HomeMy WebLinkAboutBuilding Permit 13. 0670 7 0O n 000000 "0 0 > z2
CZ n 7 33 33 0 0 q � Cokkk Z m k mO
C 13
% r R 73 X x s Mr - ZZ -1 ■ ■ q�
mIII _ m m z � E' oz z ■ -0
§ 0 \ § Q § Q P �k
e ~ _ ■• @ 0 z z z
% �� O 0 0 ,�
$ 0 g § k �\ m m
■ r 0 3
% Z k O O
m
000000X -41 m
■ 'a ■ * s -0
O § CI 0 MI . mr 1
% Q f n I
� � 7 � M � ��
ti \ d 0 0 r -n § k xi p m
0 2 $ m - . � § -12 -o 0 /® r
x m ,L
0 �_
■_ < 000000 Vtjli
Z § 0 � 21n § §
R. 0 � mmmo
% z Ait
nn - o,
xim ■ � E 2
-1 - - m
� § 0
�* P%Afk CITY OF PRIOR LAKE BUILDING PERMIT, Date Rev'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
I.) X re AND UTILITY CONNECTION PERMIT
svt;rce Elle PERMIT NO,
2 P�l< City l3*67 d
1. Yellow Applicant
(Please type or print and sip at bottom)
ADDRESS ZONING(office use)
1 0 11 5 1 ii-ho 1 lfio116 citA,Y-\- \f\ •pu 0
LEGAL DESCRIPTION(office use only)
4/44e1'14/641
LOT BLOCK ADDITION PIP
OWNER , it , °
(Name) Al a 1 L I Al ik Iliilli (Phone)
(Address) )LP / 5 I \LV l 01 Y 101 P, e1D L Y + l V tA,
gQJ�l,
QW)( Vt, byttva--oYS (Phone) L )i--1—.17--93 '
(Contact Name) Adi Awl 11-x: ly.3
(Phone) l i LAI. (/z -i6 -S t3
(Address) l0l 7 L-1Avt 0yitt\LA u\sylTo*L ‘\) 5 5 Lf�
TYPE OF WORK 0 New Construction (]Deck °Porch °Re-Roofingding
°Re-Si
°Lower Level Finish 'Fireplace °Addition °Alterratio995. 0D
n�/f f ❑Utility Connection
0 Misc. PROJECT COST/VALUE (excluding land) $ 1,J) 1 1 5. t)D
I hereby certify that I have fumished information on this application which is to the hest of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the abovementioned 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 permit for just cause. Furthermore,I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
�� o 1.1/1/4 15
Si.4l:!!" ntractor's License No. ate
Permit Valuation (100b , " i Park Support Fee # $
,
Permit Fee $ 7 3 . 15 1 SAC # $
Plan Check Fee $ 4-7 A- Water Meter Size 5/8";1"; $
State Surcharge $ - Pressure Reducer-_-__ $
Penalty . $ t I City SAC and WAC - # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other V\
Gas Fireplace Permit Fee $ TOTAL DUE $
This ., t- nes Your 8 . .,.. 9 Hz'
Appli• ;. Building vel Paid /� Zt % eC1Jft NO. �� 7 7 7
re 4 26 Date 7 1,/7
Suildin;Officials Date
This is to certify .t theeat in the above application and accompanying loon is is' ccordance with the City Zoning Ordinance and may proceed as requested. This document
when signed.,f Cs cone Iutea a temporary Certificate of Zoning d allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. ��
''Finning....!', ' • � Special Conditions.if any
-----------_____2.t j notice for all Inspections(952)447-9$50,fax(952)447-4245
16200 Eagle Creek Avenue Prior Lake,MN 55312
s
I
i
F z k
f ,
gg 5� P
p
§ e s a r .
� r
'l t. a ' ig '.
,
t