Loading...
HomeMy WebLinkAboutBuilding Permit 14. 1036 z 1§ \ LU \ ..J§ ate ■ I k _ 18§■ $���2 $ « 7 o$�� k a < . _ o ■§ � . g 2 \ < w p bu � � © OOOOOO e � | � � � 03 t w Z t_04 0 d b§ k z 0 § 0 in 0 be OO 0 0 0 o & W . I- 2 e 0004 � $ k a. I- & 2 -2�§ § . t ■ _ � � �.. o o I 14, � 0. k��� �� k X � w «2El � .IS I. ■ \ OCOOCO _ _ a. a. aI '|lt_ ` z. o 6 2<2P■ w iii k 0 a \\ \illi : F. « © a a ; 0 1N P J IZtire ui t) w GVVW Z LL, * u. un �gg5 = c 41 OgmwwN z = i 4. ti VtiL0 W H i. o :° ;;;° > cctam sq c 0p IQ gic ...; Z 5 5 < lie w t: a20 0 0 0 4( V c a ILI t _ _ _ re = — = SZ ? N va � a c Z O � xW � x ■ oz - JW LJw a13vaa W _ Wk' 0 W v v LL Z 'ca a 1111, 41 J W„ LI/ A 4IW 1 o ".. 0 u. H =Z~ W C � z ILI_ Fza —�LLLLu. u)G 2ZLLO < 0 a ❑ ❑❑ ❑ ❑ ❑ ❑ I 1 of PRJo� 0CITY OF PRIOR LAKE BUILDING PERMIT; Date Rec'd rii TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2, i, /, AND UTILITY CONNECTION PERMIT ` ' 4,,'WNBSDe. I. WhiteCity File 2. PinkPERMIT NO. /4 /0-2_ 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) ! 3 ( /3c/3 (c- '77?T:L />2‘',--( Cc LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER /� �/ (Name)4�/`� //(mac /�� Lr c-h' (Phone) ddress) BUII DER �- Gl!/`'t / ,y�i / cv -� (9.5"-G)-) (Company Name) K. l` (Phone) 6 y/'"Cee'a�7(Contact Name) ��/!� /'�C f (Phone) 4,-td, �r�q._074./ (Address) /02.437 �G-e/ -/ _ e4-- S - gC-c l:r./16''` ' TYPE OF WORK ❑New Construction ❑Deck EPorch e-RoofingRe-Siding❑ g ❑Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ❑Utility Conne tion CODE: ❑I.R.C. ❑I.B.C. 0 Misc. .0o Type of Construction: I II III IV V A B PROJECT COST/VALUE $ l G C/c'''- Occupancy Group: ABE F HI MR SU l 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 authonzec agent for the above-mentioned p •. •- .-• at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am a re th4- Signature t the bilding official can revoke his permit for)t:mime. -thermore,I her .y.agree that the city official or a designee nuente upon the roperty to�errform needed in ct s. X . J(��/ 1/ /Z/Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ 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 $ 99, 4 This Application Becomes Your Building Permit When Approved Paid 13i:-7.5'-- ceipt No.12'T 6 Date Gt, .,413 l� Building Official Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. 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 1