HomeMy WebLinkAboutBuilding Permit 15. 1102 C J
W Z _ 1 '
J re G.-I- wili = w _ 1 `
..--.
irt Z U U a U
o - - Q z fz
, ci g i. 5 5 3
a Id
C 80u uu. C, 2 i 1.
UI >
o a
S v o
W =
d reo N
0 �, 0 aaQ w M Z C
ZM se m
J > >Z
IQ
W 1m- 2 c 00 0J F
Z ® Z ce _= — = SZ ? 0 V c a j
CU/) 0 a xxw�m1mx a 0 y
� C) f SSV J
004
0Www wR3a2va2 �,
L�J 000000 re
0 a a. LL = i
o7.11
Cel-
re
-
Y W 0 Q U u.
QQ U Z 1- Z
J O 0 Q p r4 a 1.4
Z 0 Z U N N V 0 o� 0
�0 c� � c�° y z a IQ- 3 4 4
o w o o
02 W W W OD � m < w o Q Q
2 m m O
C) =a o 0 ir. 0 0IV)0 U U
a 0 a 000000 C) c
..(,)co PRIp
ECITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
4,i. .y.
AND UTILITY CONNECTION PERMIT q
,.2.WhitRk
ne �,r,, PERMIT NO.
(Please type or print and sign at bottom) 3.Yellow Applicant I l� //l
ADDRESS /?
/ ZONING(office use)
LEGAL DESCRIPTION(office use only) r-.
LOT p�9i� l/
PID �j�CJ3�, ON
(N ) ///„7 4.4.7 S !
(Phone)
(Address)/1,0'85?4 `.2‘76,,,' 0/. 2ci gee S'6"---
BUILDER �—A"� /1
(Company Name)#7//1 (Phone) 7&� ,5��6
(Contact Name) ��"1?lL. _� —y,
(Address) �U0 .2j:_./C2:--, 6-7--2� (Phone)�F�j•3�/.5-S-6,-6
//c.1/ e,S'Sc-O //J/7 S34'9
TYPE OF WORK 0 New Construction ODeck ['Porch are.
..:Roofing['Utility ConnectionRoofing DRe-Sid ng []Lower Level Finish Fireplace
DAlteration ry
CODE: DI.R.C. DI.B.C.
Type of Construction: I II DI W V A B 0 Misc:
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 1 6Q
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 can revoke this permit f. ' st mu:. Furtherm. .,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X -411/1-.., — ! a .c// .aSt A/e4r „ZJ d // G�,
Signature ///�`�°�—
Contractor's License No. Date
Permit Valuation
Park Support Fee # $
Permit Fee $ SAC
Plan Check Fee $ ?ly` ,7 Water Meter Size 5/8";1";
State Surcharge $
$ / ��-`� Pressure Reducer $
Penalty $ ' /) vSewer/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 $ S ' S
This Application Becomes Your Building Permit When Approved aLj�r IC
Receipt No.?j
CV V
Ions.
'taN I
of,.2 r— By
Building Official Date S
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 ____
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372