HomeMy WebLinkAboutBuilding Permit 11-0890 0 0 171A-0000 13 0> %0
tn § n a
CD
0 k) � m»C CO m 0 §\
% § ° m o _ ■ m Z > O § $ § �
% �q w
-I m 0 z k
ro w • I ¢ 0 z z §
% % e m . a
\ 7 z § z m m
t'21 0 > z 73 , m
¥ E 71 13 13 o 3 7 �1
I
\ z 0 § § 000 ❑2O
q m m m c�®sc�
c -4 z 0 o §�R�§E .4 Cn • I = ■ gy m=■ n . m
i
) 2 § , § I §=7�7 z i
§ d r %OO § k
\ z § Fili ( / \§ P : r it \ ■ -n Alh
I m Ilk
2 =000=0
z } 2]]§§
R. >0 ® �qm§
\ z } 0 &K
§ m y -4 p 2
w Z - m
qr- B
Oi PR/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
a TEMPORARY CERTIFICATE OF ZONING COMPLIANCE S /./
E. 7 AND UTILITY CONNECTION PERM `
U t r j
ifikN8 I. white File PERMIT NO . / /�
City / 1 L
3 Pink A
3 Yellow Applicant v
eas ty rint and sign at bottom)
ADDRESS ZONING (office use)
37 ? A /S 7 4-4.)1
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) 1111/-A-C17 rt--5 (Phone)
(Address)
B �e*� } %o ( (Phone) £/ 1 16 col g/
, Company Name)
Ft ontact Name) 5 c_.. t r Y"�l (Phone)
IP- Address x.2.382 CJ c[ -e_ 2. 1/3 F'- v/ r rn V, V
TYPE OF WORK ❑ New Construction ['Deck ❑Porch e- Roofing -e-Siding
['Lower Level Finish ❑ Fireplace
❑Addition ['Alteration ❑Utility Conn tion
❑ Misc. Y
CODE: ❑I.R.C. ❑I.B.C. IN I N Do 1/V� ' I
Type of Construction: I II III IV V AB PROJECT COST /VALUE $ 24 � D °0
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5 1
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
above - mentioned property and i a const fiction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the b ilding
official can revoke th • • - for s au �� a rthermorc, I hereby agree that the city official or a fie, gate yy�eru the property to perform needed inspections.
X __ / _, � . /L�r'''S 9 O 2o t(
Contractor's License No. Date
ligilli.1.11111. '...11.11111111111111.
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 79 75 ----
This Application Becomes Your Building Permit When Approved Paid ', / • 757 Re ipt No.
Date 7 . 8 .1 B '
Building Official 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, a Certificate of Occupancy must be
issued
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372