HomeMy WebLinkAboutBuilding Permit 10.0259 J
w Z _31-
J re LL re 0
LLZUU Z R'
g g5 g z a
N ( aa a J C9 Q
�WW
N nr OE4 Z ?
A N lvULLLLC7 N
w
000000 1111 w W
U o
O re x
N
\ w Z 4 4 J m c 0 ri
w 0 2 OOE-1 0 N w -
X Z Q' Z_xxZ? ` ` w c N
0 R
0 0 w m x w m x a Z
o o z �- o
_1 Wa m _I W w w w w ``.
a2
19 0 111 cc Z
0000❑❑ �� O 1 cc
0 " .....k O a w
►- Z p
Y QQ U N l a O x m
i Z H N to U •� a
a �
OZ .n O ZO W Z ` ► � N f-
Z 2gz l- a U
d H Z Z O ? Q J 2 W a CC CL O Q Q O
0 0 W a . w 0 : .( a W • O p p w U V
� o Z z O — i 0 I� U U n
U? a 0 a ❑❑❑❑'❑ 0 _ ❑(❑ c
Q ,. PRIG
o CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
U \ x TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4-15, 1 0
AND UTILITY CONNECTION PERMIT
''?. . iv ES0 �r
I. white File PERMIT NO . 0, 0 2.5-7
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
1 1 AE/44,,Nr p v'v °1J
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) 1 C i a -J J n/ > f. _ '_ -qtr t.-^v L. (Phone) 7 6 ' 3 ... a J 7- 73 3 3
(Address) i `5 511 5 t 4.0,/l ft✓G "
BUILDER
(Company Name) N/v 4, QN/1,/L7' (Phone) 6 0-- 3 2- g - CA° 7 r
(Contact Name) (Phone)
(Address) / Loci - 7 /1. 0-al jrO z . 441 iLr uyl (.." /cir- S 3 7 2
TYPE OF WORK ® New Construction Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alters on ❑Utility Connection
CODE: I.R.C. DI.B.C. ❑ Misc:
Type of Construction I II III IV V A B
Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ / 3
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 - 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
official can revoke this perms ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X c 1 - - '1"11A ' y - /I / 0
Signature Contractor's License No. Date
Permit Valuation 3 O 0 o. O U Park Support Fee # $
Permit Fee $ 8 is SAC # $
Plan Check Fee $ 5 3 0 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 1 5 0 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 lit A k /10 $ ( k 7 1 1
This Application Becomes Your Building Permit When Approved Paid /41_7, / R c pt No. 6
.l: U/ /�
. Date g 4, , cam B
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, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
IIIIM III
ed 8910 Wentworth Avenue South
HEATING AND AIR CONDITIONING Minneapolis, MN 55420
COMFORT YOU CAN COUNT ON
Illy m
Tel: (952) 881-9000
Fax: (952) 881 -4491
EVERY VISIT IS BACKED BY OUR y e t. EYERY .�S \ME ON.i QeoiSSAONAL Tds .#%OUR Not, 5�A0 WORK {yard
FIVE STANDARDS OF EXCELLENCE = / /1 .� f W / ,/.
64. d
•
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /5541_ ''� eMo,Vr 4V NW
TYPE OF WORK DF
USE OF BUILDING gES /VA
PERMIT NO. /0, ?Sr o DATE ISSUED 4. /0
BUILDER v/V�WQ� 0► WAKiT PHONE # �/,z. 3Z.e. O4i ?
NOTE: THIS IS NOT A PER IT FOR ANY OF THE INSPECTIONS BELO
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING 1 l j zf� 1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I 1 1
FINAL I))( 1 el? 1 3(,((,_
FOR ALL INSPECTIONS (952) 447 -9850