HomeMy WebLinkAboutBuilding Permit 15. 0715 5 CI
2 00 0 ■ 2.2. 222 g g K4
0 4
ty r e P3 73 73 xi 7:1 m 7 3 - rrEzk m cn -
/ t q q § Z % -tk0 O I |� 0/
v 0 � -I m 0 , -0
73
K ■ 0 � q Z £ z ~ §
■ on o e / �5,
% 0 > z> r o \ m
r § 7 m O
§ 2 0 O % / f %
z „ o o . 00 ❑ o00 LA / k -
.11 �_ 2 § � mr � * ar k
% xmmic
0 2 § ; C � � ■ ■ ■ W S Cl)
oo ( z 1. § zz - z = _
§ _\ § zkk - ~ k
0 .i. � §i r
z m
5i 0
000000
til
Liz m
> 0 > z0g Eri k
0■ mm ■ Q m
< c -0 -0 -0
� 7-
I XI �� E% F� �
7
■�t z
-4r
o
opt.fPRloCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT eP•2..c; 1'-
t�
4WiNEsote t. white File N
2. pink y PERMIT O. (5,7C
3 Yellow Applicant `,//
se type or print and sign at bottom)
DRESS ZONING(office use)
Z:' 1 CI C An sCi W‘ A-A. ii IA) 73 1 E_6 .
LEGALDESCRIPTION(office use only) II/
LOT/ ' BLOCK / ADDITION �t' G �D g-)14PID r5� �Q I ^ 0/4/-0
OWNER 1 3+1Z`.4. (Phone) 6 k2""`1 I Q' me G
(Name) �WV QT /1 �j +. > 1 r
(Address) Z -1 C..t.u Q� ��ClN j v3 \ y.r 1�-I,Lr...._ 13 5531 Z.
(Co DER �1 0.
(Company Name) �b, � �,�,- i� � 1 (Phone) "'tt�3 �f S -0-2 45
(Contact Name) lC� � J'Z.E�t�—'S c�N (Phone) Zl.T=9{�-- 8 St e
(Address) ,„ C0 e-a.- 1 •2_ko _ - 0 L
TYPE OF WORK ❑New Construction ❑Deck ❑Porch -Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ['Alteration ['Utility Connection
CODE:1R.C. ❑LB.C. ❑Misc.
4; ,u
e of Construction: I II III IV V A B l
•
pancy Group: A B E F H I M R S U PROJECT COST/VALUE $ G S 006• "
vision: 1 2 3 4 5
(excluding land)
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 re e this ermit for J ise. Furth ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
ts
lture Contractor's License No. ate
Permit Valuation Park Support Fee # $
Permit Fee $ 7SAC # $
Plan Check Fee $ • I5 (6� _ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ ,----/q4, 7--
----/q. ! — Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid 72' W Receipt No. fiv2 `—
Date '2 By /
Building Official Date
111! 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
miss
by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
T tied.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372