HomeMy WebLinkAboutBuilding Permit 14-1225 0 ❑ 0
❑*o ❑ o ❑ _ 0 H
i onz03 m14
nc) O O p _Ispomm
, x 3 o
�+�br 0xx Ezd z y
M m M z . zr
O o 0 xi
vr, r * 73
Q
hi
?
O
I. z m mm n rv
-1x ,r v
° 0z h..� �
r 000000
'� m m m m r. 317yano
0 -i Zoo r ARE a
ME mx3 c)M 0 4 Cl)
0
c -0 g mvi _. z �xo � � 3 z m
N o Z (� rz ^ 0 _ C
c z R ° -o v
A 73
= m N _
y
C O< • 000000 1
zm3N N av n
r -o -0 � V Vl
X*
> 0n , x\
4 in x 'r „ -, r s
1r 0 m
N
(4 . CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT la, e 14
40ittEsol' I. White File
2 Pink City PERMIT NO. /4./7251-
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
l'-\lQga Tc o*�s —1--c a", \ l
LEGAL DESCRIPTION(office use only) 44/34/4?-444//a
Qn�, /� �l/
LOT "BLOCK ADDITION 4 /34/ r La 3/i/T h /� PID Q5-- 306- °44-4-1:-
(Name)OWNE "-boosr\kiY1'G�c (Phone) (051-41() g - RCS-5'
(Address)
BUILDER ' `, ?-_,„\
(�
(Company Name)-- ,ex,e,., )O [ ?X A.,,,d�i(s.,,, (Phone)
(Contact Name) CO /� 1 (Phone)
(Address) Iq 36 C . �`1..j, S r, ?,0 _,,,,\\ �� SS ) 13
1
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing DRe-Siding ['Lower Lev l Finish 0 Fire lace
❑Addition DAlteration ❑Utility Connection n1 a/+„ l 1 ���v[� (, I n -c sks •
CODE: DI.R.C. DI.B.C. D Mi c. �lG Oiler( i I n
Type of Construction: I II III IV V A B l Si
PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU (excluding land) f
Division: 1 2 3 4 5
I hereby c rtify that 1 have fumis formation on this application which 1s to the best of my knowledge true and correct. i also certify that I am the owner or authorized agent for the
above-me stoned property and tat al 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 c revoke is permit seFurthermore,I hereby agr hat the city offs or a desgni`�enter yn the property to perf nt d mspectit s.J
Signature GContractor's`/Liicense No.e3 3�!/1�1 Date
Permit Valuation Park Support Fee # $
Permit Fee $ itie� .�5 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 9. 610
Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
I
Gas Fireplace Permit Fee $ TOTAL DUE $If-.T s'
This Application Becomes Your Building Permit When Approved ;:/ '7' `"7$ Receipt No. 7)5 04,12111/Date / B
71p* zq. ( `� y S
Building Official Date L
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 Occupaicy 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