Loading...
HomeMy WebLinkAboutBuilding Permit 12. 0674 5 0 0 0 -I 9 6. ill 0 n OOOCOO z_ $ n © # g § 2BVoo 0 m q � k / 0 k § k � �� �� M �� o■ ■ .0 2 \ \ CC. §Cif )� � � • �% o z tO W � q CO1.4 § z Ak - p •0 . , 0 m m 3 r z - r.4 il -n 2 ). m 2 0 � 000000 r % m m m m ■� ■ ■ ■ - k mm m mi >mr * hi cn iromnim (4..\ ? N0 -nt27} m§ m 0 CO z \ \ m § 0 > nO O \ q / § biz rn \ k CD /kk P a r) j / ZI I 0 M n $ 2 �' OWN.' § 00000 fo Z - § X§ 0§ % ® E § � � x rTI P \ 0 Ch. SAA■§ § xi It � r CIe A —Iz c ■ -ir § of PRic" CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 0 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 425 AND UTILITY CONNECTION PERMIT �` �/� kI,yHeSpte' I. White FilePERMIT NO. L (, 2. Pink City � /- 3 Yellow Applicant (Please type or print and sign at bottom) ADD S c ! ZONING(office use) 17-Z. p,,Lovii:zu - 1,./ .- .'5. ---.....6--; LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER ..------ (Name) / Awir, - '.r ' tiv y (Phone) (Address) BUILDER 2 (Company Name) t`7tA_. 4V4 .(Phone) )kl - 3`3 T e- (Contact Name) r� ��N 1 -4ert- -— (Phone) (Address) /93/930 f. ..--" .'- c y"c I!� ti►-1x..14 ,J /-1.....i/-1.....i SDG fC... TYPE OF WORK ❑New Construction ['Deck ❑Porch -01 g ❑Re-Siding ['Lower Level Finish ❑Fireplace ['Addition DAlteration ['Utility Con N;f � � CODE: ❑LR.C. DI.B.C. ��V❑Misc. 1 Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: A B E F H I M R SU (excluding land) Division: 1 2 3 4 5 I hereby certify -,t 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-me property an. at all cont[ cti.n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official n r e this permi . fust cause. tit ermore,I hereby agree that the city offici�r a designee may enter upon the property to perform needed inspections. X a . r A _t•1�l� �� s`-� �C/ el/ r �V�.- Signatu e 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 DUEr J $ 19 75 t. This Application Becomes Your Building Permit When Approved Paid '' ii R ipt No. 6,( a.-: b Date t(. / I_. / L Bt, /jr Building Official Date I This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance'Snd 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 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 Prior Lake,MN 55372