HomeMy WebLinkAboutBuilding Permit 15. 0561 J
III Z
iJ J � _ � O7 r W Er
.- Zww < v
...-.Lu
_ � gSgZ >
aaa _I
ce
C 0000 ❑ >0 r
.,.9 —' 0 x
41N
re x
OLL 0
J ZYY= = o F W
a ri H O O u. J O 0 a'
o.
V O W Z — u. ' Lij0 c h D
N1 V d m = W � m = d Z 0"
�n DW < yj �W C O Z O
�-+ _1 LU w ww
W �'
dJ 000000 - 8 O z Z
a 4 lj i
O
�`W ill 0 < v O W
o
V O a O re
0Z O Z W CO
F- F Q 3 W
O= BOO a Z < F- 4 4
OW LLI W Z OO � NZ 2O O O ' V V
iiic § o u. u. u. 3i2w 0 3 v v b.
5z Q 0 =a 000000 C.) q ❑ ❑ c
patio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
(ri
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5. 2-fL kr,
441VE0, 1. White File
2. Pint: City PERMIT NO. f��../ ��
3 Yellow Applicant ,/
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I-7 6S' kictirsh Pre id to L 02,
LEGAL DESCRIPTION(office use only)
e
LOT ? BLOCK 7' ADDITION e-eV'7Aida PID 5-^-30-10c11.5.. '''0
OWNER
(Name) .k wr r ' r a7-- (Phone) CO t- 51-7 -776 ro
(Address) 1'7 7 c Mai SS'\�\--etc( L& _ i
BUILDER
(Company Name) S 6r 1Y\;Aw + � * (Phone) 763 -C3 7— .7F-
0'
(Contact Name) f\ //�� f (Phone)
(Address)5601 bre Ave, 0 ,rt�ol r\ OPVL 'r� MN .SS x{2-1
TYPE OF WORK 0 New Construction ['Deck ❑Porch ORe-Roofing DRe-Siding ['Lower Level Finish D Fireplace
DAddition ❑Alteration DUtility Connection f- p
CODE: ❑I.R.C. ❑I.B.C. IN Misc.IV -)'t,tt StAc4Jc cky/jh- -- A/4' .-e Ivry
Type of Construction: I II III IV V A B / D ' °
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $
(excluding land)
Division: 1 2 3 4 5 t
I hereby certify that I have htrnished 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-mentione property 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 can re k this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
r.,,t). -� qt.— /-7712a-7 c/Zs1/S
� X
Signature Contractor's License No. Datie
Permit Valuation Park Support Fee # $
Permit Fee !7 .i< /2Z-67 SAC # $
Plan Check Fee ( � / Water Meter Size 5/8"; 1"; $
,
State Surcharge ( "q tJ Pressure Reducer $
Penalty
1......02....... Sewer/Water Connection Fee # $
Plumbing Permit Fee Water Tower Fee # $
Mechanical Permit Fee $ r� ,.lei Builder's Deposit $
Sewer&Water Permit Fee $ l Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /2 e7 , 6 q
I
This Application Becomes Your Building Permit When Approved 1
1a�' Q-9
Receipt No. / El RA
aite t By
5V26
Building Official Date 5, i t'
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
4646 Dakota Street Prior Lake.MN 55372