HomeMy WebLinkAboutBuilding Permit #11-0825 3❑❑ n O��O�❑ = O � Zn
y n n� Q f/l11Z�I'tf�l Q � C ��
0 n � ��� 3 ��c3Z$ m � y n�
� r � m m y 1'ft y szyz O y O�
- � i -Ai > Z �° 0��� Z O
�$. y y N � Z = Z �
� m � D -� o
�i z � = m m
� D �
� Z �
� � v
„ � v
� m � o � 00�0�
'� m � m m mr�-
o� � o v �c D�c
=;��5� � A tA
� c � r r ����xx�c=i 3� � m
� � o r�SS Zo Z . c
o � � � ��� � _�
� A � �./
= m
� C A
y m � � O�OODq �
� = z ����� � � �
� ° " ��°��� 1 �' -
< � Z
� z � a�� �
� m ����� . �
�� � �
� ��
�� P R j��
� �, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" � AND UTILITY CONNECTION PERMIT �; Z¢: I �
�
j �'NES��
1. White File pERMIT NO . // ���
2. Pink CiTy
3. Yellow Applicant ��
lease or rint and si at bottom
ADDRESS ZONING (ott'ice use)
�C��s l �' /'n�/.so�► �'� �
LEGAL DESCRIPTION (oBt'ice use only)
LOT BLOCK ADDITION PID
� 4
(Na /` �r� S � � (Phone)
(Address) �� Yh-2
BUII..DER � � /� p S . � �
(CompanyName) / 'r �''"*'��`M�/�-�e-�- Cr.�/��,� (Phone) �✓
(Contact Name) `, A YY1�.S (Phone) �ISZ' Z 9 Z 9S 7
(Address) � �{J �lo f31�1t. /o�- (./� �-e..
TYPE OF WORK ❑ New Construction �Deck �Porch �e-Roofing ORe-Siding �Lower Level Finish ❑ Fireplace
�Addition ❑Alteration ❑Utility Connectron �
CODE: �I.R.C. �I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M B S U PROJECT COST/VALUE S
Division: 1 2 3 4 5 (excluding land)
I hereby certify that have turnished information on this application wlrich is w the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mrntione perty and that all consuuction will conform to all eusting stau and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can rev this permit for just cause. Fbrthermore, I hereby agree that the ciry official or a designee may enter upon the property m perfo:m needed inspections.
X Zo3�s�� $-zY-za�!
Signature Conuactar's License Na Date
Pe t Valuation Pazk 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 Pernut Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ �. �
Tlus Applicadon Becomes Yonr Building Permit When Approved Paid Rec t NO. ,3 �
Date B
Buildin 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 Directoc Date Special Conditions, if any
24 hour notice for all inspectlons (952) 447-985Q fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
�
�