Loading...
HomeMy WebLinkAboutBuilding Permit 15. 0643 I o O) n O�0DOO 1 o > (3.2 n n a 000 s § tc� p8 2 § o 11g % it R mm � 3 miGE § § m 7, 2g t 94 21 > d -I m o do z o z- q B 2V " - z om » . \ ox 11 0 c , � ,G mm 73 r § 7 m o Xs 13 2 m1"%., z z' 0 0 Ai 000000 o m 7 § f�- m1i > m ! 1 \ $ f m \ i § A � § m n - ■ PV \ \ 0 �r rmOO \ / / ® 0 ■ > cc z § z # m • p m 0 0 - o k 0 — ■ Cl, m 000000 E z o � ziom ! § kI . zss /6 ® 0 » © c - § m 2 � m -IF - el g Z 1 _Ir o — — ' ' '' • . - • . ... ..... . ...) . 1 t'illioCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd t. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE , l- Jam-' 1P I AND UTILITY CONNECTION PERMIT csi 4,/HAesdo- I.White File 2. Pink City PERMIT NO. 3 Yellow Applicant /' L (Please type or print and sign at bottom) ADDRESS ZONING(office use) I LIOX-1 1,01\CSS Pte}) JL 92Qg. LAV.e AN 5537a LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PIP (Name) OWNER SOY\ PtT01 A 1\ d- 12.O S" `I A e ) 5O1\ (Phone) t 5 "c9 i 7 -570 (Address) I tip d 7lii iAs PFAI, AO PQ in L Lae MAI 5537 BUILDER n c, n ' n 1 (Company Name) l P.O ,STA P-^t' Coins-i-P. .4 oA. LLC (Phone) —7/.3 - pc 0 5 et (Contact Name) DAA I 1 R.Q PQ.b 'k (Phone) -1 63 -.)OS - A e�5 (Address) j 15( CASTI e C.k COLf t C i( R ( inn GC03t Lo TYPE OF WORK 0 New Construction DDeck ['Porch fRe-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ['Addition DAlteration ['Utility Conn ctio CODE: EI.R.C. ❑I.B.C. 0 Misc. / Type of Construction: I II HI IV V A B PROJECT COST/VALUE $ 2-0 i O C) Occupancy Group: A B E F H I M R S U (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 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 IXofficial can revoke this permit for just mu . Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. � r 4C 1093 005 (-15 - is 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 $ / �/ This Application Becomes Your Building Permit When Approved Pai 'Ai'd / r/s Re pt No. //G� Date 67., /3 /S By 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 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 1 4646 Dakota Street Prior Lake,MN 55372