Loading...
HomeMy WebLinkAboutBuilding Permit 15. 1482 L. O u.). \ J H W Z CC N " 5Z z a m Z �. 4 ©� c� �daal ii� < ` W H) V u. �i t9 0 O o 1 1 OOI]000 1 _ Ce O N 0 1 V i W i Z oG m c O W aa < ,� 0 Cr...) "Ia. o4 m n; 1-- E o o ri: -I at u) D Jp 2 0 0 _OZ �1 a. u) F- O = 1- Z � d' OGmli' O O Z tu ill X it, ta N �) 0 d �� � =V W W _ aC V W et W 000000 a a LL F=- " ❑ 0000❑ CI :5I a W o a o 0 411 1144 a ° 0 W W Z V O �. 01 W YQ V 0 co < r fib, a4 JO O Z W F- N W W J q �Z O zaZo z W 0 0 0 v V a -I- u) Z �:z�n<u, o o u pW a W 0 OO1Ztiv) O 0 c % 0 E 0 u. u. u. _ O az a 0 a 00001&0 v 1 1 CITY OF P (604it; RIOR LAKE BUILDING PERMIT, Date Rec d TEMPORARY CERTIFICATE OF ZONING COMPLIANCE"9: AND UTILITY CONNECTION PERMIT C qc ir\ NESOl� I. White File PERMIT NO. / 3 Pink City 3 Yellow Applicant t ase type or print and sign at bottom) DDRESS iZONING(office use) l S---) CNr N.-- Cly (.,,AS8r,kj LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION / fig( 24.:V 4 PID ,q,---„,7g6,-..e94/7-0 OWNER ,. (Name) U k C— ‘ /1A.`-�1 ,...e_k Ni r\4•,..._ (Phone) 6 C Z- `3(- H 0 oV le (Address) I L( TT C6-.0,-.., 1. L.v....2--.1 BUILDER iq?v �t (Company Na e) �% u� e O-L�� �a��` (Phone) , S Z" ! J 1 '-i y R, \ (Contact Name) e` r \r, v %\--. (Phone) (Address) C 60 0 ?_L, LL-e5 —c_ 1.: .v-,. :A e r vc.`,i r;c.._ Vail .3)/' TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding El Lower Level Finish El Fireplace q kI2 4) ['Addition ['Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. 1:1Misc. Crti`Q_ �jC� OdL„ e of Construction: I II III IV V A B ,I�,,,�,�� pancy Group: ABE F HI M R S U PROJECT COST/VALUE $ �S ( tJ V Vf ision: 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,per or Just use Furthermore,I hereby agree that the city offic 1 a designeeo � 3t may enter upon the property to perform needed m12�spcctions.i5.-- It„ X Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ I c Water Meter Size 5/8"; I"; $ State Surcharge $ l t Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 0 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ /51 //c. 03 This Application Becomes Your Building Permit When Approved Paid/9 �� Receipt No. 3( Date ( .q -Ls— By Building Official Date l 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 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 ied Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 \ \