HomeMy WebLinkAboutBuilding Permit 12.1388 J
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o f PRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0 ,, c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I/ / � / Z
AND UTILITY CONNECTION PERMIT /
44NEScio' 1. while Fite / �^�
z. Pint: City PERMIT NO / 2 I/ / 3 }
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
5 5 2. o o A- e L
___________
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Ft l r bs b e e .1f,..., (Phone)
(Address)
BUILDER
(Company Name) ,— (Phone)
(Contact Name) t r (7 t tee _ (Phone) Co I — dr t D 55-1 .
(Address)
TYPE OF WORK 0 New Construction Deck DPQrch DRe- Roofing DRe- Siding ❑Lower Level Finish 0 Fireplace
❑Addition DAlteratton Dutility !Connection
CODE: R.C. DI.B.C. D Misc. I''' w 1 +`'1'°'4 t Re PL 'r`
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HI M' It 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 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 ca v e this perm or Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
X 1 Diu. De- 57 za q 1 II- if- I--
p' Signature Contractor's License No, Date
Permit Valuation Park Support Fee # $
'(
Permit Fee $ 141. ZS SAC # $
Plan Check Fee $ t 9 1 I Water Meter Size 5/8 "; 1"; $
State Surcharge $ 3 , So 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 , . $ - 'VP
This Appli' d .� on :e Your Adding Pennit Wh:i App et Paid )-4 V4'. .-0' R ceipt No. 7 / � 7
Date l/ 21/, " Zr B
Buildit t i Official —.war"
This is to certi /that tie r'∎ nest in the above application and accompanying ;(locum nts is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed b, the a y '1 nne constitutes a temporary Certificate of Zoning com. lance an. allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. , f
/ 1 41041111111b8.— Z-.6 /2._
Pl., ning a irector , 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 D�NSPECTION
INSPECTION
RECORD
SITE ADDRESS /5572 141) OAKS'
TYPE OF WORK DECg'
USE OF BUILDING �.10 ItAL
PERMIT NO. /Z• DATE ISSUED /I• 2-0. IL
BUILDER /� pet
PHONE # &/L, WO . 5520
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INBP DATE
I FOOTING 1 ,214,1_
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING
tFINAL 1 if
FOR ALL INSPECTIONS (952) 447 -9850
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