Loading...
HomeMy WebLinkAboutBuilding Permit 12.1321 0 J C� IdiIa z [ 4 4 W — CD 1E 111 us h = a N 00000 > W = ` N 0 p aa-� \ m c O `� G t a 00 Or O U 0 o S ` 0 X 0 W Z_x=Zi 0 d Si 0 f a u- •t W a 0 (H 0 d ; V W_ ! W W Z X C 0 a. a3caa. �i W W w W �; 000000 0 0 a0 W 4 a 0. LL N p J O < 0 u. 0 gi s 0 < ° a °° pz 0 0 w F I f= ' z �.. O a Z < v - a ° - N z z0 -5 J ? w co Ul - � ' A LU DU W W W ,�pz.e0 W O O O V CJ a Si p 0 u. U. y 0 ; 0 0 ca a 0 n 0000 ❑ V ' �10 0 5 of "I°4. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd N ; T CERTIFICATE OF ZONING COMPLIANCE ii Z % Z v AND UTILITY CONNECTION PERMIT 44NESp'D I. white File PERMIT NO ` 2. Pink City / y /32 / 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) '' Sq .— ? Is (c •U c ci) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER _R 4 - I--o(° r _ /21' le_ (Phone) i - 63 7S Ste 4440 (Address) 1 5T1 Ts(c, U€ BUILDER (Company Name) 0.__.- G- DC 4 ' , hC (Phone) coo- -q 4 - Wois (Contact Name) fi © k� �- � �� (Phone) - (4 40— s7 QES (Address) 3 c E57 If GA.,azi C. - -i-s TN 5W TYPE OF WORK ❑ New Construction ❑Deck OPorch ❑Re- Roofing ❑Re- Siding DLower Level Finish ❑ Fireplace ❑Addition -§itglteration DUtility Connection CODE: ❑LR.C. ❑LB.C. anis crio Type of Construction: I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ (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 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 revok t ' permit f just cause- Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ____61, Signature Contractor's License No. Date Permit Valuation •o _ _. Park Support Fee # $ Permit Fee $ �' ` .2_5- SAC # $ Plan Check Fee $ Z ../: Water Meter Size 5/8 "; 1 "; $ Ca• State Surcharge $ S-4=' 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 I $ TOTAL DUE j $ 68 sb • This I pp lic . ' t n Becomes Y pr Building Permit ' - Approved Paid el ' . - 1/ R rpt No. - Date //, �Y (7. _ B Al' � .2-- :uildingOfft• •.l D ate f '-/ This is to certify that the request m 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 PRIOR LAKE BUILDING AND �NSPECTION INSPECTION RECORD SITE ADDRESS /5S97 /SionN0 VIEW IQU. TYPE OF WORK M7L USE OF BUILDING IQEI PERMIT NO. I Z . /324 DATE ISSUED BUILDER GtSfmtGVtl PHONE # (f/L. 410. 71013 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING 1 l / 0/' Z -- FINAL 9) i r/ 19/ l FOR ALL INSPECTIONS (952) 447 -9850