HomeMy WebLinkAboutBuilding Permit 11. 1022 / 0
0 ƒ c, , ` § /
- =§0� z ®
' u. )72\� o \ /
§
iNk §k§ §/ _
'1--- 00000 \ § 2
w °
� $ N /
, aa � § ® § k
C n n 2 2/ z \ § ,
� . � � § §k -
w § u § \
0/ j 0 § id �. a. f z
4) m 0 a §� § ` co / e o
§ uw x
N.
�� o 0 z
c gO2og . , a) 0 w §
a a U
o -
0 < o \ \
0 a § a » \
5 k 2 w 0 0
0 2 o§ S }« 4
z 1- 0- a' 2 . Q) u u §
�k co z /§ _, _, � 2 be § § ,_ /
/ \ k 0 § §�k§§ o
.9. 0 0 k
Q�
0 o 1 000000 0
E O f
( R / 04)
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
; ,s „
v AN, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / 0 3 1
AND UTILITY CONNECTION PERMIT
e
t. White rile //. /
2. Peak City PERMIT NO . 0 Z 7
3. Yellow Applicant i
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
15 eiQ ieno+A/ i ivy ‘c. ( 1 ? d ° Z' i' i€
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION HD
OWNER
( Name) & ' 7 L ' t C'Z 1 - 1 A-4 (Phone) Lel Z -') &9 Z ‘
(Address) 1 55;4 7 (ve:2•1/4.L - ✓. CC, Pmt-,Z u-,..,.. ".4f -/
BUILDER
(Company Name) (si W '2T • sz (Phone) &Yl - 7 ?2 6 1/4---' `-4
(Contact Name) S NYC, 7z., %7 -C (Phone) CD r - 3 1 Z -e. 6 "--v 'O
(Address) l S 4 � ✓lt..c... 4 V :was c. '.--7 .^-t ...../ c`"L, La 6
TYPE OF WORK ❑ New Construction k ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: [ 1.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ '., o f
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have , shed 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 prope . ■ t 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 • • t for just cause. Furthermore, I hereby agree that the t • . n cial or a designee may enter upon the property to perform needed inspections.
X 4 ,..,e _ 2,402,1 4— 10 -1I
Signature Contractor's License No. Date
Permit Valuation -3 Qoo Park Support Fee # $
Permit Fee $ 9g Z 5— SAC # $
Plan Check Fee $ 5 36 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ ( . '50 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 1 4 _ t I $ !d 7 /7
This ' ' i n Becomes Your Building Permit When Approved Paid ' F r x • / _
� � in / 1 / Date 1 IN Ell
R!/-
Building Office Date
This is to certify that e request ine above and accompanying documents is in accor with the City Zoning Or and may proce as requ Th docu
when si�e Planner constitthe utes a application temporary Certificate of Zo in w q ion end allows co to c Before occu pancy, a C of Occupancy must be
issued.
1 / /p
�/
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
`ii 6 t h
� 8
y N C
? W 2 M i
,,......,--„ ei w L , ..c.. , i ---
\ ' / . a. . d JIH
- "
0 � W w 4. a di - ---- unti il
14 i
( n
® uEwQ
,�
to 44 5
( I Z Q a
li !1 r
_ o ®❑
W = ` �- / 1
0
y
, ,_+ • 'o �, c, z I
f( ,‘
I 3 ,, t
\ __,
:= NI 1 _
..1 (1
a
1 - ‘ ‘N
s (N _
1 I 1. _...
*, t (I -. ,u r
v
1 ,
- .4 ).• '::
It .1 '
lc
1 ,
- - l'• 0 i'; '''':, "-
:-. •
5 c .,
.,- ',,,,, WM. itiN rt•ts■at
70 ''S. 1 ,..., ." E .,,, It i '•^. .
;
,
s .6 '
1
,..-.
4,
ir - , ; • . :-1.. t 4
144 ...e . ..t.'■ , #
... ii
CV . el fC
:4
f. 0
.,,.
1 .
. -
ri 4 2
ri ,-,) ,....-
1....4 L.1 ,.-,-
iliP6 1 tt:
1
j.
l'Y
II II
t I
I i
1
1
I
4 0
law.
1
it
1 4
I'
X '
$11.0pOrsowillivalirOUNOMIIIIIMISIONI
f '
1 ,
. '
\ , 0
,;-
, , , ..:141j li:. 0$4454. 4 4 1 111 . 11
14.40.
■
A
\
vi
?—
q
sz
A-
Y' c J
._
i
I( .
1111 INI
N
� as
i s
t
\ ___.--
eo
i i 1
OW V 4 lbw' III A
....,
P wwesmoravarsionsallowomosal
i ......a.
f to '441111, ?Ala,
kr "41116 ill .
41,
) at
ONO
1\ $ 4
I SO
1' .01
1 1
4•10
k 1
A'
4 4
.,. 4
...
ilt
1 I
' a 9
1
' 1
y
PRIOR LAKE BUPLDRNG AND INSPECTION
INSPECTION
RECORD SITE ADDRESS � I&iqNe»V7 /WE.
TYPE OF WORK d
USE OF BUILDING �J.�I� /I�
PERMIT NO. 1/. IO22+ DATE ISSUED HON f& 4 ' . I / �
BUILDER �, 466 Nail �F.��II ��
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING S� „ Bp ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FINAL 1 � ', - 1 W' >_- k/1?
FOR ALL INSPECTIONS (952) 447 - 9850