The URL can be used to link to this page

Home My WebLink AboutWindow 13-1359 l irr: 5 D D 0 O DDDD 'O O > N 000 3 y - i y g28 z m z m x, m n > ° 4 7 3 Z r3vz z N 13 y 5 Z > O O r n n Z > T ro > n ∎ _ N m .., 0 07 25 .ml � O - 1 ` 1111 Z A m o m k "0 0 > O .�' -1 r 4. m 72 0 - ' f _ ❑0000❑ .. a II O X X M 111 RI z v O I � m r y >m oc -In „ Z ilr , �� W m C A C 0 n Z G) x p x p � � mow m ` b n a p 1.1. r 3 q . ` 0 6 z ' pug g c t z 0 in N m ►' aDaDDO �„A g a. o comm a° 4i z >mm � ! • n k _ .. ` 1 \ . ® - ` .. , '4. .. • • � \ © \ \� ƒ . . . . [1 \ . ° \ 4 \ . 2 k ,.. , ; . . . \ . . ` . ` / .. . . . » i »( . . . C PR /0� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ESO Kt' I. White File PERMIT NO . 2. Pink City 43 /3 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS i y G 7 � M Q p/ � �� a ! / 5 E ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) 3 h a r / n e C 2 Q f�/ 0 l•1 S / (Phone) q P[ if y 7- l 7 b (Address) / q 4 i � 5' i (? P (t o / 77 Q / 7 5 Ai BUILDER Pella Northland S2 l3 9 S • 4 b y 7 (Company Name) (P L 15300 25th Ave N. Ste 100 (Contact Name) — Plymouth, MN 55447 (Phone) cJ 0 4/, (Address) Lic # BC645090 Ph. 763/745 -1400 TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection do // M CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. 5 W /4LJ tea�!Q0/"/Q S Type of Construction: I II III IV V A B 7 0 'S 4' Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ t Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this 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 above - mentioned property and t all onstruction 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 this perm r t c use Furthermore, I hereby agree that the city official or a desi may enter u pon the property to perform needed inspections. Bc 4.(t So go 1.7 f / / 3 Signature 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' 1 This Application Becomes Your Building Permit When Approved Paid 7 7 • /--4 Recei : 54 0 Date 1211//13 By Building Otl 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 Prior Lake, MN 55372 -_ • - _ ..