HomeMy WebLinkAboutBuilding Permit 09-0475
5" 0 Dl-D 0 0 0 11 e > -0
III 0 :z: I c ~~
-g (') ~ (I)""z"""""" 0 c
B (') Sl 0 i: ::jzen~OO z m ::u me
> 0 ::u ::u i: !:!!>ca:iS m ::u m (').,..
~ , ::u " z'S;-c- Z en :::!'U
m m en
, (') en en ...~>~ p O::u
~ t ... > Z 'U - ... z-
> ... -t m 0 - zO
.., iii en (') z 0
I 0 (') ... z o::u
S co .,.. ..
CD ::u ... > (5 :::!S;
~ (ft ?' (5 (')
0 z (')"
(') z ... mm
.,.. > 0
~ 0 > z ~
::u , c
,
~ ... .,.. 'U 'U
:a.. :z: 0 ::u ::u
~ m ::u 0 0 OCHJOOO
z ::u (') (')
m m m l:'Uen;ea:'U
~ >< m m m
z m'~)lim'
... 0 0 (')c ...(')c
lIll Z ~ en :z:a: m:z:a: 'U (') en
I C:l 'U
en m .,..~::u::u::u~ m 0 (')
~ 'U :l (') zz:z::z:-z ::u z :z:
::! m (D ... >Ci)OO Ci) I: ... m
(') :::t (5 ,.,..00 ::u ::j ;U c
~ ()
:::! 0 z -"" - z c
Zcc ,
~ 0 :a- ID ~'U'U P m
Z :"! m c
~ N .,..
.... 0
~ :z: ::u
m
~ 0 (') ...1)
c 0 r~
::u < 000000
en m \
~ z ::u Ci)""""(,)~
> z >;iii;iiio
Ro C Ci) ~mma:Ci) t> m
~ ~ _'U'U'U~
~ ~S;S;S;c
Z >(')(')~:;;
~ (') _mm _
!" ::u.,..::u ' ::!
...-- , I:
en~ Z m
..., Ci)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS
Date Rec' d
White
Pink
Yellow
I PERMIT NO.
File
Cily
Applicant
Cf~41~
L
ZONING (office use)
JF
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
;!~ A/,{
710 7
lht!'s-fi~~
, ~ /VL>5'
(Address)
BUILDER
~
(Phone)
.r &;0
h/2- 9/~-/,,2P/
~ -ftlZ..-?cf/; (Phone) 6/ L - 22' - ~7/o
(Phone)
TYPE OF WORK 0 New Construction o Deck o Porch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conne tion
CODE: ~.C. DI.B.c.
Type of ct~~truction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
o Misc.
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
/a. din
x
I hereby certity that I have hlrnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authOrIzed agent for the
above-mentIOned property a 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
otlicial can e this er for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed Inspections.
~oti - 3~!o (
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
,~
7-.('~o~
Contractor's License No.
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~ -
..
1~/a;
I ~;ei~tNO_~L~
,
Paid
Date
ThIS IS to certity that the request in the above applieal10n 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