HomeMy WebLinkAboutBuilding Permit 09-0389
~~ 0 0\0 0 0 0 "0 ~ :.- -0
::t C Z_
0 en"TlZ"Tl"Tl"Tl 0 C ~~
o 0 :s:: ::::jzen~OO Z m ::0 mO
;:u ;:u 3: ~>c:~iS m ;:u m 0"Tl
;:u " zr>zcz Z en :1"0
m en m en
o > Z ~ :1Ci)~Ci) !J 0::0
~ ~ ~ z-
-f m 0 - zO
~ > - o z 0
S 0 o en en -4 z 0::0
~ "Tl
co ;:u - > 0 :1S:
~ 01 ?' o 0
0 z ~ z 0"
"Tl 0 > 0 mm
~ 0 :.- z ~
::0 r
r C _
~ -4 "Tl "0 "0
:.. ::t 0 ::0 ::0
~ m ::0 0 0 000000
z ;:u 0 0
m m m ~"Oen~~"O
~ )( m m m
z mr~)imr
-4 c C oC: ~0C:
lla Z ~ en :I:~ m:I:~
;t cs " "0 0 en
~ en m "Tl!!::O::O::o!! m 0 0
~ "0 :J 0 -Z::t:I:-Z ::0 Z ::t
::! m III ~ ~Ci)OO Ci) :r:: -4 m
~
;;: 0 (") 0 r"TlOO ;:u :::j ;:u C
-4 0 Z -"" - Z c:
0 3- Zc:c: r
~ tD ~"" 9 m
Z :1 m C
~ "Tl
N 0 M
....
~ :I: ;:u
0 m I
~ 0
c: 0 t
::0 < 000000
en m
~ Z ;:u Ci)"Tl"TlO~ ~
:.- Z >;0;00 -4
~ Ci) ~mml:Ci) m
c
~ ~ -"""~
~ ifi>>>c
Z >ooz:;;
~ 0 _mm-4_
!'l ::O"Tl::O r -4
~-_ r i
enz z m
~~ Ci)
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ~5t084
f\ - 7~(oo
at bottom)
ADDRESS
11~~
OAK-
Ln
L)ef-..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~i~~e ~:~y I PERMIT NO.a... '7~C;
Yellow Applicant ~ ~ +-
ZONING (office use)
ScS
OWNERB
(N ame) en
'-; BGL-INbA ~OfLDKA,J
(Address)
(Phone) q'5~ - 4-l{o -Id-~D
BUILDER I _ \ (\ _
(Company Name)W~e...60A~D l.a\~(J\
(Contact Name) . kA-e.en
~I K(sHO~AL Avf; (\-\ s+lll~{
(Phone) lcf51-43q-4~
(Phone)
ty\ 1\ ~8 d-
(Address)
TYPE OF WORK 0 New Construction ODeck o Porch j2JRe-Roofing
OAddition OAlteration OUtility Connection
CODE: rl'JI.R.C. DI.B.c.
Type of~ction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
o Misc_
PROJECT COST IV ALUE $
(excluding land)
~Y:J~DD
:o(P(PSfJ(
I hereby certity that I have filrnished mformation on this application which is to the best of my knowledge tme and correct. I also certity that I am the owner or authonzed agent for the
above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
~ft=mh: p~ore, I hereby agree that the City official or a designee may :9:~~ i~~rtyi qform needed mr;TI~ 09_
, 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 $ -1/.", ,.
i~j/cr,.
,
I ReceifJ(JO 5"~ 17. <.. I
By ~ I
Paid
Date
ThiS IS to certity 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 temporaty Certificate of Zoning compliance and allows construction to commence_ Before occupancy, a Certificate 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