HomeMy WebLinkAboutBuilding Permit 14. 0873 1t.W (-4:05. 5
F_ 0 w
2L. � z w
UUP >
�g5g� Z a m
W w �1 � D�� 4N cc
Z I'.
�' , tu VILV. V 0 {'4
G `'� O O
` O❑❑ ❑ ❑ ❑ v
v Z
�'� c m C ul 0 C
qO W
O • O Dm < p U v a'
d Z NC o a
/ •' 1:: ri; w t i
U VW a zN
awa,
co V V a
o. a.w < w W W
di a23Na2 vVre
❑ ❑ ❑❑ ❑❑ Zw
-
3
u.a al-
1 0.03
J 144
0.o
WW
x , O
g0 o O -,;-- . ..•1'
O z v ui io u. C
u.
O �
a.p (zoa Z
. � �
v it4:1,4d — tO Zo = JZ W Y u q1- aV � _ V
0u W Oz0 Z O �Z ~ M 3VV
n, p p u. u. u. — N p
< 0c
VZ 0 . 000C ❑ ❑
it
n
y
IT, Date Rec'd
(PR/o CITY OF ER OF CALATE OF ZONING C BUILDING MPLIANCE Q` � -
RTEMPORARY C UAND UTILITY CONNECTION PERMIT
� 2. white FilePERMIT NO.2. pink CityNES��� 3 Yellow Applicant
Please ,e or .rint and si n at bottom) ZONING(office use)
ADDRESS U ...3 i 1 I
I tL v(0 ' 1 • r / ` '� ,'
LEGAL DESCRIPTION(office use only) i /Or ,,,d PID ' / ��
LOT
10BLOCKADDITION
(Phone) Q I ' .. �qi��
OWNE' I Ilk s
(Name) �I� - ..."._
(Address) '•
BUILDER & � (Phone)
�sl- Dia y-iioR��
Name) .'.11.' . ;i A 1•\LA '�
(Company (Phone)
(Contact Name) 0 ,` 11 r ` l a
, 5 1 I
(Address) n t► 10 . a W
❑Re-Siding OLower Level Finish ❑Fireplace (� I
TYPE OF WORKOANew dditionnstr0Alt ❑Deck ❑Porch ❑Re Ro fing ^ n ' • ,� `S 1`Jt`�I
❑Alteration ❑Utility Connection r j)�C/�'tC •�J`,I CrJv►v� ,�/�
CODE: ❑LR.C• ❑IBC I II III IV V A B PROJECT COST/VALUE $
Type of Construction: A B E F 1I (excluding land)
I M R S U
Occupancy Group: 1 2 3 4 5
Division:
knowledge true and correct I also certify that I am the owner or authorized ag_nt for the
I hereby nti, hatpI have furnished that
in .tion on this confapplorm to all
which isi to the bestn of my g to itt plan ms. ow.
above-menn�m d property and that al const action will
I hereby agree that the city official wades designee may enter u.on the property with submitted plans. I aiiim aware that the building
official can r. .ke this permit for just c aus Furthermore, . .g , .....0L
X OM A I ." 06,-,1A, 1�. Dat-4
Contractor's License No.
� Signature $
WY
Park Support Fee #
Permit Valuation $
Permit Fee $
Water Meter Size 5/S"; 1";
Plan Check Fee1111111M11111 $
Pressure Reducer
Penalty 1116.41111111111111
Sewer/Water Connection Fee #
Water Tower Fee # $
Plumbing Permit Fee $
Mechanical Permit Fee 1111.1111111 Builder's Deposit $ d
Sewer Water Permit Fee Other $
Gas FirUNIIIIIIII
TOT• DUE eplace Permit Fee kP �l �L_
Recei.t No. � MI
This Application Becomes Your Building Permit When Approved d B / -
,
111
b
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
hen 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
w g
issued.
Special Conditions,if any
Date
Planning Director p 447-4245
24 hour notice for all inspections(952)447-9550,fax(952)
4646 Dakota Street Prior Lake,MN 55372
fl11
1.