Loading...
HomeMy WebLinkAboutBuilding Permit 15. 1287 _ ■ g $ § j u. ■ E. § t1i� 2555zv > q §� 0ktua.� k� 2 2 m ea . SU � � � ■ ■ § Li 001:301:1 Lu 2 � § 0 % _ ■ X _ 2 ® § w d a. a. « ■ k ...1 z _ 22 ■ z § k § t: E2 o § CC � 1 0 0 U K I - Z § _z _ 2x _2 § . § k a § CO 0 w mfwwai 2 0 (/) E § § UJB § § § . o o § e p a ■ ■ tea ■ uj 2 L k OCOOCO § j w % ce § < o§ IQ w �o u T O z Z u- 2 0 % ■ z 9 z o ■ § a §z o 4c e I- ca W �§ ■ 2 2o2§ z w � w w w U. Z w Z 0 § dW$ I- 2 . 0 ■ ■ 15 / L' $ § § 0 �2 § ■ � _ o § 0 0 1 U ii « o a Oco ❑ co Q 4c 0 E. -75-. 75" /.. ..5-- 11-621 6, pRIo•PCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v AND UTILITY CONNECTION PERMIT ii.ArAr ,Se.ES° L White file 2. Pink city PERMIT NO. /5, /207 3.Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) 1/fZ1 ADDRESS �/9� � ��� 3g/ P Lg, LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER �/ //ctkv1-1--&-/e--- Ce - - /I.-W T A3 '3/q8 (Name) 11,11,86A /I (�°( (Phone) C 4 5-0 3 3& - Q i a/ (Address) 'till C�er/LL e , )i'd l c,' 4,4-1.4_ t l/ l W ,��3 7 BUILDER (Company N ame) w,//4/>6P GU 4 ©bR i D (Phone) ` 7 7d "?e)1/ - 7 �% ��p (Contactog'te)k1G44 0 J.57,S 464� eR � l ) eXro- 33i /l6 Vi - lo a'/° Aa1a0 (Address)200 it 1,1,, 4. e .&�e. 1- U /v- /"` `tii 5_,s7,7 _, 7,71 TYPE OF WORK 0 New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ['Alteration ['Utility Connection l 411ip ODE:.DI.R.C. DLB.C. sc: � Rae(�, 21✓rtiG'�'-�� e of Construction: I II III IV V A B PROJECT COST/VALUE .,- 0`) ccupancy Group: A B E F H I M R S U $ ! 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 ' pe t for just ca se. F ermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. . it AC 33 6g 4'7 /0- ) 0-6 X Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ 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 $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE �7 $ This Applica ,'4,.es Your Building Permit When Approved Paid 7,).- [( Rec ipt No. 20_3 _3 i Date /0, 2,0_ !r B J(�/J I /U,zd- is Bu ing Official Date is is to certi 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 en 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,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372