HomeMy WebLinkAboutBuilding Permit 09-0768
:;- 0 0).0000 "0 0 > -0
l/l :I: ~ C z_
~ 0 Ul"'Z"''''''' 0 C ~~
~ Sl s: =lZUl~OO z m ::u mO
0 3: ~>Ci:~S m ::u m 0."
.., Zr-!;ZCZ Z Ul ::!"O
m Ul
~ Z ~ ::!C)~C) 9 O::u
z-
hl -4 m 0 - zO
~ en o Z 0
sa -t Z o;.a
~ (5 ::!>
0 Z 0"
." mm
~ 0 >
::u r-
t;! -t r-
."
~ :I: 0
~ m ;.a 000000
z ;.a
~ m m :I:"'llUl~:I:"'ll
X z mr-~>mr-
~ -t Ul OC -tOC
~ ~ z ~ "'ll :1::1: m:l::I: "0 0 Ul
~ Ul m .,,!:!!;.a;.a;.a!:!! m 0 0
~ "0 ::J 0 ZZ:I::I:-Z ;.a Z :I:
(I)
:! m ::t -t >C)OO C) 3: -I m
~ 0 () (5 r-."oo ;.a =l ;U C
-I 0 Z -"" - z C
(5 Zc:c r-
~ a lD ~"'ll"'ll 9 m
Z :"! m C
~ ."
~ 0
~ :I: ;.a
m
~ 0 0 f~
C 0 t
::u < 000000
Ul m
~ Z ;.a C)"''''o~
> Z >;ii;iiO
A- 0 C) f!!mm:l:C)
~ ~ _"'ll"O"O~
~>>>c
~ Z >ooz:;; ~
~ 0 _mm-t-
!" ;.a"';.a r- -4
-t-- r- i
UlZ Z m
-t~ C)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
File
City
Applicant
PERMIT NO. ~ . (~f>
("--r;;Mb~~)
I ADDRESS
. I 7 ~ 'nrJ I CLk.o tLl
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
ZONING (office use)
I&~;Z:~~~~
(Address)] t l
, (Phone) Jill :;:.~ . OS")
fyoy ~J.A. /lJ.N - -:71
(Phone) 7(P3. Lf74- ~C::l~
(Phone) lR Il . 2.7S .l/7? <c
A...t MI\.J
(.PShA+.on
TYPE OF WORK 0 New Construction ODeck OPorch ~-ROofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection
CODE: ~.R.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Misc.
$ .k~m t:O
B
S U
A
R
5
III IV V
HIM
234
II
F
I
I
E
PROJECT COST/VALUE
(excluding land)
n 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
erty and that all constn tion will co r to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
cause Fr hermore, hereb agree that the CIty official or a designee may enter upon the propelty to perform needed mspectlOns.
7 flv20S'b~ q. 7 z ,0/_
Contractor's License o. Date
x
Park Support Fee
SAC
#
#
-z...~o~ -
Permit Fee $ 1.4;- -S-
Plan Check Fee $
State Surcharge $ \- ",
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
$
$
$
$
$
$
$
$
$
( ,,- .-
I Paid ~ 6-'- ~
Date ~ (-z- s1 t
I Receipt No. fl...lf6!
By IlA.
ThiS IS to certifY that the request in the above application and accompanymg 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