HomeMy WebLinkAboutBuilding Permit 10.476 J
W
F
a :3 Z E -
w w < 0 W
1g S g Z
aa p
c is-)
ur U 4 ti 4 a 9 OC Z [.
1 O❑❑❑❑❑ w N
OG
W =
W A C
la z Y Z
lk Z v w
w - a 0 0 r o d w a c
V O W Z C z ,
u. l W e N
N 0 a co ` y Z A4
444111 �,� C
•., a � 3 m a� '��J w w a z
• ❑D❑❑❑❑
ce a u 0 . _ -
'
ii U CL
re z J re
Yw _
I � OI- Z U U. W
v v O 2 AC �0 Z Z V N � �� U. v a
O O O w H I F ' W
a � h z 2pzg W r l� , 41 w W awl �: J Q
Y, V w w F pO - Z Z c=4 W � �� a' Q O
Ow re w O inz1- z g 0 0 t3 V U 0 ti 0 C.) ? < 0 d C1000 ❑ 0 0 XD c
o f PR/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT
U t r j
M,ivNESolP I. white File
2 Pink City PERMIT NO. 1 4,,
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (orrice use)
/ 7/ c,), LA- 12A) S 77 C-
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) /`_ / /L L. £'// Al / LC-- (Phone) 5 V 7 y O — 7 / 3
(Address) /) / ? o G 3 L4 €.QJ A-S S , L
BUILDER n
(Company Name) (2 v � QG 0' 1
10. 27 Q
C (Phone) i - WO- - y) 9,,
(Contact Name) ...,V-7 -r vzt..) (Phone) 4 75 ' a q 2. — Co 2 38,
(Address) / 93/1 S0t-174 -.o tiL i I1 ,-,&
TYPE OF WORK O New Construction Deck OPorch ORe- Roofing ORe- Siding ['Lower Level Finish O Fireplace
DAddition DAlteratio , OUtility Connection
CODE: ❑I.R.C. ❑I.B.C. O Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $ // AO LXL
Occupancy Group: A B E F HI MR S U
(excluding land)
Division: 1 2 3 4 5 ,
1 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 ow •_r or authorized agent for the
above - mentioned property and that 1 construction will conform to all existing state and local laws and will proceed in accordance with submitted s. I am aware that the building
official can revoke t permit f t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform eded ins ections.
X „Ia , a 3? 9z 6 - 2// 0
Signature Contractor's License No. Date
Permit aluation / Park Support Fee # \, $
S Ann. 00
Permit Fee $ it-7.75
SAC # $
Plan Check Fee $ 76 . 5 Y Water Meter Size 5/8 "; 1 "; $
1 State Surcharge $ r . SD 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 1 $ IC16 '�/
T • i , � ec 1 'es Your Building Permit When Approved Paid , �t 6� Receipt No. �i6 3f
' tt Date (�, By �// 5 ,
lY
Btu i.
Official D
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 Prior Lake, MN 55372
PRI0R LAKE BUILDING AND �NSPECTION
INSPECTION
RECORD
SITE ADDRESS /7/70 w /L0
TYPE OF WORK
USE OF BUILDING /?iFiS fY //
PERMIT NO. /0 47(a DATE ISSUED 6 / �
BUILDER OtTi DO O,e. S uc.v77d N5 PHONE # #¢0 , 4 /
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING J� I 1 (f HAS BEE S � / G �/
PLACE NO CONCRETE UNTIL A NED
ONN/Mr
IFINAL I�G Q 3 /V/2 I
FOR ALL INSPECTIONS (952) 447 -9850
.
Lt. NJ 4
PI � n
ILI v
.- I,
- -7-4 .4 '' ,,A t . - -,. -
—,,) cr;• i
.._ --4-- .,.
_, ,z, t.,) ,
. ,3,/
,,, 4 - - t\ 1 (
.4 Q �, `
\ --- L. - .
/ 111111
r '
.;z ', i ,., '7f �
V> ° v 4.
.; L ) 4 ct Q N
r e - 1 . - —" - . . — - — - - - - r 4 , 2, L7: :. ' , , n
N.-, r.:k - •
4 Q- Q.
0
.... f■ 4 /
,h -0 4 _1,
i .4 Z
n
I
/