HomeMy WebLinkAboutBuilding Permit 09-0585
'5 ~f 0 ~~ CI CI CI "0 ~ ~ -0
UI :t C Z_
"8 0 Ul "'rI"'rI"'rI 0 C ~~
~ 0 !l o 0 i: =iz~~OO Z m " mO
g ~ 0 " :u 3: !!!~C:il:i~ m " m O"'rl
, ~ :u ;,:; z'S:zcz z Ul ::!"O
t!l , m Ul m 9 Ul
>a t o > Z ~ ::!Q~Q 0"
-4 -4 z-
t!l -t m 0 - zO
~ ~ > - o z 0
S ~ o Ul en -4 z 0"
co ::! j;! 0 ::!!;
~ 01 7' o 0
0 Z -4 Z 0"
"'rI 0 > 0 mm
~ 0 > z ~
" ,
, c _
~ ~ "'rI "0 "0
~ :t 0 :u :u
~ m :u 0 0 CICICICICICI
z :u 0 0
~ m m m m iI:"OUl~iI:"O
>< Z m m . m'~)im'
~ c c
lit! Ul oC: -40C:
~ cs Z ~ "0 ,J: iI: m J: iI: "0 0 Ul
Ul m "'rI!!!:U:U:U!!! m 0 0
~ "0 ::::I 0 zZJ:J:-Z " Z :t
CD
::! m ~ -4 >QOO Q i: ~ m
~ 0 0 0 ,"'rIOO :u =i ;:u c
-f 0 Z -;,:;;,:; - Z c:
0 a Zcc ,
~ 1XI ~"O"O 9 m
Z ~ m c
~ "'rI
N 0
~
~ J: :u
m
~ 0 0 ~
c: 0 t
" < CICICICICICI l
Ul m
~ z :u Q"'rI"'rIO~ U) ~
~ z >~~o ...
Ro (j) ~mmil:(j) 1ft
c
~ ~ _'tl'tl'tl~
~ Z ifiS:S:S:c
0 >oOz:;; 1
3 _mm-4_
rn :U"'rl" , ...
-4-- , i
UlZ Z 1ft
-4~ Q
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
%' fD . 0 '!
at bottom)
h182 ~i\\c.f'"L~ ~ <:;c
White
Pink
Yellow
File
City
Applicant
\ PERMIT NO. Or 058.51
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~, GorhAM
(Phone)
9fZ-'-f40,. 't I'll)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Re-Siding OLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction DDeck OPorch ORe-Roofing
DAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V
HIM
234
A
R
5
o Misc.
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have filrnished Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mentlOned 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 buildIng
",",.] ,m ~'m" fix J'" 0"" Forth'_,] ,."" 'W. ''''' ""," omn,] '" , """". m" rn..' "l"" ,", pro""" m ",f~ ""'''' m",""~
X ~ i".t,.O~
Signature Contractor's License No Date
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
Buildlll!! Otlicial
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 $ 7U? 0 ()
Paid
Date
-;~-1
ifNO~~<'
ThiS IS to certify that the request in the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner conSlltutes a temporary Certificate of ZonIng compliance and allows construction to commence. Before occupancy, a Certificate 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
4646 Dakota Street Prior Lake, MN 55372