HomeMy WebLinkAboutBuilding Permit 07-0807
5" 0 0 0 000000 " 0 > -(')
Ul ::J: ~ C Z_
-g 0 0 (I)"'Z"''''''' 0 0 ~:;!
8 0 !l 0 3i: =iZ(l)~OO z m ;:u mo
> 0 ;:u s: ~>cl:~S m ;:u m (')."
~ r- :-1 ;:u zr-!;-c- Z en ::1"
m m en
r- 0 (I) -f~>~ 9 O;:u
>:I t -l Z " - -f z-
t!l > -t m 0 - zO
to .... en o Z 0
S cO 0 -l Z o;:u
co -f (5 ::!!;
~ 01 0
0 Z Z 0"
." > mm
~ 0 Z
;:u C
~ -l ." "'tl "'tl
:to. x 0 ;:u ;:u
~ m ;:u 0 0 000000
z ;:u 0 0
;j m m m m i!:"'tl(l)~i!:"'tl
>< Z m m mr-~)IOmr-
-l c c oC: -f0C:
>:I (I)
~ (:i Z ~ "'tl xi!: mx!l: " 0 en
~ en m .,,~;:u;:u;:u~ m 0 0
~ " :) 0 ZZxx-z ;:u z x
;:j m CD -l >(;)00 (;) I: -l m
:::!.
~ 0 () 0 r-."oo ;:u ::j ~ C
-l 0 Z -"'''' - z c:
0 zc:c: r-
~ 3- m ~"" 9 m
z :-1 m C
~ ."
N 0
'"
~ x ;:u
m
~ 0 0
c: 0 ~
;:u < 000000
en m
:i! Z ;:u (;)."."o~ C
Z >:ii:ii0 ~
Ilo > (;) ~mmi!:(;) "'
C
~ ~ -"""~
ifi!;!;!;c
~ z >ooz:;;
"-! 0 _mm-l- ~
~ !1'1 ;:u.,,;:u r- ....
-f-- r- i
(l)z Z "'
-l~ Cl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
] White
Pink
Yellow
File
City
Applicant
(Please
ADDRESS
I
PERMIT NO. t'7 #&;01
Sr-:
ZONING (office use)
Q'L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.:)-0(0+ -O-LB.-o
OWNER
(N ame)
kR I SI(
/1::>083
b(L(5~5ItU~
<....... /JA{.J/
../ I , rn <..
(Phone)
(Address)
,4U$,
BUILDER
(Company Name)
(Contact Name)
S(MAtiR/A-Ib L/JrU~r.
:J A S o,<.J '5 r/hM ~ {dJ C:,
Lfsd..
(Phone) JS-;;. - d 9':< -S1j>%
(Phone)
v.6 \f 0(<<14.-0 ~,.-<./
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch 8Re-Roofing
/ OAddition OAlteration o Utility Connection
CODE: ~I.R.C. DI.B.C. 0 Mise.
Type of Constmction: 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
PROJECT COST /V ALUE $
(excluding land)
I hereby certIty that I have hlrmshed mformatlOn 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 flll the
above-mentIOned property and th;lt all construction WIll conform to allexistll1g state and local laws and will proceed in accordance with submlttcd plans. I am aware that the buildIng
llfticial can revoke thIS permit for JlIst cause Furthermore, I hereby agree that the City official or a deSIgnee may enter upon the p1'opelty to pcrt()rm necded inspections
(?/;2~/O/
,
x
-;)DO '79<; 7 :J
Contractor's License No.
Date
Permit Valuation Park Support Fee # $
Permit Fee $ E) SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fec $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee I $ Other $
Gas Fireplace Permit Fee " $ TOTAL DUE $ '1 <a- -
Thi'(!JJi' Paid ~~ ,- I Receipt No. "f-4-J 71-
Date e h -Z- Q"-J By M
,
ThiS IS tn certify that the request 1I1 the abllvc application and accompanYlIlg documents is in accordance WIth the City Zoning Ordinance and may proceed as requested TIl1.S document
\\'hcl1 signed by the City Planner constItutes a temporary Certificate uf Zumng compliance and allows construction to cummence Before occupancy, a Certificate ()fOccupancy must he
JSSUL'd
Planning Director
Special Conditions. if any
Date
24 hour notice for all iuspcctions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372