HomeMy WebLinkAboutBuilding Permit 14. 0573 J
a z IP
F J Z a Z
Li H W W — W
00
U
' g55 ' z
Q
W A— �92WW . U' 2,� V a: T. Z
41. 000000Fe
coo0
z
"3"" CL _
W a aaQ T
w L C.
z
o J Z000 :5 z oW i�-� o0LLJ oZ Z a'0 0 w ZZ = Z = 0 c44 N 0 a 2ZZmZ a Z
• 2 < tja.2Wa � 3Na20000 ❑ ❑ U—
■ °� a LL H P3
Z J a'
YW 0 < Q
U Z V ° �� o 1'
n
Q
IC Z in
z f- a i 2104
ao = ~
acoN GZZ W �i i v v
Ov W Z W 8330 < W 2 be a n L Q A
}} a W z ooa�= z � - 00g .6 U c°,
N 0 = LLLLLL � LLN O _ 0 0 p.
U ? Q O a ❑ ❑ ❑ ❑ fk❑ 0 15K 0 c
L/
o. PAR/p� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z 7 l
1P AND UTILITY CONNECTION PERMIT
U trrt
M��'NEso„ 2 Pink I ie File
PERMIT NO. 573
3 Yellow Applicant ` ��
(Pleaselype-s&nt and sign at bottom)
ADDRESS �) ZONING(office use)
56t 7 f+-1 L CS1 St (c_
/ rr Lik Ali . <--s12
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
O ERj,,, �y� 33.q.....
(Name) 5 wiAirri'710 -0C hone - qs,2 /
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ['Deck ['Porch `QRe-Roofing ❑Re-Siding ['Lower Level Finish ID Fireplace
['Addition ❑Alteration ['Utility Conne ion
CODE: ❑I.R.C. ❑I.B.C. ❑Misc
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
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 of 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 awaie that the building
official can revo this pet mit for lust cause Fut theimore,I hereby agree that the city official or a designee may enter upon the property to pet form neededmspeca
X _, y
Signature Contractor's License No Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8", 1", $
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 $ TOTAL DUE $ 7c, 7S----
----
This
S'This Application Becomes Your Building Permit When Approved Paid 79, ?f R eipt No. 7` ,� 7,
Date 6, ty (7/
Building Official 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 ptocecd as icqucsted This document
when signed by the City Planner constitutes a tempoiary Certificate of Zoning compliance and allows consnucnon to commence Befote occupancy,a Cciti icate 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