HomeMy WebLinkAboutBuilding Permit 09-0569
5' 0 0 0 0 ~ooo "D ~ >- -0
III ::J: C Z_
-g O.....e- ~ 0 en."-.".".,, 0 c ~~
a 000 i: --Z~oo z ::u
0 ~ -Izen co m mo
>- ::u ::u ::u i: !!!)ooC!l:z~ m ::u m 0."
:;: 1 :-! ::u ::u '" ~'~~~~ z en :::!-v
1 m m en m p en
~ (0)00 Z o::u
~ ~ ~ z-
-f m 0 - zo
lC ..... ~ )00 - o z 0
~ o en en \1) 0::u
S :::! ~ ~ z
co 0 :::!>
~ UI o 0 $
<<:) z ~ z 0",
." 0 )00 0 mm
~ 0 )00 Z ~
::u 1
1 C _
~ -I ." " "D
:a.. ::J: 0 ::u ::u
~ m ::u 0 0 000000
z ::u 0 0
m m m t
~ >< m m m !I:"Dcn~!I:"
z ml~)liml
-I C C oC ~oC
:ltr Z ~ en ::J:!I: m::J:!I: 0 en
I cs " "D
en m .,,~::u::u::u~ m 0 0
~ "D 0 zZ::J:::J:-Z ::u Z ::J:
::! m lD ~ )oo(j')go (j') i: ~ b m
:t
~ 0 () 0 ,''' 0 ::u =i c
:::! 0 z -"'''' - Z C
~ 0 a- ID Zcc 1
~"" P m
Z :-! m C
~ N ."
... 0
~ ::J: ::u ~
m
~ 0 0
c I
::u 0
< 000000
en m l1't
~ z ::u Ci)"'."o~
>- Z )oo~~O
Roo ~ (j') ~mmi:(j') ~
~ _"D"D"D~
~ Z ~>>>c
0 )oooOz=n
3 _mm~_
!'l ::u.,,::u 1 -4
~-_ 1 i
en~ z m
~, (j')
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1, t f(/7
at bottom)
Q e-d.,'" &- ( t<-.' cL, e. I,.. ~ ~ I
1. White File
2. Pink City
3. Yellow Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER d
(Name) "J'"A-y -L LJ ~dt ~OWI\..:s-~
(Address)
(Phone) <31.3 - ~ oa - SSlJ 0
BUILDER
(Company Name)f>7 tJ W,100ow It-Nl) 3 LD ',..)6-:J:;tVC!.. I
(Contact Name) Eu '-f ~cz..-e..u..p
(Address)
if) [)cu (-a.& O,...~ J...... -#-Z-'=t {)
(Phone) 71c3-S<lS~OS</~
(Phone)
~t~^ ULlie
Jt1,..) SS ~.2... "L...I
TYPE OF WORK 0 New Construction o Deck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
o Addition OAlteration OUtility Co ecti n
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A
Division:
I
E
II
F
1
III IV
H I
2 3
V A
M R
4 5
B
o Mise:
B
S U
PROJECT COSTjV ALUE $ I :J...: 6-00, D 0
(excluding land) I
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 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
inspectio
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 Permit When
Approved
dO,;L~G.5"5
Contractor's Ucense No.
Park Support Fee
SAC
Water Meter Size 5/8n; In;
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
7- :2-1-"1
Date
#
#
$
$
$
$
$
$
$
$
$
#
#
TOTAL DUE