HomeMy WebLinkAboutBuilding Permit 14. 0713 0 J
wz 1u)
J
F- W W- J C) Er
Z u4
aaa � o
m _ �7 W W v) O
oi-- I UJCO ) u. ti0 rt et ce z
r ❑ ❑ ❑ ❑ ❑ o 2
o
U 0 ►?;
---6 ., W
et i
O / �j LL N C
aaa 3 m i z
o d d a ce O Q J V z0 U 0 W
W F- $ 0 00040 V
m X � m 67 p.
0, ca 0 a � zW :E 2: Q y 6 z a
JWQ yj, JW �'l 0 O z_ F' p
a23v) aa W W W W k
❑ ❑ ❑ ❑ ❑ ❑ S41 o o z Z
UJ 4C
0 a a LL =
.....0
F-
25 III
WW ✓ 0 < 0 u.
YV .3.- z V O 0 a�
go z F- u_ ..- o T a
Ce). 0 z V N N C) a
0
3
W F- F- W
gx
dU.� u) Z Z0Z5 z LLJ Y4 W W W
OW W Z 00um ch m 4aHZ � 0 0 0 I
0 O u. u. u. ?u`./H C) c)
VZ a 0 a ❑❑ ❑ ❑ IA❑ C.) 0 c
°I P R 44
CITY OF PRIOR LAKE BUILDING PERMIT, Dale Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
,,,T,
4,,..so
"4.„
`" AND UTILITY CONNECTION PERMIT ( Z /, lc(
t- Pink Cit PERMIT NO.
File
2. Peak City
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING Office use)
/q//4/ 8(r,�4/"r� 77-„,1/4: (
j
LEGAL DESCRIPTION(office use only) ��in�n, L..
'/
LOT I BLOCK c." ADDITION L��+ //�/ 2 Naf ./1.6I�NI PID v�s� 3 T3 .(7 '�`�
OWNER ,p
(Name) i I i ! / t:i/fid (Phone)
(Address) /y"4/ Bf b i r d r' (
BUILDER / nn�„, '_ Q
(Company Name) L OJ O►'\ CUA— R2 �`` (Phone) 'Z _797 7 - 3(145-1
(Contact Name) ,44-1.C6
et 4E� (7 (Phone) -
(Address) 6 V SO d i.--c—t. Yk n✓ L ,i 4S3 7L
TYPE OF WORK 0 New Construction ItDeck DPorch ORe-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection
CODE: [ R.C. QLB.C. 0 Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R '7J S U PROJECT COST/VALUE $ FGD
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 • . 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,: rev. •1 .it for" cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed' .
X IIII"A .s......." r 6C 5 7C/74/1 7 L/
I Signature Contractor's License No. e
Permit Valuation 1 Park Support Fee # $
(l O0_
Permit Fee $
(64- _ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge 1 $ .p Pressure Reducer $
Penalty $ L� 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 t°i54 .'40•-
e/
This Appli%,*on :1
es'your Building Permit ved
r i O > Receipt No. i1 <t I
udding Official ate
Mr
This is to certify that th request in the above application and accompanying.. •........is accordance with the City Zoning Ordinance and may proceed as requested. Thin document
when signed by the Pl.. constitutes a temporary Certificate of Zoning nom..ance •allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
j .i Ira V.
Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
w
I
jI
I
j