HomeMy WebLinkAboutBuilding Permit 14. 0840 _ z 1k .
Z �- ■ Ut id §
kvv � , < I>i Illt <■2• IL V
W 2
1 CL X 2
o aa � m k § §
,IA A 1- e � , � � k §
\ k W 0m33� � k
■ U a §° I §■§ o o � e o ...
w w x k
_I 11J � Wr4 2
000000 . %
O. a IL k
o
..�, k q § § §
w b § S
\§ L rN o 0 0 § 3 %
e u ; a
�o d z <z Zo \ uj u) 0 0 . 2
� � ■ 8 gD4"I § k k 2
� Di k § k Ju. u.2 �k 0 ° ° $
5 < o a 000000 0
O c
of PR/0*
CITY OF PRIOR LAKE BUILDING PERMIT, Dale Rec'd
E .ci TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 3t /lit /V
kNES°
1.White File PERMIT NO. / f
z. Bink city _T
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
(3 ) 7 ( }(-4) t C fi -( u,-, Q L /c' 6
LEGAL D SCRRWTIO (o ce use onl // ,� / �j J� /
LOT BLOCK AIPI ION L''U C :^��� / A4O/�/ PID 7 c�C,1/ f�� (v
((Name)OWNE1-,1`1 P��►`� �� (Phone) )--4 90
(Address) 5 1 7-2,_ P 'e_ S Ck; -c(0'c,S J' I r(c,it,,Q,_ 'l I/ .
BUILDER(Company
ompnyy Name) )---- . `')C_ R-QS T(�)'0I�('_ -- ) �k( - (Phone) l b3 3( 1 W"5�-'
�t(_a CiA ) I1� (Phone) l 1 �
(Contact Name) . _
(Address) 1)�� -) L 1 AK( pi C-?h _, G,,/
TYPE OF WORK 0 New Construction ❑Deck ❑Porch 'Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
['Addition ['Alteration ❑Utility Connecffio__n
CODE: ❑I.R.C. ❑LB.C. 0 Misc:
Type of Construction: I II DTIV V AB I, `� L 1
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ C)1 / 4 1
Division: 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-mention.pr.perty an. at all construction will conform to a existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can r- oke is. " or just cause. Furtherglore,, e by•I+ee that the-city official ora designee may enter upon the property to perform needed insp ons.
x
BC_ C---a -,) /)L) I1.,
Sign. re ,AV
Contractor's License No. Date
Permit ValuationPark Support Fee # $
Permit Fee $ c 1, SAC # $
Plan Check Fee $ ( t Water Meter Size 5/8"; 1"; $
5.. 6),)
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 $ 71c Gas Fireplace Permit Fee $ TOTAL DUE $1C-i
This Application Becomes Your Building Permit When Approved ',irk Receipt No. -7 / l
Date S-,
I 7��_yf(1 ' 1/y/ By _
Building Official Date 111
This 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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate 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 S.E.,Prior Lake,Minnesota 55372
r
p