HomeMy WebLinkAboutBuilding Permit #11-0034 c� a;�aao❑ � o a g�
x � v y
y'�—�--8' O cn „ Z�n „„ o v ��
� c, � g 3�zu,�oo z m � mp
b a° ��� m='��z°z z� N =' o
t� F '" "' �n Z v ���� � z�
p � � y v� - Z z o � �
� � � = m �
� o � z � S �
� � r p :[ 5
m „ v �o oOO�o❑ p
� � � � •
Z � n f� ;�vtn���o
m m m mr"�J >m
� � � ° ° �����W m p =
c � � � yc � �e �
m
b � � � r��� Zo � C
� � 3 � r O G
Z � �
� o �n 1 'f''1 CN
� c c ��00�0
y W � �
'z �
� o � c��;� � �
Z� �
� � �mm� �
� m ..��J� Z m
�� �
A
,' :e
•
• •�
•� !
• � i
, ��a
oF � PRIp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, ��; � � � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � , � '3 � �
���� `�; � AND UTILITY CONNECTION PERMIT
M�'�'NeS��P I. White File
2, Pink City PERMIT NO . O/��
3 Yellow Applicant � U
Please e or rint and si at bottom)
ADDRESS ZONING (of�ice use)
yb2 or pri r k IYIN SS �Z
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
OWNER Cl f
(Name) J 1 eUZ �r �Ir`l �CY►�D E.YY1 Q.Ir' (Phone) .' 3 Sfe
(Address) j y( 2, r SE � �.�J 37 �
.��
�• L'OAITRAd'012 ��'
(Company Name) 52►1�3i.� ��aVl � ��- (Phone) 9.SZ �Q3—�� ��D
(Contact Name) Ke u,� �n� t,� (Phone} `�J�2' �1�3 � 9 1 �
(Address) �92.�j- �I401m � � � IV
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing �2e-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A s 23 6 3 S.
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby certi'ty that I have furnished information on this application which is to the best of my knowlcdge true and correct. I also ceitify that I am the owner or authorized agcnt for the
above-menuoned property and that all construction will conform to all existi tate and local laws and wi4 proceed in accordance with submitted plans. I am aware that the building
offic' revoke this permit for just cause Furthermore, I hereb agree tha ciry official or a designee may enter upon the property m perform necded mspcctions.
�.- �, � �/� 72 S� 0�-//-//
Signature Conuactor's License No. Date
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 $ s'
This pplicado e o our Building Perntit When Approved - Pald ,'T Re ' t No.
Date /3 B
I/3_//
B ne Ofticial Date
Th�s is to certify that thc request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pruceed as requcstcd. This document
whcn signed by the City Pianner consututcs a temporary Certificate of Zoning compliance and allows construction to commence. Befure uccupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice tor all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372