HomeMy WebLinkAboutBuilding Permit 10.739 a J
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irPRI CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 8 ` 3( . 10
.. T AND UTILITY CONNECTION PERMIT
v
M'NNESO I. white File
Pink City 70 3 PERMIT NO . / /1 A
3 Yellow Applicant ` v 1
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/sa - -�;(■- it SAo 17- 7SE.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER ,� j / J � / // y; �,,
(Name) / " &1 7t / SC C•t (/j (Phone) iSo — , 7 0� - `10 S 3
(Address)
BUILDER
(Company Name) (Phone) .
(Contact Name) (Phone)
(Address)
/G •/e.
TYPE OF WORD ❑ New Construction eck ['Porch DRe-Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
DAddition ❑Altera on ❑Utility Connection
CODE: R.C. ❑I.B.C. ❑ Misc.
Type of onstruction: I II III IV V AB
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $
(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 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 cause Furthermore, I he •eby agree city official or a designee may enter upon the property to perform needed inspections.
X r�� 5 - 3 / —/p
Signature Contractor's License No. Date
Permit Valuation 3, 00 O . 0 O Park Support Fee # $
Permit Fee $ e V Z5 SAC # $
Plan Check Fee $ 5 3 / _ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ / 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 $ / 4-7_ / /
This A!p / /��' tit : ecomes Your Building Permit n App ved Paid /4 Re pt No &O i l'
'1 _ �/ $ 3( Date g. (0
u - Hal - Date
This is to certi hat t•e • quest in the above application and accompanying document is in a ordance with the City Zoning Ordinance and may proceed as requested. This document
when signe I e • t •tanner constitutes a temporary Certificate of Zoning compli ce an allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued j,/
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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
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PRIOR LAKE BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /5Z30 FR/2(d9(NJ Stf0r465 �•
TYPE OF WORK DECK
-
USE OF BUILDING f ��K-
PERMIT NO. /6 . 739 DATE ISSUED 6,3
BUILDER /'7Wei PHONE # Z `! 2. #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DpyT R DATE
FOOTING /,tJG I 7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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FINAL 1 7/ / /�
FOR ALL INSPECTIONS (952) 447 - 9850