HomeMy WebLinkAboutBuilding Permit #12-0688 y ❑❑� C� ��0❑O❑ = O o yc?
n c� � ��� 3 y � N � ° c� m � m n0
o �� g
b �► � � � � 3 r Z � v � �-n
t� � m � m y 5'z°z p v, o �
D° ,, '� '� � -ZI m 0 � � � z O
1�0 � � y (/� � Z Z � 7G
� �
� o O Z � Z m �
T m
� � r �°
� r o �
_ � � �
� Z � C�'1 A �
❑OO❑0❑
'� x m m m mr�-
o� -� y v o �c���c
� x; m x 3 �o c� cn
�_��
C m c�u ..n.� y� 3 � m
� � o z �Z�� � � C
b
�° z � m ��� O o
� A �
= m N
� C n , �
y m ❑❑❑OO❑
+1 Z � � ?1 �t n � >
� D � Nmm3� 0 "'
v r���
�
� D m����
� n >mm��
� m �"� � s
'� � z � m
a
��i �'�' � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
"� `'�' AND UTILITY CONNECTION PERNIIT
—�
� E S��
1. Wlilte File pERMIT NO . ,
2. Pink Ciry ' � �
� 3. Yellow Applicant ^ �`, � C �
lease or rirn and si at bottom
ADDRESS ZONING (otrce use)
��1G � � ��
LEGAL DESCRIPTION (office use onty)
LOT BLOCK ADDTTIUN PID
OWNER � J63�67�=J'�� t� �/ ���
(Name) ���+ ! (Phone) /7
(Address) � /� �
(Company b �"�Y'� one) �°�jL--��`' �'
(Contact Name) (Pho�e) `�
(Address) � �, J �
TYPE OF WORK ❑ New Construction ODeck ❑Porch �j te-Roofing ❑Re-Siding ❑Lower Level Finish ❑ F'ueplace
�Addition �Alteration []Utility Connechon
CODE: �I.R.C. �I.B.C. � Misc:
Type of Const�ucdon: I II III N V A B �--�
Occapancy Gmup: A B E F H I M R S U PROJECT COST/VALUE $ t�)
Division: 1 2 3 4 5 (exclnding land)
I hereby certify that I have fiunished information on this application wttich is to We best of my lmowledge true and correct. I also certify that I am the owna or authorized agent for the
above-menaoned property and H�at all consauction will mnform to all eacisting state and local laws and will procecd in accordance with submitted plans. I am aware that the building
ot&ciat can revoke this just cause. Furthermore, I hereby agee that the city ot&aal or a designee may enter u on the property m perform needed ins� ctions.
X � �� �
A Signature Contractor's icense No. D
Permit Valuation •-� �� J � Pazk Support Fee # $
Permit Fee $ •� ,•7 '" SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surchazge $ � , � 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 A�1 ica ' n Becomes ` ding Peimit n ved Paid Recei t NO.
Date B
'Z ( 7�
uil � Official Date
This is to certify t6at the m the abave application and accompanying documents is in aocordance with the City 7.oning Ordinance and may proceed as requested. 'ILis dnci►ment
when signed by the Ciry Planna constitutes a temporary CeiYificate of Zoning compliance and allows construction to commence. Before oocupancy, a Certifirate of Oaupaacy must be
issued.
Planning Director Date Special Canditi�s, if any
24 dour notice for sll iuspections (952) 447-9850, fu (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372