HomeMy WebLinkAboutBuilding Permit 14.0398 ZJ
P
1 _i a' ILa.
CrZ el el
40X40� gang= W
O c W W�ry V ty
Ej' U�T ti Z
1°. 0
Q 0 0 0 0 0 1 z0
•�
W Z
fA
ci W / L0LU
o
ce
O Z _ Z> a
W ~ OO �Z .� W N tO�
V Z a' Z_ ZZ Z m .. Z qC
c 0
h C) w0 �SW�mLL _O U 0• B
a�3Z ~ Z O
V = U 4 W
rna� a
II 000000 1 W W z o
0 0 RI LU x W w
z ag
CC CC O W
Y0 a a `C
S� Z >: o
0
••
V 0 ka
ZO hZO Z W ~ a
Cu
ce
0 04
.•�O (.9 !;:(9P-
Oh Z y VO W Fco Z ZOZ1- 3 WOa XOWZOO �W Cu�LL IL u. z , - ace L J VOC1 N Q a 0000Ko V 0VV❑
Le
ge ();) ❑ c
of pAR�o,� CITY OF PRIOR LAKE BUILDING PERMIT, C...1
TEMPORARY CERTIFICATEDate Recd
I.
is OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ^
, 2/. ��
4.INNESol*
21 whue Fcileity
I PERMIT NO.
ell /4 Y^ I
(Please .e or 'tint and sin at bottom) Yellow Appin am
ADDRESSZi
n
/C n C„ / //in f r�e 4- ZONING(office use)
ish
LEGAL DESCRIPTION(office use only)
LO ��-BLOCK ADDITION 44---R2 -3-,V -,, 4s __Ay PIDa3.5-= Dpi-Q2F_,di
OWNERc-
'(Name) ,
(Phone)
(Address) S 4
=
BUILDER •
•
(Company Name) G root f
Name) �,ve r Km 0 A el,'� (Phone) �� ?j �Li/ -C' ��,�
(Contact N, G�-0 ,1 /GC1 K, ✓`\
(Address) /5 7r) ; c (Phone) .5 9 Al
TYPE OF WORK El New Construction ❑Deck
❑Alteration EPorch Ae-Roofing Erne-Siding ELower Level Finish ❑Fireplace
❑Adduion ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C.
❑Misc
Type of Construction: I II HI IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ (7(j
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 uwnei of authorized agent for the
above-mentioned property and that all o tiuction will conform to all existing state and local laws and will proceed in accordance with submitted plans I am awaie that the building
official can revoke this per ittforjust c i Furthermore,I hereby agree that the city official or a designee may enter upon the pioperty to perform needed inspections
i
X .1 LSC-' &'4-‘q Li l
Si attire Contractor's License No ��Date
Permit Valuation
Park Support Fee # $
Permit Fee $ /Jit iI
/ SAC # $
Plan Check Fee $
Water Meter Size 5/8", 1", $
State Surcharge $ 45;
J Pressure Reducer $
Penalty
Sewer/Water Connection Fee # $
Plumbing Permit Fee $
Water Tower Fee # $
Mechanical Permit Fee $ -
Builder's Deposit $
Sewer&Water Permit Fee $
I Other $
Gas Fireplace Permit Fee $
TOTAL DUE $1/f
This Application Becomes Your Building Permit When Approved ,7 / v�
Paid / 1 i t No. "1l�j7
Date Z? 7" I
Building Official Date
This is to certify that the iequcst in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constiuction to commence Befuie occupancy,
issued proceed as requested This document
b
a Ceiuficate of Occupancy must be
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