HomeMy WebLinkAboutBuilding 06-0390
5" 0 8~ 0 mODO "'0 ~ > -C')
:J: 0 z_
III 0 !g ~-
j 0 en ."."." 0 Z C
0 U 0 3l: =i en~OO Z m ::0 mo
::0 ::0 ::0 3l: m c: c:o m ::0 m 0."
> 0 ::0 ::0 " -r-s;:3CZ-4 Z en ~"'O
r- :-! m m en m Ie~~~ !=> en
r- C') (') > Z 0::0
-4 z-
-4 -4 -f m - zO
> - (') 0
C') en en -4 Z V1 0::0
,-t ." i5 tv ::! s:
>
0 Z - 0"
-4 ...c.. m m
0
~ ::0
.-<
~ ~ ." "'0
~ :J: 0 ::0
m ::0 0 000000
Z ::0 0 3C"'Oen~3C"U
~ m m m
>< z m mr-~)limr-
~ 0 0C: -40C:
~ Z ~ en :J:3C m:J:3C "'0 C') en
;0 C:i "U ",!!!::O::O::o!!! m 0 C')
~ en m ZZ:J::J:-Z ::0 Z :J:
j 0
::! ~ "'0 (I) -4 >(;)00 (;) i: -4 m
m ~ i5 r-::!!~~ ~ =i ;:a 0
~ C') (") c:
-4 0 Z Zc:c: Z r-
~ i5 a lD ~"U"U !=> m
Z :-! m 0
N ."
~ .... 0
:J: ::0 ~
m
~ 0 0 f~
c 0 ,
::0 < 000000
en m vJ
:t! Z ::0 (;)."."o~
Z >$$0
R- > (;) ~mm3C(;)
C _"U"U"U~
~ ~ ~~~~o
~ Z >OOz::r; \
~ 0 _mm-4_ ....
rn ::0"'::0 r- E
-4-- r-
enz Z m
-i~ (;)
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF WNING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDITION PID 6- S-. 0.5 7. 00 7. 0
OWNER
(Name)
fuA~
-e. 1.00. -\t'( \ \ ( e. \ e \\) ~
(phone) C;~ -/fi/) -/fOC),;'"
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) (
(Phone) (P5l~{oL/1c "135~:r?
(phone) &5/-3htj -2/.::)?+
(.
TYPE OF WORK. 0 New Construction ODeck Dporch9Re.Roofing ORe-Siding DLower Levd Finish D Fireplace
OAddition OAlteration OUtility conne6ion 0 Misc.
. CODE: DI.R.C. OI.B.C.
Type of Constnu:tion: I
Oc:aapaacy Group: A B E
Dirision:
n
F
1
m IV V A B
HIM R 5 U
2 3 4 5
s -3975". ot'
PROJECT COST IV ALUE
(exc:ludiq lanel)
I bm:by certify lhall haft IitmisIIcd information on this application which is to the best of my knowledae uur and correct. I also certify that I am the: ownrr IX" authonzcd aernt for the:
above-mmbonrd propmy and that all COIISuuction will confunn to all rxistil1ll stare and local laws and will procerd in accordanct: with submittrd plans. I am aware: that the building
Q~ ~an';;r this per1!lit for ~FUrtlu:~. I hrrdly agree: that the city official or a drsi&n<< may entrr upon lhr propmy to perform nredrd IIlspections.
X IL ~~ clJ>>'t->>X....J f?9(CJ3 5-/.L-cJ0
SignaI:tIR CODb'adOr's Licente No. Dale
Permit Valuation
Permit Fee S 7 (c_ Df)
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee S
Mecbanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
'l1tis AppIkation ~ Your BailtIhq Pemdt WIIea ApproYe'
Buildin2 Official
Dltle
Park Support Fee # $ I
SAC # S ,
Water Meter Size 5/8"; I"; S
Pressure Reducer S
SewerIWater Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other $
TOTAL DUE S
5~~b
I~..~N:>&:'
I P id
D~te
nus is to catif'y that dtr request in dtr above application aad aa:ompanyinl documents is in acconIancc with tI1r City Zoning Ordiaana and may procmt as requested. This document
whc:n sipc:d by thr City PIannrr c:onstit\ltes a "'mporary Catificatr of Zonin8 compliancr and aIIows consttUCtion to COIII11ImCl.'. ~ occupancy. a Ccrtificare of 0ccupatIcy must be!
issurd
PIIattina DiIeclllr
DE S . ('~ ifliiiY
14 hour noli<< for al11llspectlonl (9!\2) 447-911..'10. fu em) 447-414~
16200 Eagle Creek Avenue Prior Lake, MN 55372