HomeMy WebLinkAboutBuilding Permit 09-0535
:;- 0 o~ 0 ~ooo " I > -(')
II> :J: z_
0 c ~~
~ (') ~ "z""" 0 c
8 0 D- o s: :::jzen~oo z m ~ mo
> 0 :u :u 3: ~>ci:!iS m :u m 0"
:;: , :-1 :u " z'!;-c- z en ::!"lJ
m m en
, 0 en ~ ::!~~~ P O;:u
~ -4 > Z z-
> -4 -i m 0 - zO
"'" iii en o z 0
I 0 o~
S co -4 j! .. -4 Z
CD ;:u 0 (5 ::!!;
~ C1I 7- 0
0 Z -4 Z 0"
" 0 > 0 mm
~ 0 > ~
;:u , z
, c
~ -4 " "U "lJ
.. J: 0 :u :u
~ m :u 0 0 000000
z :u 0 0
m m m i:"lJen~i:"U
~ >< m m m
-t Z C C m'~)im'
:lliI en OC -40C
~ ~ Z ~ " :x:i: m:x:i: "lJ 0 en
en m 'Tl!!!;:u;:u:u!!! m 0 (')
~ "lJ :;, 0 zZxx-z ;:u Z J:
::! m (I) -4 >(;)80 (;) 3: -t m
::t
~ 0 () 0 ,,, 0 :u :::j ;u c
-4 0 Z -"" - z c:
~ 0 a tD Zcc ,
~"" 9 m
z :-1 m C
~ "
N 0
....
~ J: :u
m
~ 0 0
c
;:u 0
< 000000
en m
~ z :u (;)""O~
> Z >$$0
~ C (;) ~mmi:(;)
~ ~ _"U"U"U~
~ z ~5:5:5:c
(') >ooz:n
~ _mm-4_
!Tl :U,,;:u , -i
-4-- , i
en~ z m
-4, (;)
~
at bottom)
White File
Pink City
Yellow Applicant
~ ~ @ ~ lli~ ~~
JUL 20 2009 W
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANC
AND UTILITY CONNECTION PERMIT
ZONING (office use)
Q<t;, Of\~S
~
. ?~OQ..., l~-(.'"L.- I"\~ C;~31
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER-7l'
(Name) ~O~<s
(Phone)
(Address)
1
BUILDER (l
, (Company Name) b~~ ~Q.... '-...o1\)\.Q..J<....,~l ~
(Contact Name) '0,.. ~"i ~ l--. JA b~~
(Address) l.SLJ 'tA-\- \)~.
(Phone)
(Phone) c.. L L. '2..1.., l. Y S"t;'"")
f\^..,~ '5"5'
TYPE OF WORK 0 New Construction ODeck OPorch
DAddition OAlteration DUtility Con
CODE: V,I.R.C. OLB.C.
Type of ~ction: I II ill IV V A
Occupancy Group: A B E F HIM R
Division: 1 2 3 4 5
OLower Level Finish
o Fireplace
o Misc,
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that I have hIrnished Information on this application which is to the best of my knowledge true and correct. I also cenity that I am the owner or authorIzed agent for the
above-mentIOned roperty 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 buildmg
official can rev e his permit .for Just "ause Fur hermore. I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectlOns.
X - L....../ 7- 0 6 ~ \ '- <;"' ;:} ~
Signature Contractor's License No, Date
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ 1. l.s,
I Recei2' No. ~ {Lt-
.. By (lJ~
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ ''2......
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
~~:. j~'/r
ThIS IS to certity that the reql 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
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372