HomeMy WebLinkAboutBuilding Permit 11-1000 5 ❑ ❑ `I• �• 0 ❑�❑❑❑❑ = 0 0 Zc?
N 0 cn T— m m m 0 z 0 Sfi
a 0 0 0 . 3 1'N °O Z m x m0
b r o 7J M 7 7 0, & Z Z c cn — { �
r S
• r 1 n 0 �' Z ' / O Di 0 O • z x
ro � O N w 0 m Z °z z
n
73 -' O n P O -
tzi o z • ni
m ►• s ( ‘ 1 m
m 0 D 0
• 73 D
m. 0 Z ■ "'
_ -rt 13 13
4.
• Z 73 0 0 ' �❑❑❑❑❑❑ m
tti m m m m 3 -o *3- _
c c
c o 0 Al x 3 m x 3 -o o - co me
i O co O m , TW73 x 73 W m 0 n
C M 2 > 0 3 -I m
m NI r m O 0 x 11
'p - 0 Z Z 7C 7: Z I r
tr ,
0 m 1 1- 11 13 P 41110 0
O -n
• A 0
2 m
m
• ° 0 l
cn m ❑ ❑ ❑ ❑ ❑ ❑
cv L--1 N 71 0 ^ C> a
• Z Z > j 0� § - m
R. p 0 1- 13-013 0 (J
• D m 0
X
Z D C)(„Z. n
y n . T m -i r -1
• m r -I
cn Z — Z m
-I r 0
of PR Jo „--- CITY OF PRIOR LAKE BUILDING PERMIT, Date Ree
\ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
c..) ... • l7 AND UTILITY CONNECTION PERMIT
f n`g5 p't
N
t. Whit:: rOc PERMIT NO
Z. Fun. c'u� NO. // /
1 1. Yells. App
eant
(Flee.se type or print and sign at bottom)
ADDRESS ZONLNIG (office us)
156g
LEGAL DESCRIPTION (office use only)
LOT FLOCK ADDITION PID
OWNER � r
�
(Name) � QI es 60 w eiV (Phone) q S — Lig 7 - 2.22f
(Address) 15 8 $ i g L( ct.1'd Ave.- fl W / QR i OR L QaCQ M A/ 55 72_
• (Co S W4.Q.K'� 8 ut rd e i e s t , i'C 7G�3 — 6 ( S 02 1
(Company frame} (Phone}
(Contact Name) V7 p.. S le-i A.s --k. iie-- (Phone) " m4 e.
t f,
(Address) 70 0 f G /cl L Al /1/ / f q� 12 C v€. , /14iV SS
TAE OF IVORK ❑ N con z : r ucton LlD:ck DPorch ie- Roc4 ❑Re- Siding 01 ewer Level Finish ❑ F ireplace
❑Addition ❑?Alteration ❑U ilityConnection
CODE: (JI.R.C. 1 11.B.C. ❑ misc.
Type of Construction: I II III IV V A. )3 f Q �
Occupancy Group: A I3 E F H 1. :MR S U PROJECT COST/VALUE S G r p°
Division: 1 2 3 4 5 (Excluding land)
1 hereby certify that I have rurnislted nf!+rn?F.tion CO Chic applictitior. with i, to the beat of my knowledge erne and cosset. 1 a bo cc:tiry that I am 't cutter or autho teed agent for the
atuwe•meatinecd property and Mat aii con3vnctinn will conform to nit ex state and local laws and will proceed in accordance with submitted plan I am aware that the building
orIcial can revoke this 1x for rvn err tarcr:nore. I h cceby agree shat the city ef5c41 or a dc: igrec may enter upon thc property It) perForm .,ceded iospec uns.
fir.
Signature ConlfaCtor'S I..:Cense No. Date
Permit Valuation Park Support Fee # 5
Permit Fcc 5 SAC # S
Plan Chcck; Fcc S Water Meter Size 5/13”; 1"; 5
State Surcharge 5 Pressure Reducer 5
Penalty S Sewer/ Water Connector. Fee # 5
Plumbing Pk:r.I i :u. Fcc 1 55 Water 'tower Fee # S
Mechanical Permit Fcc 5 Builders Deposit 5
Sewer & Watcl Pcrm.it Fcc $ Other $
Gas Fireplace Permit Fee I $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid R No.
Date 7- 7 .7/ B .
Bui',dina Official Da: -_
Thi; i; to a: rtify tint the requea in the abort application and accompanying daztatentg iF in accordance v.ith the City Zotting Ordinaries art,: may proceed as requested. This document
when sigred by the City Plar:ter constitutes a temporary CcrtiF_atc of Zoning compliance and allows constru_tion to comments. Be occupancy, a Certificate of Qcupancy mu; be
ism :cd.
-
- — - Fiannine Director Date 5prcial Cundttions. if any ---- . .. - --
24 hour notice ftir all inmpectinns (952) 447-9850, fax (952) 447 -4245
41344 Pakota Street S.E. , Prior Luke, Minnesota S5372