HomeMy WebLinkAboutBuilding Permit 14. 0896 J I-
I
- W
z IN z w
U >
a °G" �
giZQQvv< O .y
0aWWW Flows
N
QROC � 4'Cul , N 0
W r 0 p�
Z co � �h
_ aaJ g
O U W �
a
J J si Z YY II J W C N
ce. H E o$ 0 < - 0 . Ac
cz
CZ Ce 03
W Z in Z _ = = ZLL O O Z UJ UJ ui X w
N (Oj OW. A.. ..I RI; W V Z
a�3maJ �Se V
o8c o =
a a 1.1-
):❑ 00000
CO w o}c Z a `y
u.
', jog ,
~lb' J
J W
2 g S o O a Z o�c o°Cc ° v a
oa.=°- CO z pz2gJZ 2 3
IL V CO W 07 > , W
OW 0 Z LLLLu.=LL - 0 O
vZ � O a ❑�D V
�-. PR to
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,..,A „.pc
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
`r' AND UTILITY CONNECTION PERMIT
1A'NE50
I.2.White Pink PERMIT NO. t4 Q
(Please or 3-Yellow Applicant `�
typeprint and sign at bottom) �✓
ADDRESS ZONING(office use)
2032 i 6 S4 S4'.. AAA)
LEGAL DESCRIPTION(office use only)
'LOT BLOCK ADDITION PH)
i)
OWNER Ai 1 �j f�33+' 6s, b
(Name) D r'C✓NCI'S ti (Phone)
(Addres 2D 2 7 I 6,S'0, ,•. Av M
--WILDER
(Company Name) - one)'
(Contact Name) (Phone)
(Address) ^
TYPE OF WORK 0 New ConstructionDeck ❑Porch [Me-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
['Addition ❑Altera on
['Utility Connection
CODE: R.C. I.B.C. 0 Misc:
Type of nsttuction: I II III IV V A B cam”
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 'T) r--
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 that all construction will form to all existing state and local laws and will proceed in accordance with submitted plans. I am aware bat the building
official can revoke this permit for just ,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X
Signature Contractor's License No. Date
Permit Valuation 46100- ` Park Support Fee # $
Permit Fee $ (0 i' SAC # $
Plan Check Fee $ 1 CX2
..4 Water Meter Size 5/8"; 1"; $
State Surcharge $ 2-- .- 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 $ (71.95-
This
fsThis Appl', ion : co.,es Your Building Permit Appro d Dated (11r Receipt No.2. ('�
�,` c
Buil s i g Official ate
This is to certify .. the quest in the above application and accompanying d. , ents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signedi••C Planner..nstitutes a temporary Certificate of Zoning••mplian' and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
lannin_• •rectory 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
i
i
I