HomeMy WebLinkAboutBuillding Permit 13. 0372 0 _ 1;
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OF PRJ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5 3� /3
AND UTILITY CONNECTION PERMIT `
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41NNESOlP White City
2 Pink Cit PERMIT NO . /3 7? 3 t--
3
3 Yellow Applicant //(
ease type 'nt and sign at bottom)
ADDRESS ZONING (office use)
ime Affo vit.../ --11/ s ly
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
Name PA. .6ie.. (Phone) 95 2 -4112 7 /
(Address) 4 540'1
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction Jb,�Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
DAddition ❑Alter ion ['Utility Connection
CODE' R.C. ❑LB.C. ❑ Misc. __
Type o Conshruction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F H I MR S U (excluding land)
Division: 1 2 3 4 5 I
I hereby certify that I have turn' ed information on thi . ■ '.lic , n 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 a a II c - struct . f ■nf• 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 •, •r •st c,ise • • , el ‘y agree that the city official or a designee may enter upon the property to perform needed t spections.
l� Signature Contractor's License No, Date
Permit Valuation L. G U 0 00 Park Support Fee # $
Permit Fee $ ! (J d O SAC # $
Plan Check Fee $ 66 q S" Water Meter Size 5/8 "; I"; $
State Surcharge $ � ,,_ 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
7
r $ l'1 i j
This A , ,tic ion Becomes Your Building Permit a Approved Paid j 7 /_ q S Re • 't No. &e1
Date ji B
A/ 4I f
ine Official Date
This is to certify that the request in the above application and accompanying doc men.. is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by he Ci /'Inner constitutes a temporary Certificate of Zoning ' mpt' and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
i . 6 . ctor 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 AND INSPECTION
INSPECTION
R
SITE ADDRESS Po�o vrEH/ �. t TYPE OF WORK D
USE OF BUILDING /r//t-
PERMIT NO. 17 3 72- DATE ISSUED 6-3-43
BUILDER Pli N£ PHONE # L(9, Z G 7f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
7
INS ECTOR DATE
FOOTING W c I �D( s"/ FAT
PLACE NO CONCRETE UNTIL AB6VE HAS BEEN SIGNED
I MMO f ,\_-,. I tio 1 5
I FINAL 1 5,,1 (3
FOR ALL INSPECTIONS (952) 447 - 9850