HomeMy WebLinkAboutBuilding Permit #11-0897 � o❑ c� o aoao = o o z�
� � � O �,�, �o„ o � v ��
n �� °° 0 3 m�v'� m'" m no
� D c ��� 3 r � v� ,,,��+
� � � m m y m N �=yZ O � p�
� � � ' Z .� ���� C"1 Z �
p v n y N� Z Z � o�
� � .7�C A Z � n �
� '� o � �^ m
� � r Z � O
� � � �
v
a =
� m � � � O�OOO�
'� m m m m m�����
O hv � t O O p f � C � - �I nC
S; R I S; � A N
� c � � � ���xx�� �3 � m
�
� A (j O f' � 7C 7� 70 � . C
� z � m " ��� � v
� � � y �
x �
m
° � 4
� y � aa0000
z � '� �
� > c� �� �
v G���
� n >mm��
� m �'�� F �
~ -�i � cZi
oF pR1p� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9, /Z ��
.�'. X AND UTILITY CONNECTION PERMIT
U �
a, � Wh,�e File pERMIT NO. � Q
2. Pink City
3 Yellow Applicant
or rint and si at bottom
ADDRESS ZONING (of�'ice use)
3��s w�lt� ��, ��a � 1 svv
LEGAL DESCRIPTION (office use on(y)
LOT BLOCK ADDITION PID
(Name) � ` �- n G�'l4 r (Phone)
(Address)
B '. I
ompany Na ) wl Ot.J � f' 'e-n LLC (Phone) �1 �o�' ��a"°�6 �'�
ontact Na �lS �'Y1 (Phone)
YS7 �c/r' 4�.fi `Tla� Sk/
TYPE OF WORK ❑ New ConstruMion ❑Deck ❑Porch ofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utiliry Conn ion
CODE: ❑I.R.C. �I.B.C. ❑ Misc.
Type of Constiuction: I II III IV V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I h�reby certif'y that I have fumished mformation on this application which is to the best of my knowtcdge tnie and correct. I also certify that 1 am thr owncr or authonzcd agcnt for thc
alwve•menaoned properry 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 buildmg
ufficial can revoke is permit for ju rthermare, I hereby agree that the ciry official or a designee may enter upon the properry to perform necded mspections.
X a
ignatu Contractor's License No. ate
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 $
This Application Becomes Your Building Permit Whrn Approved Paid . Re i t NO.
Date
Buildin � Utlicial Date
Th�s �s ro crrtify that the requcst in the above applicahon and accompanying documents is in accordance with the Ciry Zoning Ordinance and may pr��ceed as requcsted. This document
when sigrmd by the Ciry Planner consnrotes a tempurary Certi6cate uf Zoning compliance and a►lows constrvction tu commence. BePore �xcupancy, a Ccrtiticam �>f Occupancy must be
455U1`d.
Planning Director Date Special Conditions, if any
24 hour noticc for all inspections (9S2) 447-98.50, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372