HomeMy WebLinkAboutBuilding Permit 14. 1251 g --0-13— n O'OCOD -0 o > E
n n k o o K . 0 gkkkkk m 73
OM,9
§ r R § 2 ca m zr5z g Cl) -1 .0
§ r� -4 -4 Cl) §® § Q P z-
o z
CO 1 ; ■ - z o ■
m § �� k op 0 I� 2 q k
% 1 n a 0 ° m m
-4 \ ���
x •
z o o ,� % 000000
m mmm .. sm ■ * ■ U Ili
] § § § �F
�■ 9C2mOC n % ■
§ k I d � kk � k � k k k
O R 0 r � § o xi o
% 0 § z > CC z r
o m Mill ° � � � p (7 °
V 0
m -7
0 i -...._
....
c
&§ 0 00000 1
. ..--"TIN 1
R. / 73
0 0rnmE§ N
< � � � � �
a m o
j0 › g1 � 4 �.
m -4 E §
-1r §
co OF PRIOR LAKE BUILDING PERMIT, e.....7
' Date Rec'd-sti,
O4/
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
itt ((f
NES��e' I. White File
2. Pink City PERMIT NO. /l ' / /
3 Yellow Applicant II I
• ase type or print and sign at bottom)
- DDRESS ZONING(office use)
C LI 173 1 .." ' Clv‘l✓ke.: f2-(
LEGAL DESCRIPTION(office use only)
LOT LOCK 2 - ADDITION o1it 1 kotPID@S ' 404' Nie 1
OWNER `�
(Name) 1 ,-.P__:"2-.A. rO`e 5'"'‘,14av1/'\ (Phone) (t (Z 551,`751
(Address) I Lt (7 ( 4,-.,...-1..-e. 1 mj' �t11�'C pi Il j 5 S 37 -7----
i f
BUILDER _ c
(Company Name) W i \ste_J � (Phone) '' O3*(5—O 7 45
(Contact Name) a-Qk -1 (Phone) ( Z-- ir-$le
(Address) /t S57 Cc gcL E"/ 4e 2fl f1(-1)\- 6,1),-0-c- M i..) 553(e/
TYPE OF WORK ❑New Construction ❑Deck ❑Porch Goofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition DAlteration ❑Utility Connect on
CODE: ❑I.R.C.4B.C. ❑Misc.
cu
pe of Constructio I II HI IV V A B
panty Group: A B E F H I M R S U PROJECT COST/VALUE $ ��7-e .
,.. ..-
(excluding land)
vision: 1 2 3 4 5
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. t am aware that the building
official can r ke thi ermit for j au Further re,I hereby agree that the city official ora designee may enter upon the property to perform needed nspecao s.
X t - AC-4 �9 /ill )Utes ILi
Si ture Contractor's License No. Date
Permit Valuation / Park Support Fee # $
Permit Fee $ '�/ � SAC # $
Plan Check Fee $ l y Water Meter Size 5/8"; 1"; $
State Surcharge $ 5t CU Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $ 7ct, i-Gas Fireplace Permit Fee $ TOTAL DUE $ ,
This Application Becomes Your Building Permit When Approved Paid G' 7 Receipt No.C` ��`' 2,-
Date //.C�(Act (I By c�N�l.vc/
1
Building Official Date
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
fresigned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
d.
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