Loading...
HomeMy WebLinkAboutBuilding Permit 13. 1059 ...I p., s ~ z 1N. W w J U w ioc, Z `v W OOWW, \ \ 0 ? E a. \,„ i // Ou u-0 S ❑ ❑ ❑ ❑ ❑ ❑ \ 0 0 y *._) W T 2 N O N I II m L Z O O a s Z U H 4 u H 0 oQ v\ P. d a o W Z re = \ I w z D. 0 0 W m0' WKm= ` O O F- O co U C. 2UF,2U \ W W i W [ J W J W U U \ \ Z 0!, a'� 3 N a '1' 00000 0 v a a 0 x Ili uj I �. 0 ‹ N u. 0 0 O Z W F- I v V \\" oG w �p N O Zoz z W rt \ C CI Cg l a k. 1 D re Z 00�'ZW a 0 c 0 i c W w a O 0 aau. =u. usi p ❑ ❑ U = a 0 a.. 0000 V i N, of PRl o.P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 0 ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE en AND UTILITY CONNECTION PERMIT / F 4,./Nxeso'tt' l white File 2 PERMIT NO Pell Applicant )� ; (co g 3 Pink Applicant ( lc (Please type or print and sign at bottom) ADDRESS ZONING (office use) 5 3y SASS t,.., (16 d av<.c-it_ t.,3 R /s,zs LEGAL DESC ' 1' TION (office use only) i t+ , a LOT . LICK ADDITION K./ i L(OI & ,3 A miu PIDp?5- 0) ^i3 --0 OWNER � J _} } /� (Name) t OI.JfG v b 7- Q I,? /`t J44 el( leielS (Phone) (Address) BUILDER n �7 (Company Name) RA V 2 u� a •N5 .4.. 22.1"" de- \‘ (Phone) 4 ) - >1 -3 5 S (Contact Name) fk u irk 1.1 ,Aso.. (Phone) (Address) ct0(, Lk- pAtAhwtt 11X_ TYPE OF WORK ❑ New Construction DDeck ❑Porch We- Roofing DRe- Siding ❑Lower Level Finish ❑ Fireplace DAddition DAlteration ❑Utility Connection CODE: DI.R.C. DLB.C. ❑ Misc. Type of Construction: I II III IV V A B PROJECT COST/ VALUE S 1©h u 0 O Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the above - mentioned . .. • and that all 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 rev e this per it for just cause. Further I hereby agre that the city of ficial or a designee may enter upon the property to perform needed inspections. X to _ . 6c.es11 i.-i_, Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ ' , i SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 5, Co 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 $ ig.T.s This Application Your B . ing Permit When Approved - Receipt No. Q /55 tO ,9 • I) ate )0i% /� By 4 'thrtfdin , f ii Utip Date This is to certify that the ' . test 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 Cetvficate 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