HomeMy WebLinkAboutBuilding Permit #12-0559 3 O� O C� ❑❑pOOO � O D Zc�
c' � o o p 3 u, -n y�„„ p � � m�
� m m �
� D o ��� 3 ��c3z-� � y �„
� � � m m N m N �=yZ O y O�
- � > Z � ��-�� Z �
� � o �� N � z Z � o�
� � � o cDi � _ .,L n 5
° z � � U � m m
� O r > A - Z � �
� 'i r v { �
_ ,� � �o
� m � o o ❑00�0❑
'� r " m m m m��'�; F
o� � N v o �c ��c .�
�c ,_,;��_� m � � c
� C � � � a� 3 = � m
D° n � p r�00 � � � c
� � 0 2 2�� 2 � r
O Z � � r � � � O
� A � � ��
= m
O n
C
� y m ❑�O❑❑O
= Z ���nO � � ° s
�' v � �� t- v r � r � �p � � .
� D mDDD
� � >mm�� �
� m �o ,� � � ;
� � z — � m
s
g ��� �
�� P R I ���, CITY OF PRIOR LAKE BUILDING PERMIT, l ��y �`�ate Rec' d
� �� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" �� �' AND UTILITY CONNECTION PERMIT
� ��
j �'NES�
�. w�� File pERMIT NO.
2. Pink City ��
3. Yellow Applicant 1
lease or ' and si at bottom
ADDRESS ZONING to�sce,�)
54 32- ���ciy��Ur� i.Sh���` 7��L s.�-
LEGAL DESCRIPTION (oflice use only)
LOT BLOCK ADDTTION PID
OWNER /�_
(Name) ���,Il��f..�i� C5�1�' �(�� • (Phone) ���y� �'�s� 7
(Address) 5��37i �/Y� d �Ti�G( iL ���
BUII.DER 8 �8� Exteriors
(Company Na� g017 Nicollet Ave S. (Phone)
Bloomington, MN 55420 (Phone)
(Contact Nam� pH: (952) 887-1613
(Address) F: (952) 887-1659
TYPE OF WORK ❑ r�ew Construcdon []Deck �Porch ❑Re-Roofing ❑Re-Siding QLower Leve1 Finish ❑ Fireplace
�Addition QAiteration pUtility Connection
CODE: �I.R.C. QI.B.C. (�QMisc: w�l' Y/�'�� rn�2�C�� � d� �G�hQ. d�/� •
Type of Consbruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 S (egcluding land)
I hereby oertify that I have fiunished information on this application whidt is to the best of my ]mowledge uve and cotred. I also oettify that I am the owna or authocized a�eent for the
above-mentioaed pmperty and all construction will mnfoam co all emsting stace and local laws and will proceed in acoordance with submitted plans. I am aware thaz the building
of&cial revo � Pecmit just cause. Furthermore, I hereby agree that the ary official ar a designee may enter upon the property to perform needed inspeaions.
x �3C(���cr� , S�� � ,
Signature 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 Reduoer $
Penalty $ Sewer/Water Conneetion Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer 8c Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
�
'17tis Appiication Becomes Your Bui18'sng Permit �Vhen Approvea Paid ei t No. U
Date ., /Z
Buildi Official Date
This is to ce�ii'y chat the request in the above application and accompanying documents is in accoidance with the City Zoning �rd'mance and may pioceed as requested. 1Lis document
when si�ed by the Ciry Planna constitutes a temQorary Cxrtificate of Zoning oompliance and allows oonmudion to commence. Befae occupancy. a CeitiSScate of Oocupancy must be
issued.
Planning Directa Date Special Co�itions, if any
24 hour notice for a11 inspections (952) 447-9850, faz (952) 447�245
4646 Dskota Street SE., Prior Lake, Mineesota 55372