Loading...
HomeMy WebLinkAboutBuilding Permit 15. 0523 Olc E 0 8 O oovO i » � nohir mAkE ""gkkkii k. k k C)/ % t ElEl ; I K �§ igkg 0 g13 q 11, 0> k -1 m 0 2 gi N a ■ -1 s q z z - z § % \ z -I 1M %% k > o n 71 § 7 i m k J % z X O 0 m p3m m -s_ 000000 2 - K � � morn ). ■ r \ am | 2 B f m 2kAFai , n ' CO q § 11 m q TIW■ ■ M ■ m 0 0 n B 0 m zzz ■0 - z ■ z . ri 2 0 0 § X220 xl- _ k z ? A 0 �� § � § § § m c n § 0 . @ E m 000000 � z ! % o � �k§ ' • › o v © \� �t TkfR » � E 5523 -4r. . Zn4 E K -4r o of PR/0_ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd a TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Z '(S 44NEsO�� I. White File PERMIT NO. t c 5-73 I 2. Pink City 3 (Please type or print and sign at bottom) Yellow Applicant ADDRESS L. 1 f's.'2 ZONING(office use) Kl ) &Ad, Sir s- 11E S LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID QS` 4,qS COL` OWNER ( IlnA Cr,7d-` 2.5-0 )-c 7f CJD (Phone) (Address) Lie$73 3 61 g71,... 476 BUILDERc ��6-eir7 (Company Name) t�rjLt� n5 r�c�Jn GD , -/')t (Phone) gc�-y 1 (Contact Name) Tea/7411 1-04jrz3on 44ol"algal �©er (Phone) oZ" (Address) 6)-7o re/19- ('I&., l4ile e4rvcr A"1/ S 3/r TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing['Alteration ['Utility ❑Re-Siding ['Lower Level Finish ❑Fireplace ❑Utility Connection CODE: ❑I.R.C. 11 t ❑I.B.C. �Misc. 8 iw�, S76 1 rli✓'I`' Type of Construction: I II III IV V A B • Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 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 conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official ca evoke this pe for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. IX �3 � b fik � y 1 pis Signature Contractor's License No. Date Permit Valuation Park Support Fee # Permit Fee $ ._ SAC Plan Check Fee $ Water Meter Size 5/8"; I"; State Surcharge $ ' ,c- 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 4 f i. • This A lflc. tnBecomes Your Building Permit t•nApprt ed Paid a' Receipt Nj..1L9c— At"' � � r Date �' By mit. " - 0 -.. , 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 constructiononto commence. Before occupancy,a Certificate of Occu ancy must be issued 5'e-eV), 41Y tier to" crle.46 hif et/ep_i Planning,doD' ctor Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 �< d 31 rvs k F ii '= i r � r `s t::, e , f iG, Y Y�Y ,t, { � pC L >• • y 1fk 1. t est a -a , }.X ' r"• s s • • 4