HomeMy WebLinkAboutBuilding 06-0214
:; ~x (') D~DDDD 'V ~ >- -(")
z_
III 0 :J: 0 ~~
"8 en"-"",, 0 0
~ o 0 s: --Z~OO Z Z ;:0
(") n -fZen co m mO
>- 0 ::0 ::0 ;:0 s: ~~CI:Z-f m ;:0 m (")"
, :'1 ::0 ::0 " Z >:-0% z en ::!'lJ
, m m en m !=' en
~ t (") (") > Z en -f~>G) 0::0
-f -f -f 'lJ - -f Z-
-I m 0 - zO
~ ..., ~ > - C/) (") Z 0
I (") en 0;:0
~ CD -f " ~~ Z
CO - > ::!!;
~ UI o (")
0 Z -f (")"
" > 0 ~ 'v""': mm
~ 0 Z ::0 r --"
;:0 0 :<
~ -f "TI 'lJ 'lJ
. ::t 0 ::0 ::0
~ m ::0 0 0 DDDDDD
z ::0 (") (")
~ m m m m l:'lJen~I:'lJ
)( Z m m m'~>m' ~
-f 0 0 (")c -f(")c
~ Z ~ en :J:I: m:J:1: (")
~ ~ 'lJ 'lJ en
en m ,,!!!::O;:O::o!!! m 0 ..1 (")
~ 'lJ ::l (") .cr- %z:J::I:-Z ;:0 Z ~ :I:
::! m CD -f >G)OO G) I: -f m
~
~ (") () is (\ ,,,00 ::0 =i ;U ~ 0
-f 0 Z -"" - C
0 3- ZCC z ,
~ OJ ~'lJ'lJ !=' m
Z :'1 m 0
"TI
~ N 0 (\
....
::t ::0
m ~
~ 0 (") l '
c: ~ G\
;:0 DDDDDD ~
en m
~ Z ::0 G)"TI"O~ C
% t'... ~
>- >;:u;:u0 ....
Ro Ii> ~mml:li> "' m
0
~ < _'U'U'U~ ("
>- ~!i:!i:!i:o ~')
~ z >00%:;;
~ (") _mm-f_
!11 ::0"::0 ' ....
-f-- , i
cnZ % m
-f~ G)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3. z9. O~
I While
Pink
Yellow
File
City
Applicant
I PERMIT NO. OfR. 02J4i
(Please at bottom)
ADDRES3/8(P '--'/N!:JCN ~/teCL6
LEGAL DESCRIPTION (office use only)
LO~LOCK ADDITION
ZONING (office use)
NOIZ1}-fWCX5D
PID 2S. 1-+1. 033.0
OWNER
(N ame)
~\ u ,,'/\.. ~ ~/'9 c....
3 { e t....: 1'\ cO.a
EllS
d__
(Address)
BUILDER
(Company Name) Cilsa.~c;..
(Contact Name) R-
(Address)
Co;'\~
(Phone)
l{'iO-3~c.e
(Phone) ~( J. - qlfO- -, (D<<C
(Phone)
~ h. +-..s \'"
TYPE OF WORK 0 New Construction
DAddition DAlter
Deck OPorch o Re-Roofmg ORe-Siding OLower Level Finish 0 Fireplace
DUtility Connection
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
V
M
4
A
R
5
III
H
2
IV
I
3
I
E
II
F
1
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that I have hlrDlshed mformation on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authoJlzed agent for the
above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:tiC1al c revo IllS p It fO~erebY agree that the City official or a deSlg:e may enter upon the propeny to perform need; l~':;;q):CJG:,
Signature Contractor's License No. Date
Permit Valuation 5tJo.00
Permit Fee $ 25.00
Plan Check Fee $ / (p. ZS
State Surcharge $ .50
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
BUIlding Unlcial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ ~/.1~
Paid
Date
4-~7~
1, /()(,
Iya
.57/87
ThlS IS to certify that the requl'st in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procecd as requested Thls document
when signed by the City Planner constltutes a temporalY Certiticate of Zonmg compliance and allows constructlon to commence Before occupancy, a Cntltlcate of Occupancy must be
isslled
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