Loading...
HomeMy WebLinkAboutBuilding Permit 14. 0496 \ 0 § o O s2 � 2 k k � � ■ 0 r : p 7 s - rrE§§ z ^" C Li Li2 10 t \ > d k ci m 0 �7B Cn �0 & q m q Z 0 0 xi \ § 7 § 0 7.1 o /". I o 2r1 r § » m o 73 7 z in rn 2 0 000000 41 0 -I Z 0 0 M, 1§ Mc § 2 K f 2 q §§ § i § m 0 Co § -0 0 - • t= z § - z q x x 2 / 5 r -n § o o k 2 # m �' �7 0 O ,t)Q m 1,3/ \ m / & . - 4 2 2 . oO -n -nQO 6-i o © A kgm2§ �- « c -a 'a -a s. N 0 > rnm r .z m■ p - kr z (t- !V39 of refo� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd F TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT `Y r.:, I„ Aj P I. White File �H>resot PERMIT NO. �Q• 4 R z Pink city . 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /1/3 `f--3 Pae le'scoi T p, k/, P6) LEGA,ESCRIPTION(office use only) /' ,` ' / ,� LOT / BLOCK i ADDITION / L V-f f/ Q?M�`' kddf�'r PID 4,7 23 JU OWNER Se)? — 7 ?.s- —/96 6 (Name) �� IA U f O `� (Phone) (Address) it-1 3 c 3 e'..i (c s,,oke— G -- l'.-f , (As , eV;d , 1„v '<, ✓vi-.S 5 3? L I BUILDER (Company Name) (Phone) (Contact Name) O ,O Qm-�— (Phone) CQ (a — 3 69 — 5�8�p (Address) q Le + 1 ( 4_ w\ ✓\ . l TYPE OF WORK ❑New Constructionck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace DAddition ['Alter ion ❑Utility Connection CODE: I .R.C. ❑I.B.C. ❑Misc. Type of C r traction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I ha e furnished information on is applicati•n 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 prop-''t and that all construction i .,..�. 10 zit 'xisting state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can rev t,,: i rmit for just cause. Furthe • 9111r." i1L� y agree t at the city official or a designee may enter upon the property to perform needed inspections. �" X - tire Contractor's License No. Date Permit Valuation 2c)e9so_ -- Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ �� �� 4--1• 14- Water Meter Size 5/8"; 1"; $ State Surcharge $ t Pressure Reducer $ Penalty $ `� I 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 $ t Z Z–..,71 This A, 'ication : ,'; •� Your3uilding Permit Wh n A' ,roved Paid (Z _ Receipt No. -7 ( 4-e?7 ,i. . v�� p - '4 Date ! t By j go Building Ufticr- -- Dat This is to cert,/that the -'gi'st'n ,i above application and accompanying doc men is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signer the City 1, ;r1 tit tes a temporary Certificate of Zoning• mpI,nee and allows construction to commence. Before occupancy,a Certificate of Occupancy must be sued r / 1 ? Planning P irector_ IN It ate Special Conditions,if any 24 hour -otice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 P f v4':