Loading...
HomeMy WebLinkAboutBuilding Permit 14. 0576 = 00\K C) 00D0D -0 0 > Eo 2 n k § o0 m xi 2 §� § � $ § SC © r R x 73 m s xi �r � ■ z .1 M ■ 1 n� ® r � 0 ■ m $ % ■oz z 0 �m / » m o �� � Z- a o § q . q 2 0, \ > > 0 m m ■ r 0 t4 RI t XI o 0 0 Z ■ 0 0 000000 ®� 0 -1 § § § MI-2tmr * ■ % 2 f . § k■ 73}k m 0 A 0 \ M % § > 000 0 § m r 'n §o 73 : o o A�� o § a § m . 5 $ 000000 z q ? ro 0 ® comma@ �_ in 41 Z ri il; q in » 22 ■ K , _ ■ ter � t § § � r 0 a z n n ozDDDD 1 c 0 5t.'A co m Imo N ni - p� ra„C3GZ Z N 070 \ m uz, ,a0 ° z° N 0 0 -� x ?i m z ° o o y o¢ m m N . = 0 tri r • .4 "I .4 z m In tri o i a b T D i k\ DODDD 1 to 73 r v - �. 3-otn *mlir Q- -II -1 OMM mC �nC 0 n z m m ma t' =� zxx3 73 73 atn 3 -i v rn 41 x m m ° v -0gO 7D q F c% m * o xi -' z�c o N v �S z m D -0� c (fa 3 -4 r c rrr _ 1 o A O 3 0 0 Pi t Ns o DDDDDO .4 j0m U t m A m , z�13 13��� ..a y m s =i z = a_mm F 10 0 m a N Z 0 41 Z -+ r 4 m CPRic. CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /!. ��` 'd AND UTILITY CONNECTION PERMIT Irj NES��� I. white File 2. Pink City PERMIT NO. y � � Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1 { 35_ i Par k i C/ e 0 otsx44q0 ( 4 -57c, LEGAL DESCRIPTION(office use only) t f LOTcjBLOCK ( ADDITION - ‘4.147--6 'OS �'C �1 ®/ 'r — PID OWNER p / I (Name) O l k i e T/1( f'1P` (Phone) (Qo7' /9 1-1a -;96.3-2 ata (Address) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) "woo `ttii4,is-1i\$, I TYPE OF WORK ❑New ConstructionXDeck ❑Porch ❑Re-Roofing OR Siding ❑Lower Level Finish ❑Fireplace ❑Addition ❑Alter ion DUtility Connection CODE: .R.C. ❑I.B.C. ❑Misc. Type of Construction: 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 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 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 evoke this permit for t cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. a zi `.1 1. Signature I Contractor's License No. Date Permit Valuation /.Ze0,"' Park Support Fee # $ Permit Fee $ ( 4 . 1r SAC # $ v Plan Check Fee $ -22 1 . l Water Meter Size 5/8"; 1"; $ State Surcharge $ C_/5 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 $ 70.. This •/plicatio' :• o es Your building Permit en App .ved / Paid i` Rec pt No. S Cb l ' 1 .I 1 - Date Lt.'Lc' ,(7' By/; • I Building fticia _ Date This is to e•tify that 1 re.tes&in the above application and accompanying doe ents is accordance with the City Zoning Ordinance and may proceed as requested. This document when sign . .y t, • 'PI ner constitutes a temporary Certificate of Zoning c.,mplianc and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. _ -..?XIV te- • z- 1 i Planning Director--...n..1.11.11ii. gate Special Conditions,if any 24 hour notice for a I inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 i i i i