HomeMy WebLinkAboutBuilding Permit 14. 0787 ° ° O ❑tk❑ ❑ ❑❑ = O )9 z0
ts it g m m A 3 m * c3Zo m z a om0
I
.teNI_f _1 > 0?4vD m 0 Li
Z2DpZ• 0 IP (j m
eti
3
73
r v •
= O 72 po� II;47 • RI co
p tZii m C o n m -i ZZxx - z X) Z =
O Z 71 m
0
-t< ai. o Nibr �-o O !, m
O =1m \ b
O
0 ..
y m ❑ ❑ ❑❑ ❑ ❑ 1 `�
''1 Z m
D Z O ?f � n [n12
R. p O DmZO 'U m
N• mm30 Gr
tim
l Z DDDO
4 m Dmm4 �
53 -11xlr 1
N Z m
'1 r O
(01°4)
CITY OF PRIOR LAKE BUILDING PERMIT, Dale Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE //
AND UTILITY CONNECTION PERMIT G/ I `t'tri
I. white FilePERMIT NO. ;707E5 2. Pink City
3 Yellow Applicant
—
(Please type or print and sign at bottom)9—(cil 0 '-\1%,1/4.3 K‘j z.-&,,,,.._. aZONING(office use)
ADDRESS �i s 1J
LEGAL DESCRIPTION(office use only)
��[/�/ /�,// /,}) /'�
.454_,,,l // iz. `' 9C9- .)-
LOT BLOCK 3 ADDITIONt4 PID '
OWNS �,.�� Qt`( J \V '5(Phone) 630— �� 0
(Nam � cc!�
(Address) CI-t 0 Y�4--,.ck e ck ,
aim
BUILDER _
(Company Name) ,ol`- � Y l S (Phone) C (P-- (CU— i l 7
k� c--�• "—c?C.6t)_. -7'q '"1
(Contact Name) -..36 ,•-- �'r -X (Phone) C9
(Address) [ RC1 co— W L.:4-c ( cA _ 51*bqkx
TYPE OF WORK 0 New Construction Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE:pI.R.C. ❑I.B.C. 0 Misc.
Type of nstruction: I II III IV V A BPROJECT COST/VALUE $ ��� " c
Occupancy Group: A B E F H I M R SU (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have hirnished 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 •• .11 construct- Il 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 th' .•rmit for ju cause Fur • ore,I hereb - --t at the city official or a designee may enter upon the property to perform needed inspections.
X �ture ell Contractor's License No. Date
Permit ValuationPark Support Fee # $
Permit Fee $ Z . .-1 , SAC
Plan Check Fee $ 4-1 .1f f Water Meter Size 5/8"; 1"; $
State Surcharge $ 1 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 $ VZ-t• to
ThisA ti eco *Your Building Permit When ppro d
4 \,,S.-- 1 • cf
Receipt No. I C�•�
..
e , ate `\( 4 .By
' �
u
ding OfficialV ate i
This is to certify,hat th•request in the above application and accompanying docum•,is is in cordance with the City Zoning Ordinance and may proceed as requested. This document
when signed b, ,i,Cit' 'tanner copsntutes a temporary Certificate of Zoning co .iance a .allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued
I r 4f
Pla b ' D.- Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
r
L 3 c F €
3
� k
4
6
a �
€y F.
£ t
r
& p 5 1;:•:,.:1,-,,, t
x
. - ¢ xv� X F
'.tea - ar f'....... - .-
Y
_� .' , "-- '4,.'r' a C. „� a'r> Edi aF Elft ' r
"'' t � •{ .cam '&
'"s' C .�4 —4, -' C ;..f - qtr .
t„ "-''aa. , r� ,..� ?, �z' ^ ,. t ,.. Y�` a wig a,,a'
a x 1-,,1 i'; ¶,',\=• {k._.
„i ; tv' n'� ' �6..0"4 --, lit , #
fix' 1 ” - yet
- ' ; �
-_..: :� 'r'a�' ^�-,' ' %1'� t y 2{> k .,.'''•
-. ',' r.-. .�'-,;' rte zt...,..' ^ ss ! 'xs.+`?