HomeMy WebLinkAboutBuilding Permit 09-0787
:;- o~ 0 0'1(0000 "lJ ~ > -(')
VI :z: c z_
j (') ~ 0 (I)"'Z"''''''' 0 c ~~
:3 0 s: ::jZ(l)~OO z ::u
0- ~ m mO
~ s: ~>c5:iS m ~ m (')."
~ ~ ~ en
m (I) m ~rE~g~ z (I) :j"lJ
llll t (') > z 9 o~
-f "lJ - -f z-
~ -f -f m 0 -
..... ~ en (') Z 0 zo
I (') en o~
S co -f j! -f Z
CllI ~ (5 (5 :j>
~ UI ~ 0
0 Z -f Z o~
." 0 ~ 0 mm
~ 0 > z ~
::u r .-<
r C ~
~ -f ." "lJ "lJ
. :z: 0 ~ ~
~ m ~ 0 0 "" 000000
z ~ 0 0
~ m m m m 15:"lJ(I)~5:"lJ
>< m m
-f Z C C mr~)Omr
~ (I) OC -fOC
i ~ z ~ "lJ :z:5: m:z:5: "lJ (') (I)
(I) m .,,2!~~~2! m 0 0
Cl ~ "lJ ::l 0 ZZ:z::z:-z ::u z :z:
::! III -f
m ::t (5 ~Qoo Q 5: -f m
~ 0 () r."oo ~ ::j i%J c
-f 0 Z -~~ - C
~ (5 3- lD zcc Z r
Z :1 m ~"lJ"lJ 9 m
N ." C
~ ..... 0
:z: ~
m
~ 0 0 .,/ ....
C
~ 0 1 t~
(I) < 000000
m
~ Z ~ Q"''''o~
> Z >;;;;0
Ao C Q ~mm5:Q
~ ~ _"lJ"lJ"lJ~
~ Z ~>>>c
(') >(')Oz:;;
~ !Tl _mm-f_ ...
~.,,~ r
-f-- r i
cnZ Z m
-f~ Q
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
2. Pink
3 Yellow
File
City
Applicant
PERMIT NO.
~
,.
c::;Yc/~
..~ r / ;Z t! ,..",
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
S h " cu.f? r
j.. G'..f r /I"';-/~' "-
(Phone)
6/d - 7.]0 -/3oJ'
(Address)
CI ~c./e.
BUILDER ~. / ~ C~
(Company Name) 'f, '/ J:;. c: d::/'I-~
(Contact Name) _u _~_
'6.F ~ 4/
;20-tL
(Phone)
(Phone) i//''? -,;2 '? 3?
(Address)
~
TYPE OF WORK 0 New Construction ODeck OPorch l5l&e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
57"" eJ"cJ {;)
I hereby certify that I have furnished mformallon on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorIzed agent for the
above-mentIOned property and that all construction will conform to all exisllng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revokez; ~ for~ause jlmhermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspecllons.
X r~ c~ ')0/1FVtf'fo /() ,./-U 7"
, Signature Contractor's License No. Date
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
TOTAL DUE
I Paid -'
Date 1ft liP e;
I ~;c~fo. 58ilJ2
This IS to certify that the request in the above applicatIOn 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 Cernficate 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