HomeMy WebLinkAboutBuilding Permit 13.0411 Z 144
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E � CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5 J 1 3 I3
`� AND UTILITY CONNECTION PERMIT
,
-*N E s . 4 (r >C
I. white File
2. . Pink City PERMIT NO. /2 ¢. ! /
3 Yellow Applicant '
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
16 4'6 w k I c IN W
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) 1/161 r 2t d 1 ll ) (Phone) 6/ 1 4G -,1' 3 3 6
(Address) 1 6 '67 1 , k it,ljt 6 1 '. /V w
BUILDER
(Company Name) 1" ,,pp
1Z Dec kS (Phon 6 S/' 3 9,V --ZJ 3 )
(Contact Name) 1f" &/ h 1h ) (Phone) Sc M e_
(Address) 'I/ 7v CO l'o' /,,l ,. 4 - ) C- 12 r,' ,- tall e._
TYPE OF WORK ❑ New Construction 13Deck ['Porch ❑Re- Roofing DRe-Siding ❑Lower Level Finish ❑ Fireplace
DAddition ❑Alteration ['Utility Connection
CODE: ekR.C. DI.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 1 8, 04
Division: 1 2 3 4 5 (excluding land)
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 can revoke this rmit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X
' g34 i ll S/, /L07
Signature Contractor's License No. Date
Permit Valuation 5— Park Support Fee # $
Permit Fee $ t f7 SAC # $
Plan Check Fee $ -76, . c ¢ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Z • 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 ea i 5 , V{ r 13 $ /9('77
This App r io . : • come Your Building Permit Wh Ap ved Paid 8 yi.7 9 Receipt NN /) k, y6
/ / liPir -ii_ Date . /JL3 By f-1...t;
B ° ding Official Date
This is to certify that the equest in the above application and accompanying documents is ' . accord. t ce with the City Zoning Ordinance and may proceed as requested. This document
when signed r,/ t e (j •lanney onstitutes a temporary Certificate of Zoning complian • • t d all. construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. ,/ / /
'' ■IN 5 (3 (
r 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
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /6447 Milvegrkibeit
'
TYPE OF WORK L.
USE OF BUILDING / T
PERMIT NO. 13.411 DATE ISSUED 5,13,13
BUILDER "Ptir DE c,141,7 PHONE # G�f. 'I'VE. E1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1 I
J
FINAL
FOR ALL INSPECTIONS (952) 447 -9850