Loading...
HomeMy WebLinkAboutBuilding Permit 15. 1309 E O O n 0000 o > E nn o q ■2100 z m k �/ k r A k k k m ■ �'E � z 0 co -� 1.21 r ® � ■ 2 $ �QqQ P z- % t q ills A m o § — §0 to . m § d § - § t mm \ 0 > z 2111 ■ 3 2 � 13 M 0 XX 000000 % -4 73- m m © . P��' 0C � § 0 § \ � � � * I� � to§ 73 § 03 m o 0 7 0 $ f n > C) 0 § § § m • q m r -nOO ■ 2 NI A 2 > kc z IP m 2 # m T I / r 0 \I "3 k V m m ) G OO ❑ OOQ m o - � n § LI g k k xl xi-a -o0x m \ x § gi � Ek . q A � �73 -I@ -1 tet - c m -4r 0 g-Pill° NG COMPLIANCE �f' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd mi TEMPORARY CERTIFICATE OF ZONI ` .7i'• 0AND UTILITY CONNECTION PERMIT l y'i'NBsolt411t., 2 e type or print and sign at bottom) I. White File PlC; 3 Yellow Applicant I PERMIT NO. /✓ ` 301 3 ADDRESS ZONING(office use) Iy 7 i q8 r 1 d I L Q 1 d Q . Tr / /VP ??1,Sb LEGAL DESCRIPTION(office use only) / ,� / / L ^,f LOT / BLOCK ( ADDITION CA/2"..../Ave, reit t u,s ! �--"--(1�1 iIrID ZS--- Z8. -- 0 J/ ---0 :J - G OaWNER ChAr jt S , G , rlO G/�I �S (Phone) 1 .�Q 77 (Address) 71 ti 8 r l e(t r cdf <. T-1 I NE BUILDER Pella Northland (Company Name) (Phone) 912/31 c • G 0 y 7 15300 25th Ave N. Ste 100 (Contact Name) Plymouth, MN 55447 (Phone) Jo ci (Address) Lic#BC645090 Ph. 763/745-1400 TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding DLower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection / iu ODE: ❑I.R.C. ❑I.B.C. 0 Misc. 5 W)!� dots /�f D[Q (¢ /� //�fS /n e of Construction: I II III IV V A B X A h //) / 4 , ..,; 21 panty Group: A B E F H I M R 5 U PROJECT C©ST/�ALUE $� .vision: 1 2 3 4 5 (excluding land) I hereby certify that 1 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 mit for jut use. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. IV aciatiso 40 ft 2011 Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ r Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ _ State Surcharge $ Pressure Reducer ntO $ Penalty $ V V 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 $ ' /6- This Application Becomes Your Building Permit When Approved Paid (16 i I< Receipt No. 3 Date IT .til. \5/' By5 Building Official Date to certify that the request in the above application and accompanying documents is in accordance with the Cit Zonin•Ordinance and ma signed by the City Planner constitutes a.temporary Certificate of Zoning compliance and allows construction to comm nce. Before occu i cy,a C d r itquuted. This document issued. p. y,a Ccrtrtica[c of Occupancy must be Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake.MN 55372