HomeMy WebLinkAboutBuilding Permit 11. 0765 Z JN t
p 2 T.. ui 0 IQ
k JJJ t.c Z b.
in CC �` O 2 a wti a 0 a W
j a xaa z
o a Z 6
I 0000Etel 0 L
w =
LL O
W Z »Z z 0 0 W
0
oo - z 0 4
0 0 w m aZZm uu.. 0 a i a , o
to L 0 a zx� az N 8 z
JWa ,,,1W
a 2 3 Ac w U z 4.
`� ❑❑0000 8 o r
W
J � C :
a' Q Q O Et
w
O U.
g Z 0 L,v c S
� z • Z o z to 0 d 3 ^ CA
O = O a F- a 1.4 i.... I
a2 in ❑ z oZ ~ z W N w w -J W
O W W W W r % m 0 " O U , U
0. 0 0 u. LLu. 3T. to 0 3 v v .
c 0 z a 0 a 0 000❑❑ 0 •❑❑ c
Jul, 11. 2011 3:54PM No.0908 P. 3
a. rR1 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
w
AND UTILITY CONNECTION PERMIT
•
44h use P' 1. min, He
7. Pick Gq L PERMIT NO 1 r // _ L ( / J //0
J Yellow Applitanl �
(Please type or print and sign at bottom) _
ADDRESS , ZONING (olriause)
1 4—(1 I. 61 Ve b �rd TM(
LEGAL DESCRIPTION (office use only)
LOT . BLOCK ADDITION PID
aWIVBR J (' j� , (( (Phone i91 57 - 40..5 '6 & Q S
r't
(Address) , - t L G b VC . •
BUILDER. C (Company r eO0 -k V c ,
(Company Name) Z � k. �J � � f � � ( (Phone) 62- 4e1 -SS
(Contact Name) { _ (Phone) , _ .
•
(Address) 3 Of 601V) 1 f N
. 04 TYPE OF WORK 0 New Construction [Deck ❑Porch Re-Roofing ❑ e- Siding °Lower Level Pinish 0 Fireplace
❑Addition OAlteration OUtility Connection
CODE: .01.11C. LJL B.C. _ 0 Misc. _ f.
Type of Construction: T 11 111 I V A B PROJECT COST /VALUE S 1 6 &� v
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that f have Almished information on (his application which is Io the best of my knowledge true and cornet. 1 also certify that 1 ant the owner of authunacd agent for the
above- menuaned property and that all conttruction will conform to all existing state and local laws and will proceed in accordance with submitted plant. I am aware that the building
official can revoke Ibis - for just cause. Punhermore, l hereby agree that the city official ora designee may enter upon the property to perform needed inspect ins.
X 1% . ' 20(p321 S3 S/0 (1
Signature Contractor's License No. • Date —
Permit Valuation .. Park Support Fee # $
Permit Fee S SAC a $ •
Plan Check Fee $ Water Meter. Size 5/8 "; 1"; ' S
State Surcharge b Pressure Reducer 5 •
Penalty $ Sewer /Water Connection Fee # 5
Plumbing Permit Fee 5 Water Tower Fee # $
Mechanical Permit Pee 5 Builder's Deposit $
Sewer & Water Permit Pee $ Other ' $ Z J/
Gas Fireplace Permit Pee S TOTAL DIM $
. ,
This Application Becomes Your Building Permit When Approved Paid m ' Recq t No.
Date . B
t
•
r
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 requcsicd. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction tl commence. Before occupancy, a Cenificarc of Occupancy must b
issued.
Planning Director Dale Special Conditions, if any M.
24 hour notice for all Inspections (952) 447 - 9850, fea (952) 447 -4245
4646 Dakota Street Prior Cake, MN 55372
•
e) \_ 4.
45 1( C> h7\l'al C
'>---- ' teN. -
Iv J
\.)
C c ' '
_3��
\ \\-S-
r� _� —c
4----)
,.c.,,