HomeMy WebLinkAboutBuilding Permit 09-0668
5' 0 0 i* 0 0 0 "U 0 > -0
III 0 :I: ~ 0 z_
1il 0 ~ t/) -."."." 0 0 ~~
a 0 Sl 0 3: ::::jz ~oo z m ;:0 mo
> 0 ;u ;u 3: m>c co m ::0 m
~ :"! ;u " -I"" !; 3: Z-I en 0."
hl r m m z -0- z t/) ::::!"U
r 0 t/) ~ ::!~~~ 9
~ -I > Z 0::0
-I z-
> -t m 0 - zO
~ en o Z 0
S 0 ." en -l z 0::0
-l > 0 ::!!;
~ 0 0
Z -I Z 0"
> 0 mm
~ I"" Z ~
r;! I"" C
." "U "U
;.. 0 ;u ;u
~ ;u 0 0 000000
;u 0 0
~ m m m 3:"Ut/)~3:"U
m m
z c c ml""~>ml""
lltI CJl OC -IOC
~ ~ ~ "U :I:3: m:I:3: "U 0 en
~ m .,,!!!;u;:O;:o!!! m 0 0
~ ::J 0 zZ:I::I:-Z ::0 Z :I:
::! (I) -I
~ 0 >(i)00 (i) 3: -l m
~ (') 1"".,,00 ;u ::::j ;u 0
0 z -"" - c:
~ ;a tIl zcc Z r
:-l m ~"U"U 9 m
~ ." 0
0
~ ;:0
m
~ 0 f~
0
< 000000
m
~ ;u (i)"''''o~
z >:ii:ii0
R- (i) f!!mm3:(i)
~ _"U"U"U~ ~\
~ ifi!;>>c
>ooz=T;
~ _mm-l_ -l
;:0"';:0 I""
-1-- I"" i
CJlz z '"
-I~ (i)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
S:~<Q k Pt9, Y'. +
O~o1
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNERI1
(Name) I<..e...-'Yh. A 'Vt",.- 1!) I t.. (-f-
SId-- \ Fr
J-)o ~
(Address)
Date Rec' d
White
Pink
Yellow
I PERMIT NO'q 4~ I
File
City
Applicant
ZONING (office use)
PID
(Phone)
~~~~~ Name) (Jq -z-Iq - r u dCJwr.. I. e M'~"t' /. ~ 7
(Contact Name) ~ "I: ct ""'"\. (J q L of "('r' h'- I <-
(Address) ~ e..... I 4- - ~
(Phone) t.., I J-- ..xlO - &?1J I
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: ~.C. DI.B.C. o Misc.
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certity that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certlty that I am the owner or authonzed 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 aw > that the building
fficiaI can revok~Jt for Just cause Furthermore, I hereby agree that the City offi~d;;n;m~n; ~ the property to perform neede~nspe/ iO~
Signature Contractor's License No. Date
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"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ -Z~- .--
~~
I ~;oeiEt No. ~~
Paid
Date
ThiS tS to certity that the request in the above applicalton and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constllutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerltficate 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