HomeMy WebLinkAboutBuilding Permit 11. 0290 ``i PRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
A x AND UTILITY CONNECTION PERMIT 't -• Z .— I �
M„A'NESO�P &tiScal / n �/� I. he Fite PERMIT NO .
2. Pink City \\.� 2 q O
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS / ?no, J J ^� ZONING (office use)
�9 C El, 24.4 5-3 d+
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER '' /
(Name) t Yr'� Wgif iers (Phone) (0 171" ? 9 0-- 0 L to 0
(Address) acm �P,,t -�� /2/
BUILDER ���
(Company Name),, p��lr (��y (Ph e) 3190 — // 3
(Contact Name) jtini f1it.r'i(, (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ['Porch jitRe- Roofing ❑Re- Siding ['Lower Level Finish El Fireplace
['Addition ['Alteration DUtility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $ 7 a'0
Occupancy Group: A B E F H I MR S U ,
(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. 1 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 revoke this pe . it for j st cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X —751 0 ( F)< ;:— 1 1
ature Contractor's License No. Date
Permit Valuation (/ v Park Support Fee # $
Permit Fee $ ) L4 t —) S SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ %.e 0 J Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee I $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ / '7 c .7 S
T 's A plication Becomes Your Building Permit When Approved Paid 0 Receipt No. 6 L 7 ('
S
Date L( `Z'S -1 \ By J �S
Building Official Date
This is to certify that the request in 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
Building Permits Issued Since 1999
Permit #: 11 -0290 Key: 2E +04 PID: 25- 133 -047 -1 Unit: 00 : Z.....
Date Applied For: 4/25/2011 Address: 2993 CENTER RD SW
Date Picked up: 4/25/2011 Status: C Ci1/495.
Class: B Building Date Temp CO: ``, ��
V"l
Type: RES A/R Residential addition /remodel
Description: Re -Roof !
Applicant: JERRY PHILLIPS CONSTRUCTION
A$ ",(
Value: 2,500.00 `
Inspections I Close \\\ 1 3°
Notes: ` D
Add /Edit/Delete L7 N
allowed in Notes
field only.
I
Alpha Data, Variances & Other Permits
Type: P P, V, C, U Property Owner
Code: ',BP Building Permit
Date Issued: 1/2/1979 Status:
Year: 1979
Reasons:
Permit Num: 1 NEW CONSTRUCTION SINGLE FAMILY
Date Closed: r #Name?
Type: P P, V, C, U Property Owner
Code: BP Building Permit
Date Issued: 10/4/1994 Status:
Year: 1994
Reasons:
Permit Num: 452
CUSTOM REMODELERS INC /RESIDING
Date Closed: #Name?
Type: P P, V, C, U Property Owner
Code: BP Building Permit ----
Date Issued: 10/18/1996 Status:
Year: 1996
Reasons:
Permit Num: 625 - - .
KREUSER ROOFING /REROOFING
Date Closed: #Name ?;