Loading...
HomeMy WebLinkAboutBuilding Permit 11.1183 - z /c" § � ■� w � §vv� 555■ 0 k. X i a aa:1 a w ■in 0 < § % 8 it g § § 6 000000 > © l o / - N } ei 0 - ill 2 �Mz © Ul ° § ■ o o — z J § w z ce z L 0 | U 0 w ■■2■ca U . a 0 Z§ 0 a� §��§ §� �� i- 0 - la k k z 14, 00t3000 0 0 § Z % � a a IA. � 0 In 0 . . o % LIJ w 0 5 1 - a .. ~ � • {� § a 7 — . 2 0 a z � § IA k5 ■ m < � X &x F-, -<1 0 o� /K 0 § 0 �2 0 ;(.) § g a 2 o a 0000 *\O 0 o0 E. o f PRto CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd OTEMPORARY CERTIFICATE OF ZONING COMPLIANCE // 3 .. 01 AND UTILITY CONNECTION PERMIT v x 'y jNNE SO qt . I. White File 2. Pink City PERMIT NO. / / - / / 03 ' 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) /( fl, / LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) 1 BUILDER (Company Name) f ereir► et".•..., C'9 f• S F' (Phone) q S 2. - 29 b''0 Ll S (Contact Name) T0 i.. Alley\ (Phone) (Address) TYPE OF WORK ❑ New Construct n DDeck ❑Porch DRe-Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ❑Addition Alteration ❑Utility Connection � , / • '' ❑ Misc. 76k/ / A/ 1 N�� ' CODE: ❑I.R.C. kE.B.C. 7 Type of Construction: I II HI IV 0 KK B PROJECT COST /VALUE $ / 000 �— Occupancy Group: A& E F H I M S U (excluding land) Division: 1 2 3 4 5 I hereby certify that I have himished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 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 permit for just taus•. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. �x / % j l j ature Contractor's License No. ate Permit Valuation —7 F'CO Park Support Fee # $ Permit Fee $ 141 Z 5 SAC # $ Plan Check Fee $ p s . 1 I Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 7c:11 3. r -� Pressure Reducer $ Penalty $ j� 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 $ 244,44, Thi ' r lic on Becomes Your Building Permit n A proved Paid 'z....-4-43. _ 1-e, Receipt No. 4 , f Date (r / /(1 By Bui dine Ofticia Dat 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. / / -3-/l P nning 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 PRIOR LAKE DE PAR OF BUILDING TMENT AND INSPECTION INSPECTION RECORD SITE ADDRESS / /.50-- ///•/ R•✓ 6 • (&/eiftle ) TYPE OF WORK fbt✓/17,/ % fl P✓/sH USE OF BUILDING /l41fit- PERMIT NO. /( . (( 3 DATE ISSUED /t- Y, ( BUILDER foie -1 q /v e."6 Cer- PHONE # z' a. 8 0 « NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT e"(,,Wh4 Cf9Z K -___L _ INSPECTOR DATE NM I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN I NED FRAMING + PLcr -(d .-t tai �.0 - Cc44/2.65Stsn✓ I I / 2* 4 I 62- -V 'rte-,. /i,/09Z' 1 FINAL t/ #24, FOR ALL INSPECTIONS (952) 447 -9850 •