Loading...
HomeMy WebLinkAboutBuilding Permit 09-0367 J W z z H F 3 E LL m 0 �ow wa 0 w z ^ 5 > I o1a aa❑ O o . iii i-- 4, "O ( z Z 00001:10 p : w = re N LL O Ill c Z W / z Y Y z z 0 V 4 Lac o r2 H re O O w J O Q w s '' _z o c N p x 0 4 z w c a -z w m w w z t to = 0 n �wa j �w W W W co oc X f s, a� 1 • 0 co w 0 ce z ,., / 000000 0 0 re w eg • a a s LL Z 1111 0 a 0 0 IL IL 5 N z a � ' - o u. O z O O W �" I - / W - z 0 QO F N Z ,� co v-1 W � N ce Z �° z 2g JZ 2 Nc re re ° a o OV W W w O0 NZ O O O y V V a 0 O u O°� z,� N 3 0 0 0. c�z 0 0 a 0000 0 —�-0 c o� p R I0� CITY OF PRIOR LAKE BUILDING PERMIT, Date Re( .7 .i.., TEM PORARY CERTIFICATE OF ZONING COMPLIANCE pq -6 AN"' �' AND UTILITY CONNECTION PERMIT 4 , N 1. white File PERMIT NO.p /. 6 y6 T 2. Pink City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office ast /515°1 site -ernrmi- . Se LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ..}- ) (Name) 1I A)/ / / i (Phone) 95a- 99, - 0188 (Address) /5 S d nio ni- fi sr , ,3-i of l ak , /2i1V BUILDER i n e 6n8i L OJl 1' E PU (Phone) , (Company Name) C � ✓ hone ��.�' � 9�' 7lA/ 0 � (Contact Name) DoV-L Of f riCilau ✓ (Phone) (Address) 8 Al h yrrmardirl p t a ate 6I vd / Al vmin j k-'n, w) TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing te- Siding ['Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection CODE: I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I II III IV V A B Qg� Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ i Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information 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 t above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildi official can revok ; tlii) ' for jus cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature Contractor's License No ate Permit Valuation Park Support Fee # $ Permit Fee $ 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 $ Gas Fireplace Permit Fee $ TOTAL DUE $ This Application Becomes Your Building Permit When Approved Paid 140e 1/32 Receipt No.s`Jg 7 t �srr.i, d ...z © Date d.. /; .....4 7 By d G 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 docume 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 issued. Planning Director Date Special Conditions, if any 1.4 h.......Mira f . . all tncnn.Hnnc 104/1 11.1111-02411 for /0C1\ A 7. A14C