HomeMy WebLinkAboutBuilding Permit 15. 0918 (2) y ° ii
C) 0000ii
il
o li
c,n 0 c_n � = T �oyox x ;iiii m ni
rn n CO m zrSzoZ =��
-i D > ii 0iiEo O zii
e 0 El Z Z OZz
7 = o 0 0x
O
ttl 0 r o - mm
fi
a
t
m OOPxo g
Cs-
t z 0000 ❑ ❑ �
Cm mm
x Zmm mm „ 0 c: `) > 3r 3:
73f mO Co m xlxm z
Co
2fl a m m :4 ZZxx xy x rp3 • Crn p g W - x A -
ZF av % O mp m ,-
0
A. 0
= m
o
7gm ❑ ❑ ❑ ❑ ❑ [ O
Zy Z 7 _ . o
R. o CC) p comm u.,
_
2 555 `s
'� a Z
tl m ammZF
53- -nm i
l-
ag Z m
'i r G)
i n - O ■_ � � � � � T.
& v -1:9-(-4
2 > g 22 2 la 33332§ mii
mo
% r mmX m z � � §§ z Z $ ��
/ � § V co § ®§ o P �k
7eg$ 2 9 r , - - o ■
% S § q ''''p ^ . q k
§ -11
§ z I �•
x 2 _ ,
il
2 § o .® ❑ OOooO
§ / q m m I : ■ -0 ■ * ■ -a
2 -1 z 0 o mE > mE
§ K f m ` /� ll § §§ m § m p 0
E g \ § § �§ § § m
q _ 0 0 . z — �� § 2 xi- c
§ z n m 2 1 2 . > cc o §
it § 6 r _ 9
8 0 y
'� p qtri
m \ 5400000 ' . ,
a X22 §§ - 4 t. k
R. o o E � gii ® m
\ i . D L \\ � § . .
� mm � � \
q . mea r a
Ca z
■
-Ir o
' )
of pIto CITY OF PRIOR LAKE BUILDING PERMIT
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd
AND UTILITY CONNECTION PERMIT 8 0 t
2.
i. WhPinitek FiteCity I PERMIT NO.
�, /"�j G]
(Please type or print and sign at bottom) 3 Yellow Applicant PERMIT
ADDRESS
�`3 p ZONING((office use)
c2 3
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID o-S 1 33.. 61 (4-
OWNER ('
(Name) -�Co i PI Ls;e"
(Phone) ` l'2 - "Pt_74P--$-.1
(Address)
BUILDER
(Company
(Company Name) Akt:irit 6„r
4'l.Z`
�� (Phone) �Es f► ,-1 t j.....„
(Contact Name)
(Phone)
(Address) 43 S S 14j7(064.--/c+aP f-_
1.4-ale Ace .4t`i✓ r-r.S: it--
TYPE
rTYPE OF WORK ❑New Construction ❑Deck
❑Addition ❑Ut�Porch C nne tionEe-Roofing [Me-Siding ['Lower Level Finish ❑Fireplace
❑Alteration tY
CODE: ❑I.R.C. ❑I.B.C.
❑Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
II 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 a 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 th .e . ,us ause Furthermore,I hereby agree that the city official or a designee may enter upon the property
/ P P p rtY to perform needed inspections.
ice' X// Signature / -l
Contractor's License No. Date
Permit Valuation
Park Support Fee # $
Permit Fee $ ._74 7 SAC
Plan Check Fee # $
$ Water Meter Size 5/8"; 1";
State Surcharge $ ( ` $
Pressure Reducer $
Penalty $
Sewer/Water Connection Fee # $
Plumbing Permit Fee $
Water Tower Fee # $
Mechanical Permit Fee $
Builder's Deposit $
Sewer&Water Permit Fee $
I Other $
Gas Fireplace Permit Fee $
TOTAL DUE $
This Application Becomes Your Building Permit When ApprovedPaid '� 2-(4131
'_ �� Receipt No.
Date ,E5 , ( 0 , (3 81/1-4...
By4. J I
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,
issuedY proceed as requested. This document
bet
a Certificate of Occupancy must
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