HomeMy WebLinkAboutBuilding Permit 13. 0429 . z 1k
_ ill
. — ww — 2 Lu
\ \ z >
c w <
( lib §wkt o 2 .a
§ E§ƒ70 2 z §
OOCDO� \ \
4ri ` % o 0
. w =
§ - §
w -3 § . § k 0 p-
L ` 0 \ \ \ < z w Z' E
0 k § § 2 33§ . § / 2 CZ, 2
0 a D §3 ■§ c o 2 R)
D 03- DO
¥ 00 z /
gOOOOO k §§§ / /
/ Z \ \ \
w o P 0 0 X N 0 \
0 < — § . § 2
� e § o a
§ 2 3 § S / / § $ q
2 n w
�k 2 z ci /2 sD _ 3 F LU§ .‹ ?
�§ k k § §7k §§ ° S§ k u
§ 2 % a 000000 U
cn
O 0
o`� PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
Li ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
N NNBS OS
1. white File [ PERMIT x. rick city V NO. _ 1J / 3. Yellow Applicant G
(Please type or print and sign at bottom) ZONING (office use)
ADDRESS � � � � � ��
9 p C x. ,.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 1\1 � � '" r (Phone)
(Name) � 1
(Address) 2 c\ 0 FO k `T,C -A , L �W
BUILDER
(Company Name) rk (Phone) (D 51 `'f C% • C'�
✓ v n 'n � -
,(4 A "C K-- "-? e � Y},e ,- (Phone)
(Contact Name) _ ,---4 , � M � , /"-C-
(Address)
D5 et V- 3 � -�, c, �,v
TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing yke-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: DI.R.C. I.B.C. ❑ Misc: ,`, r 't-.) Type of Construction: I II III IV V A B PROJECT COST /VALUE $ �' ����
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I hav furnished information on , , 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 •�j�
above - mentioned p p and all co state and local laws and will proceed in accordance with submitted plans. I am aware that the building
d�77mm� -,„, orm needed ' 77 official can revoke / ' ,.. hereLy as,� on , co nform to all existing s tka offior ee r t on the propto Pei
� Signature Contractor's License No.
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 $ 79- /v!
This Application Becomes Your Building Permit When Approved Paid 7 'S Receip,. v
Date / 5 -ja 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