HomeMy WebLinkAboutBuilding Permit 09-0292 > >B- --n':S...- 0 ❑g ❑ ❑ ❑❑ _ 0 0 2
O 0 o 0 0 0 3 j (f O 0 0 m 0 m
n z X 0 3 m >c m pj m n0 cn
b 0 m m T. z � ZDZ z cn =
hl r -I D Z -0 . -f o Z-
K.) D - � -. n Z z Al z°
C
~ o g; ` 0 0 z nT.
t�f o ' C\ m m
0 D D ■ I
• 73 r — 1
-I
e
• m 33 0 0 - I 0 000000
Z m m m ----- — 03 -o * 3�
c c
* '� N ° ° =3 m2 - o 0 C
4. z ? -v M - n U 373 X 1 33 C13 m 0 0
i Cn m zxx — z Z x
53 m 21. _' > 0 0 0 0 3
--1 p z 2 77 z r
O z 0 C \\ _
• y 0 )
o 0 _ ?�1
0 000000 ( —\
N c) TTnm ^l C >
R. p c -o -lo y n1
mDDD /� 1•
'''l 0 DmmZi -n 1,
:n T
• NZ— 73 Z m
r 6)
Z s Plt CITY OF PRIOR LAKE BUILDING PERMIT,
' g Iat� TE MPORARY CERTIFICATE OF ZONING COMPLIANC Mqy 2 9 2009
AND UTILITY CONNECTION PERMIT SO C
1. White C ie
2. Pin ity PERM ' i r
Pink C
3. Yellow Applicant '
(Please type or print and sign at bottom)
ADDRESS / � , ZONING (office use)
' S6, e S7-61,1,Na..&-• f /L_
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(N ame) E .0 r OE/2.JUAJ (Phone) 75 2— _ L i L i - 7 7 V l
(Address) t . 4v(7 ��''c..4, -viU /LC— % c_ S_J
BUILDER
(Company Name) �M L K-67 6 6 F= /'`' 6 (Phone) (051 (051 q ZS/ O ! /
(Contact Name) lG Y t- C. (Phone)
(Address) 2 Z7 C ,� %D � �( AA_ /�' 1 3 �
TYPE OF WORK ❑ New Construction ['Deck ['Porch Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Co on
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B / , v /d
Occupancy Group: A B E I M R S U PROJECT COST /VALUE $ ` �/
Division: 12 3 4 5 (excluding land)
I hereby certify that I have furnishe. ' formatio i• 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
above - mentioned prop , � all . . on will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware at the building
official can %just se. r rthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne insp ctions. 27 07
Si? - true Contractor' License No. Date
Permit V. V. a n Park Support Fee # $
Permit e $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $ 7C Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid 76 - Re ipt No. .- 7 v
Date t 7.4 4 7 B
Building Official Date
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 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 S.E., Prior Lake, Minnesota 55372