HomeMy WebLinkAboutBuilding Permit 12. 0669 a
w Z 1(4
17 -J W LL m U
` sgs -1,7 , >
w "` � ��4' Z N Z a .:1 < 1 w 2 ? II
re
N is. v O
w x
o . i w L.: z
a
u. N O
D Z p 0 V
G % H E 0917...J _
v W -
M Z m Z- x x Z? W o N O R
N . 0 d x z w ' 5 t ' 0 2 p
(-.:7t
W W
N a w w w I `
re z
w
Q) a a u0. x
a
• e 0 Q O tt�
YW z U Z pG u.
0 -2
Liti z O Z O !/i F ,n W
R' ° O u a +1- N Z N • w
O. — N 7.• Z0"65 Z _ 111 Y w W ` J q
O W W w On
a O 0
O U
w z OOc= 2 U V �'
a 0 O lLlilLZ
U? Q 0 a ❑❑❑❑ 0 b❑ ❑ c
,-e,l/PCrire-)6 deck /0-09g9/ ettDsed
( 4 .– PR ; CITY OF PRIOR LAKE BUILDING PERMIT, ( Date Rec'd
_ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE `� 6, L
� ' AND UTILITY CONNECTION PERMIT
U l l
,••••:•• ,.. t ''
C 7 /( l PA-JL
A '.... O�� I. White File PERMIT • /
2 Pink City a _ _ 69
3 Yellow Applicant �.1+
(Please type or print and sign at bottom)
ADDRESS / ZONING (offce use)
Ottovt.. Lk-t< E
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 0 i `#L , /4 93 YYO 6 3 ? 0
(Name) / f (Phone)
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
i J •/ (/ 4/{r ; 'n f-
TYPE OF WORK ❑ New Construction D ['Porch ❑Re- Roofing Re- Siding ❑ Lower Level Finish 0 Fireplace
['Addition ❑Altera . ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V AB PROJECT COST /VALUE S
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that l have furni • ed information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authorized agent for the
above - mentioned props hat construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke t ' pe or cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 6 / / / L
Signa Contractor's License No. D e
Permit Valuation ';Q'j) 0-0 Park Support Fee # $
Permit Fee $ •Zc .'‘,— SAC # $
Plan Check Fee $ !4 Z r Water Meter Size 5/8 "; 1 "; $
State Surcharge $ . 3 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 $ 4Li 7
This Appl' a Becomes Your Building Permit When Approved Paid /P/ `S _. Rece t No. 6h Ti r 7
(. 47-- 1Z Date 4 z z /2._ _ By •
kidding Official Date
This is to c ify 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 signe 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
.....\4 4 t
r, 4646 Dakota Street Prior Lake, MN 55372