HomeMy WebLinkAboutBuilding Permit #12-1067 � a❑`q c� o`�laoo❑ = o o z�
� � �� '�r y �N��� Z � � mp
n �� c
� Si ��� m c � m � m �„
b � � m m x m N�sZOZ 0 c 0 �
� r n > Z � o�'�� ZO
ro� a y N� Z z o�
� � � o n = m�
� T � a o m
� � � v � p �
-� � � �v
a m � o � D❑❑❑❑O
� X m � m ; � y � ; �
"' am
�' � �' � � = o�o "� _ � m p c
� p Z � m zzxx�z � z =
C � m „ y�p O � 3 � C
De m � r�00 p =1
� O � � ��� � p
O Z � T
� A � �
� o m N
� �
� � ❑❑❑oo❑ �
N m � � �n n _ �
� D z ymm� � � m
R• o � rvvv�p (`�
D �I
� � sAm ?� �
� m ��� r m
� �� �
_ _..,,.,�,... .,--..•,�--- �— .,� -
o � PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .�
AND UTILITY CONNECTION PERMIT �, ��, l Z.r
V x
�
�i � wn��e File pERMIT NO. /
2. Pink City /�' / �1 �
3 Yellow Applicant Gr � (f
Ple e or rint and si at bottom
ADDRESS ZONING (ott'ice use>
1����0 � ��� � L�i �-� /�,�� ss.� 7
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
O a WNER ,� � <� (Phone)
` (Address)
B ompany Name) L��l' �' ti� ��(I" I� �lZ��� 7�Qa�
nta �S �t � (Phone)
ress �� d T r•(/ l.O'/� O�C �-�� l�
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utiliry Co ct�
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Consmiction: I II III N V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fumished infi�rmation on this application which is to the best of my knowlcdge true and mrrect. I also crrtify that 1 am the owncr ur authorizcd agent for the
above-mennoned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg
official can ke is p it for just cause. Furthermore, I hereby agree that the city officiai or a designee may enter upon the properry to prrform necded mspectiuns.
� L
X
Signature Contractor's License No D
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 DLJE $ j
,�—
This Application Becomes Your Building Permit When Approved Paid Rec ' t No.
Date / , B
Buildim� Utlicial Date
Th�s �s to certify that the requcst in the above applicat�on and accompanying documents is in accordance with the City Zoning Ordinance and may pruceed u requcsted. Th�s documcnt
whcn signed by the City Planner consUmtcs a trmpurary Ceitificate uf Zoning compliancc and allows construction tu commence. Befure uccupancy, a Ccruficatc uf Occupancy must be
issucd.
Planning Director Date Special Conditions, if any
24 hour noticc for all inspections (9S2) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
--- - ----
---
- - „�.: ,� ,- .-.- - ,�, - .- -
. ,�,.�„�