Loading...
HomeMy WebLinkAboutBuilding Permit 13. 0637 0 00 0 000000 13 0 > .n CA X r) n 000 C j k k 0133 0 m k M 2 >} m ■ � r Ek2 x m qk \ 0 m § m § §z 0 CA p-4 hi $ *> k 0) m z z z xj © -- 0 .. -I 0 \ / 7 0 > 2 q \ / 3 § / \ - 2 - n 71 1) r x00 �` 0000 m m ■ - a ® *■ > \ 2 - 1 3 }c 0 t \--• @ k / / \ > 00 § _? m o Z �zX7 73 Z c § Z§ CO r. i-o § m c m { 0 N. L m 2 0 ??3 o < .000OO q k > 0 Q § 0 0 - §� §® ; 2 � �k\2 .-1 j � 73 ▪ 33 � � ® z - E �r § 7975- c 4, PRI0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ANP1 � N ES� I. white File 2. Pink City PERMIT NO. / 3 — di 3 7 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 14124 Rutgers Street NE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Garth Gertner (Phone) 952.445.6459 I (Address) 14124 Rutgers Street NE, Prior Lake, MN 55372 BUILDER Lindus Constuction, Inc. 715 684 - 4647 (Company Name) (Phone) (Contact Name) Amy J Jilk (Phone) 715 684 - 4647 Ext 115 (Address) 879 Hwy 63, Baldwin, WI 54002 TYPE OF WORK ❑ New Construction ['Deck ['Porch ERe- Roofing ['Re-Siding ELower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I 11 III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 12,000 Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnish information on this , pplication 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 - mentioned property and at construction will :onfo to all ist g state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit f r just use. Furthermore I - er:.y at, i f e city official or a designee may enter upon the property to perform needed inspections. x Amy J Jilk dy/Ar BC007644 6/13/13 lgnature Contractor's License No. Date 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 DUE $ '7 9 7� This Application Becomes Your Building Permit When Approved Paid $ 79_76 Receipt No 4 «3Lb Date lo/,�,,3 By /,,—, 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 S.E., Prior Lake, Minnesota 55372