Loading...
HomeMy WebLinkAboutBuilding Permit 12. 0944 1:1 0 0 ) 0000 ❑❑ 5 z 0 co C)y 0oO �a � n n a 0 o 3 =� c22 x O D ° 7, 7J 7 �C Iflc m Om 'O tzitll r ' x7:17 zS3z- 07 �. M z 0 z z -1• -i > ZCO � � O p tzi 40. C . Z C aD -1moz W zO nz (17 73 . -+ OM - f� Z z 0m hl I o a a 0 Cr0 73 77 Os v v oZ X• 0 n UN 000000 • • m m'nX 5 CZ N o v I � z = y � m3 -o 0 ZA Cn • h' i o z i (� T 7C 23 -1z / C N +P g m • ti • o N cn 0 m • 000000 ( ��- f0 0 R- d 0 comm30 �C ^�lP NI Z> Ch. P 1.7.15 T II 21 ("1.., w amvz m m Nz � z "3' of PRiO� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT y�n'NESO�� I. white File PERMIT NO. Pell City Z 3 Yellow Applicant (Please type or print and sign at botto ) ADDRESS 3/./”/ W I IoW 8 ea di 11Q._ S l- ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER AA ,t� ( 17 /-�rY� (Name) Pill _4G �_—�-/c,_i�. (Phone) (Address) 3 vR'IGI, C(O(,J L4, -rife- 1 t4 BUILDER /1e..„,„,„-4 ,, (Company Name) Cto.�' Jot ( CIey. (Phone) .73- - ZZ 4 - 6 6 LI ( (Contact Name) i I S4 Ll e.ISt' (Phone) , (Address) 896,2, GJ, ea-6.2,..0.7- f irj* La IC's *IN 5-S o zs TYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing DRe-Siding ❑Lower Level Finish 0 Fireplace DAddition Alteration ❑Utility Connection CODE: f T.R.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V A Bj r Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 1©�/� (excluding land) Division: 1 2 3 4 5 1 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 abo e-memo ed 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 offic I can , .ermi just cause Furthermore I hereby agree that the city official or a design e may enter upon the property to perform needed inspectio s. ffb 7 / 2- Signature ontractor's License No. ate Permit Valuation te200. Q/-25- 5 Park Support Fee # $ Permit Fee $ Z I 91 SAC # $ Plan Check Fee $ ..5—© Water Meter Size 5/8"; I"; $ 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 I $ TOTAL DUE $ LJ% This Appli , t�Be es Your Building Permit When Approved Paid ted/ %)1 ) 7.17'''-- 7 /� Receipt No. e7 Z 01, rDate g�2,a7Z By Building Ott Ofti7olliiiiiiiiiiiiiiii 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 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