ~-lttJ 5~3T2
TYPE OF WORK 0 New Construction ODed DPorch 0Re-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
CODE: OI.R.C. OI.B.C.
TypeofConHnKtion: I
Occupancy Group: A B E
Division:
o Mise:
n illIVVAB
F HI MRSU
1 2 3 4 5
PROJECTCOST/VALUE $ 14-. q ~ I. QR
(excluding land)
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authorized 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
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
K .uJaJ~ WI b tj.i.JD2 b//q IrA
Signature Contractor's License No. Date
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7~-=-
I Paid
Date
~i2.'1 Of
tm~O. ~8 2~Tf
This is to certity 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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Dale Special Conditioos, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372