HomeMy WebLinkAboutBuilding Permit 09-0479
5' ~~ 0 000000 "U ~ ,.. -0
z_
III 0 ::z: 0 ~~
-g en"Tlz"Tl"Tl"Tl 0 0
B ~ o 0 i: iiizen~oo z m ::a mo
;u ;u i: >c CO m ;U m
~ :'1 ;u ,. _r->i:Z~ en 0"Tl
m en m Z -0- Z en :::!"U
~ o > Z en ....~>~ 9 0::0
~ .... "U - ~ z-
-I m 0 - zO
Ie 0 en (') z 0
S ~ .... Z 0::0
~ Ul 0 0 :::!>
0 ~ z 0,.
"Tl 0 0 mm
~ 0 > ~
::0 r-
~ -l r-
"Tl "U
:a... ::z: 0 ;u
~ m ;U 0 000000
z ;U 0
~ m m m i:"Uen:Ei:"U
~ m
Z c mr-~,..mr-
>i:I lJ) oC ~OC
I ~ z ~ 'tl xi: mxi: "U 0 en
en m "Tl!;u::O;u! m 0 0
~ "U ::l 0 zzxx-Z ::0 z ::z:
::! m CD .... >Qgo Q i: -l m
:::t .,...
~ (') () 0 r-"Tl 0 ;u :::j ;U 0
.... 0 z -,.,. - z c
~ 0 ::l lD ZCC r-
:; ~'tl'tl 9 m
z m 0
~ "Tl
~ 0
~ ::z: ;U
m
~ 0 0
c 0 ~~
;U < 000000
en m
~ Z ;U Q"Tl"TlO~
,.. Z >;0;00
Ilo ~ Q f!!mmi:Q
~ _'tl'tl"U~
~>>>o
~ z >ooz;;
0
3 !" _mm...._ -4
;U"Tl;U r-
....__ r- i
cnZ Z m
~~ Q
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
7. 7. () 1
White File
Pink City
Yellow Applicant
PERMIT NO.
at bottom)
/S-{u 2-- hJ~ fbA J /)). S-t-
,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
[)e/v1:J
l,/\../ tt Vr'C~
(Phone)
?S-2 - CIC//- 7 Lilt
(Address)
(/) - [I ~O -CJt.(C(j
BUILDER
(Company Name)
(Contact Name)
(Address)
L-c/l.t/c~ -h~ {?c/c lc~,~
A/;d~ L-~'l c \
//2 /3 t".g, sJ. L,-",.
L~~~ oh-1t
(Phone)
(Phone)
../"V1,-1
[:~-(? LI'
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
V
M
4
A
R
5
I
E
o Misc.
B
S U
PROJECT COST /V ALUE $
(excluding land)
ation on this ication which is to the best of my knowledge true and correct. I also celtify that I am the owner or authonzed agent for the
constructio conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
ermore I hereb a ee that the city offtcial or a designee may enter upon the property to perform needed Inspect"ms.
2()Z ~ ~") 2')") 7- "7 --C'C)
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 $
This Application Becomes Your Building Pennit When Approved
Buildlllg Ofticial
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 to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner consl1lUtes a temporary Certificate of ZonIng compliance and allows constlUction to commence. Before occupancy. a Cerl1ficate of Occupancy must be
issued
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