HomeMy WebLinkAboutBUILDING PERMIT 09-0662
:;- 0 0):1..0000 "V 0 ~ -0
en ::t ~ C z_
al 0 en."z"''''''' 0 C ~~
~ 0 n ~ ::::jzen~OO Z m ;0 mo
> 0 ~ ~>c5:iS m ;0 m 0."
l:l :-1 zr>zoz Z en ::!"
t!l m 9 CIl
~ t z ~ ::!G')~G') 0;0
z-
-i m 0 - zo
~ ..... o Z 0
S cD en -t Z 0;0
co :;0 0 0 ::!>
~ UI ~
0 Z Z 0"
." 0 > mm
~ 0 > Z
;0 r
r C
~ -f ." "V
:l.. ::t 0 ;0
~ m :;0 0 000000 ~
z ;0 0
~ m m m 5: "V en:E 5: "V
>< Z m mr~>mr
-t 0 OC -tOC
ilI:I Z ~ en ::t5: m::t5: 0 CIl
a ~ "V "V
en m .,,~;o;o;o~ m 0 0
~ ~ "V ::l 0 ZZ::t::t-Z ;0 Z ::t
::! m lD -t >G')oo G') 3: -f m
::t
~ 0 () 0 r."OO ;0 ::::j ;a C
-t 0 Z -"" - z C
0 a ZCC r
~ lD ~"V"V 9 m
z :-1 m C
~ ."
N 0
...
~ ::t ;0 ~
m
~ 0 0
C t
;0 0
< 000000
en m
:t! z ;0 G')"''''o~ ~
> Z >$$0 -4
Ro G') f!!mm5:G') N m
C
~ ~ _"V"V"V~
~ Z ~>>>c
0 >ooz:;;
3 _mm-t_
!11 ;0"':;0 r -4
-t-- r i
enZ z m
-t~ G')
I. White File
2 Pi1lIt City
1 V...... AppIicoaI
Date Rec'd
~. 31_1
I PERMIT NO. 09. 0&' ~
I I ZONING'__1 I
I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTD1CATE OF ZONING COMPLIANCE
AND UTILITY CONNEcrION PERMIT
(PJeue type orpriat md siRaatboaom)
I ADDRESS
I ~ll (p WEc:;,T'3\J{2.y
AUF Sw
I LEGAL DESCRIPTION (...._...,.,
LOT BLOCK ADDmON
OWNER
(Name) A~M LDF~ HAl:?tG,N
(Address) \ ~ 1 "7
PID
(Phone) 962'" 22(p. {'LIS
BUILDER
(Name) LUSTOJVJ C.1ZCA-nONS f(CMo'iJEL INc....
(Contact Name) C. \~~ ~UN GEe;
(Address) \ 3'2....' A tV ~O() P-I€ B\....vD,10..:=:. CS u, Tf*. , I "l....
(Phone) 1~3' lILI/ ,.. $90'1
(phone)""? t.c 3-112 -'1. 1s'CJ I
TYPE OF WORK
o New Coasaudion
N'OO 1.1\:r" tZ.
Or.ovm Lm:I Ymish
ODeck [JPordI ~RDofiDI ORe-SidiDI
o YapIace OAdclitioa OA1Rraticn OUtiIity CoImection
PROJECTCOST/VALUE (exdudiqJaDd) S t,a2..35", ~
o Misc.
J heRby oercifY Ibat I Jape --- iaImDaIiaa 011 Ibis ~ wbicII is to die bat of lIlY ~..~ CI1Ie aDd CllJIRlCt. I also czrcitY dull I am tbe 0WDer or
aUCb.orized agent fur tile above-meationed property and that an c:onstrUCtioo will conform to an existing state and local laws and will proceed in acconIance with
submitted plans. I am aware that die buiIdiDa ofticial can Jm))ce this pmDit for just cause. FurtbennCft. I hereby qJee that tile city official or a desigDee may
en2ZP~oeeded~.
X ~
S~
Permit Valuation
Permit Fee $
Plan Check Fee $
State SurcharBe $
Penalty $
Plumbing Pennit Fee S
Mechanical Permit Fee $
Sewer at Water Permit Fee $
Gas FirepJace Permit Fee $
I. ,.".--y_.......-:-I
. 8uiJdiDs Official .
'20S~t02- y)5
"9S" "'~l ~ ~
Date
CODUlldIlr's License No.
Part Support Fee # $
SAC #
Water Meter SizeS/S"; I";
Pleasure Reducer
City SAC and WAC '##
Water Tower Fee #I
Builder's Deposit
Other
TOTAL DUE
This is to anif7 tbld die reqaest ia dte __ 1'1'" ~.. . ad - .,J... ikJ ,~oft is itt - ........ widl dte City ZoItiDa ~ ad...., pI'Dlzahne........ This cIoc:ament
wbI!II siped by the City PIaJmcr COIlStilutes a teIIIpOnIy Certlflcate of ZDDina ~_1IId allows c:oIIStrUCtion to C01MII!DCe. Ileilft occ:upmc:y, a CertificaIe ofOccupucy aust be
issued.
"-inc Direc:UJr
DIll: SpeciII Can. UGS, if any
24 boar nodce for all iDspedioDI (952) 447-9Ut, to ("2) 447-G4S
16200 EqJe era Avenue Prior LIte. MN 55372