Loading...
HomeMy WebLinkAboutBuilding Permit 13. 0154 E O O c 000000 m > E 2 00 * 0 ■n - " $ § § � q • g 2 s ■ z° \� % r C . m Z \Egz 0 CO p.0 Z NI R t -� �§ n z 0 � �� z o 0 t n } \ 0 0 x K > > 0 0 m 73 0 3 % 2 0 7 000000 • X §mm a -0 *E 'V % Z ? 0 rn � 1103 §X1 m 0 r 0 , §I ■ ■ s %§ 0 0 r -n 0 m§ q a k -1 o z Zm� z 1 m r • �� 0 „, x 0 r� • 2 0 < . 000000 z m o 11 om 1 � D ® � § ni9 © 4 r • m\�� § m ›..., r 2 cn ■ m "I r 0 * �� R LA KE BUILDING PERM , PR CITY OF PRIOR . or. IT k/ Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 7 4'Hfves °tt* 2 I. Pink City PERMIT NO / , / ,/j 3 Yellow Applicant ► 1 - r (Please type or print and sign at bottom) ADDRESS ZONING (office use) 4. 406 S f_ 4q 6ZA fl- r,- , !315b LEGAL DESCRIPTION (office use only) LOT i t BLOCK ADDITION 64 io / PID g5:- t7"c — OWNER (Name) ` A ti-0i Arn al) (Phone) (Address) c/0L Z/-ii. 61..41 IL.0 % ✓� BUILDER S (Company Name) E Q � (& wi4 0 d -e /14 G (Phone) ✓ 2 ' Z/ a ' 3 ��� (Contact Name) L p' Gff c (Phone) 5 t. v14 4 (Address) g7 I ( l/ / {' i 4 5 [ 3 /oc i .0-7y 4 bi TYPE OF WORK 0 New Construction ODeck OPorch ORe- Roofing DRe- Siding OLower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection 74.4v- / /f CODE: DI.R.C. DI.B.C. D Misc..Ij "et 7 -e 4he -e j' YL tL ✓L�� . / �' Type of Construction: I II HI IV V A B 3 3000 , 0 p Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ (excluding land) Division: 1 2 3 4 5 1 hereby certify th have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above - mention•• operry .d that all strict .n will con .' • to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official ca se f. this . • for A, , : use- Fur er ..� e , eby agree that the city official or a designee may enter upon the property to perform needed inspections. Si • ature Contractor's License No. M[fe Permit Valuation Park Support Fee # $ Permit Fee $ 88, 4-- SAC # $ Plan Check Fee $ cr? • 3 C Water Meter Size 5/8 "; I"; $ State Surcharge $ ! r S . G Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ t ty Gas Fireplace Permit Fee $ TOTAL DUE $ L U 1 t ( i This Application Becomes Your Building Permit When Approved Paid �. Receipt No. (: Y/6 S Date d (: r „�✓Z I � By Z'161...7” 'lee- - A..--: Building 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 Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372