HomeMy WebLinkAboutBuilding 06-0941
5" 0 ~ (") 000000 ." ~ > -0
z_
(II 0 :x: c ~~
-0 0 en ""z"" """" 0 C
Q CD 0 3: =izen~OO z ::u
(') Sl m mo
:u 3: !:!!>C:!I:~S m ::u m
0 > 0 ;;u en 0""
1 :-! ZI>-O- z :::I."
t!l m m en
1 0 en Z en -t~>~ 9 O:u
~ t -t > " - -t z-
-t -t m 0 - zO
l<::l ..... > Cii tn o Z 0
. (') -t Z O;;U
S CD -t ""
011 (5 > (5 :::I>
~ at (') Z 0"
0 Z -t o:;o>~- mm
"" > 0 9"~ZS-.l
~ 0 1 Z ~ o I -
::u 1 0 ~6'tJ~gj
f:::l -t "" " "
~ :J: 0 :u :u -8,<tTJ:I:
m ;;U 0 0 000000
~ Z ;;U (') (') ~(/)o
~ m m m m J:"en;EJ:" >-:3:;0
>< z m m ml~)imr- O:;ON
-t 0 0 0C: -t0C:
:a, Z ~ en :x:J: m:x:J: <00 en
a ~ " ",,!!!::U;;u;;u!!! 0
~ en m (/)oz
~ ." ::l 0 zZ:x::x:-Z "rj :x:
::! CD -t >(;)00 (;) m
m ::t z>-:3
~ 0 () (5 1",,00 ;;u 0
-t 0 Z -"" - a:;O c:
0 3- Zc:c: 1
~ OJ ~"" ~ r m
Z :-! m (/) 0
~ ""
N 0 (/)tTJ
".. S
~ :x: ;;u
0 m ........
~ 0 z
c: 0 ~
::u < 000000 a
en m
~ Z ;;u C)""""(')~ 0
Z :.
> >::u::u0 -t
Ro (i) ~mmJ:(;) m
~ C _.,,"U"U~
;;J ~ ~>>>o j:"
Z >ooz:;;
~ (') _mm-t-
rn :u"":u r- -t
-t-- r- i
cnZ Z m
-t~ C)
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
/7/(P8 /IO/U~~
J()'I(,~(jG
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0'. 0 q~ /
pu,.
ZONING (officc use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PIDzr: z.9~ ~(,. 0
(Phone)
(Address)
;~{~(mtact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration o Utility Conne
(Phone) 7"3iZFtVl~
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.C. o Misc.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
t on on this application which is to the best of my knowledge true and correct. I also certify that I am the owner Of authonzed agent for the
ill conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that thc bUlldmg
rmore, I hereby agree that the CIty official or a deSignee may enter upon the propelty to perform needed mspcctlOns
IO/I'/D{"
Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildll1g Ulflclal
Date
ZOOlo2:'1i
Contractor's License No.
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 $
ThiS IS to certify that the request in the above application and accompanymg documents is m accordance with the City Zoning Ordinance and may procecd as requested ThiS document
when signed by the City Planner constItutes a temporary Certificate of ZOnIng compliance and allows eonstrucl1on to commence Before occupancy, a Certificate of Occupancy must 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