Loading...
HomeMy WebLinkAboutBuilding Permit 10.0838 • 10 00 n 000000 v 0IC > ■0 2 000 . 0 §ZTAVO 2 m �/ n n mac c m n� § R § z � §§U $ :^4"V 2 q 2 � C. ly - -1 Z- 2 k d . . q z g �,� 0■ § \ 0o , z N' . 0x -11 q > 0 \ m m r 0 71 0 2 x . ( . s m 2 § § 000000 z PI n ■ E. X ■ m a:Ti t§: 2 ® ? m ° , 2§ z s m 0 0 * nu , Z > 000 0 730 k - 0 A / k SD T. X 2 - z r k 'a03 >ITI r �� o m ■ -n pm m/ / n . c--1-- 4.-n -.....c> cb § i � . 10.. 000000 21_,........., E .§ < 02200 \ . K R. a © ' ca2mc© \ k CT) K \\ § m 0 . 0" mm �2 . k rn "....< -IZ � e� C -4 r § of PRION CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd t. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 4N,NESO1P I. White Cit I PERMIT NO. 2. Pink City e �3B Li 3 Yellow Applicant 'r'� (Please type or print and sign at bottom) v ADDRESS L�� 4 -i ZONING(office use) t 4 (J)14-1 o S P t t J., LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID 4 OWNER il (Name) L.CATr1(\ UL,v) \ A' v 6 to`2i,1/4_ ___ (Phone) 763 A 2S (Address) lyo\ ckr\ )... BUILDER (Company Name) 1'eil_. ckit-106Ir c2A.A) I C atO (Phone) "cg— "2 5(2- 9-1... (Contact Name) . O'f im Cq I t 1 k0. ��' __�� �. (Phone)�/_,,_ ' r � (Address) t 37z o 5.co r moo �,ost e, 07 N 5S3! TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofin ❑ ❑Addition ❑Alteration g Re-Siding ❑Lower Level Finish ❑Fireplace ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) I'1..�trutmof, 4/311 3 3 3 I hereby certify that have turn ilinmiowmy knowledge true correct. I also certify that 1 am the owner or authofor t shove-mentione roperty and thatshed aforconstruction on willthis conformapplicatton allhich existisingto statethebest andof local laws and will proceedand in accordance with submitted plans. I am aware thatrized theagent buildinghe o can e this permit fo ' use. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed ins ctions. X .77/C2it) 2-/ <O S. ature Contractor's License No. Da e Permit Valuation Park Support Fee # Permit Fee $ SAC # Plan Check Fee $ Water Meter Size 5/8"; I"; `� z $ 1z s 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 0 s. ls...44—C-41f This A i t atio i Yo y� �•• emit'eit When �ppr i ed Paid �i Receipt No Atli/ Date By 1 At l x' 21 d `3t'iii Official Date This is to certify that -_ . ' e 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, a ed as ate of Occupancy This document b issued p y,a Certificate of must be 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