Loading...
HomeMy WebLinkAboutbuilding Permit 12. 0143 1 W x Z co .JF. J a LL re , lJ ' 3wwzQ wZw° � z LL > ti ooz a � a az Nrea ca N 0000 ❑ ❑ U > 1 W z LL N O us o C.LL "J �►-� W .t Z a m W I-- 2 0 000 < IMO 0.4 tm: lb'O U V 0 * O W ? ce2 zLZ �� w N O y m � am m 1 0 a � xw mX / a z a 3 UI- D V aC 3CD D 2 F- 11J U.1 im 43waXy2 43 i 0000❑0 ppVrd1 11 C4 et 0z p re} z v Lu O W 11/ w O a Ley Y V z V O Y h oC O a x ua. - p 6.. oz o z w H ' vs a a Z `�1 1- 0 O. s Q 1- 1- 4 4W'' a0 co O =aZ N Z w 0 U tu J O8 ce w z ong?)21w- 211 .� o a a I o fea" 0 O uu.u.u.3u. m Q 3 0 0 o. cs ? a 0 a 000000 0000 0 Ui 0 1§ § ■ u. ■ § 25551 —_ ki/ - 0 ■ ww � . 0 © ] k � oIT.0 § ■ Ki 000000 . I ■ ■ 0 n ce z o A 0 I, 0 _ §§ < U.03 k Z LK Z z ■ o J E - ui o 0 w m■ rece03� . I w ` k ■ ■ ■ a § 0) 0 a. § Z ■ 0. / Z a2§ § a.a w § § U § 000000 4 re re 0 3 _ o nj CZ I- >: w uj , 0 <U § Z8 (T)@ m § u co 0 z In § « k z 0 ■ o d o _ z W w W �� �k �� � § aC 0re re O O � - u ■ o $ 0 U. U. 0 ■ ■ ■ 0 3 . 00 1. a « 0 a. 000000 U o 0 E. of PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd to; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT U Irj 41,NHgso'tt* I White File PERMIT NO. 2 Pink City ii,,/ 3 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 5-$71 ( roSStort0c LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER--7-) (Name) Or.)'-e. V`";t'vt.e....4—...) (Phone) (Address) 3 cr.) I5 CTG `�,fkff � l 5 , F BUILDER ---jj �� (Company Name) 5++r1 `'tC l� !t DQ LY e :<.. ._in C (Phone) q177-2• f f T—LI 1-3 ? i " ! 75 2-2.'1 2_ Z1 (Contact Name) •r c .n ` (Phone) ( `'/ (Address) 3 cis-6 2- 0,1 k La I (.c. 5 r— TYPE OF WORK 0 New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ❑Addition DAlteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. ik Misc. bel/ It. '.'d:y) 5 Type of Construction: I II III IV V A BPROJECT COST/VALUE $ 211 5 0 C' Occupancy Group: ABE F HI MR SU (excluding land) Division: 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. I am aware that the building official can revoke this for Just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature Contractor's License No. Date Permit Valuation '> .S7-6 ;r,, 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? ,1�; This Application Becomes Your Building Permit When Approved Paid (---4't- Receipt No. 6., c;•.;)$ S .)-- ti Date /3 —�.--/a-- By /6§,-/-e— f" 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 proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must he issued. 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