HomeMy WebLinkAboutBuilding 06-0771
:;- 0 ~ C') 0;0000 " 0 > -0
z_
(/) 0 :I: ~ C ~:;!
~ n Ul Z"''''''' 0 c
g 0 a 0 3: ::j Ul~OO z m " mO
> 0 ;n 3: m>C co m " m 0."
I"" :-! ;;U _I"">:~Z~ Z Ul ::!"
t!:I m m Z -CZ Ul
I"" 0 Ul' Ul ~~>C'l 9 0"
:.a t ~ > z " - ~ z-
t!:I > ~ -t m 0 - zO
~ ..... en o Z 0
I n en ~ Z ~ 0"
S co ~ ."
CllI > 6 ::!!;
~ 01 6 n
0 Z ~ Z 0"
." > 0 mm
~ 0 Z ~ ~
;;u C
~ ~ " "
~ :I: ;;u ;;u
~ m 0 0 000000 t\J
Z n n
~ m m m m ~"Ul~~"
>< Z m m ml""~)IOml""
~ C C nC ~oc
Ul
~ ~ z " ~ m:l:~ " 0 Ul
Ul m '~ ~;;u;;u;;u~ m 0 0
~ ~ " n ~ zZ:I::I:-Z " Z :I:
::! m ~ >C'l00 C'l :r:: ~ m
~ n 6 1"".,,00 ;;u ::j ;:a C
~ Z -"" - C
6 zcc Z (\ I""
~ tll ~ i!="" 9 m
Z m C
~ NI ." ~
"" 0 /J
~ :I: ;n
m
~ 0 n
c G\ ~~
;;u 0
Ul < 000000
m ~~, ~
:i! Z ;;u r
Z C'l"''''n~ ~
> >;;;;0
R- C C'l f!!mm~C'l
~ < -"""~
> ~S:S:>:c
~ Z >ooz::r; '\
~ 0 _mm~_
!TI ;;u.,,;;u I"" -4
~-_ I"" ~ ~
UlZ Z m
~i!= C'l
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I ~~~~;;:Md.;;:~htb~ Av~
I White
Pink
Yellow
File
City
Applicant
I PERMITNO'60~-771
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
ZONING (office use)
fL
pm;?J; 6 'if.
(Phone)
?s::J- ~lj7- ?J.>9
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connel!'tJ n
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
IV
I
3
V
M
4
A
R
5
II
F
I
III
H
2
I
E
o Mise
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certity that I have fiJrnished Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner Of authOrIzed agent for the
above-mentlOne roperty 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 buildIng
official can r' lk tlm permIt r Just cause Furth morc, ereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed InspectIons
8'-23-CJ6
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlllg Ofticial
Date
Contractor's License No,
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
-
TOTAL DUE $ Flu -
?~~---
I Receipt NoS 1j~
By 75~
Paid
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, it CertIficate of Occupancy mllst be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372