HomeMy WebLinkAboutBuilding Permit 13. 1104 0 J
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RECEIVED 10/07/2013 08:05 9529857738 ALL SONS EXTERIORS
10/07/2013 08:01 12182385313 TERRY FULLERTON PAGE 02/02
o rx�p� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�
V TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT � NNES'.
- L Whitt 2. Pink CityFit PERMIT NO. / //OZ./
3, 'fallow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
50 5(0 e )--. , Nn
_
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID &3 - ‘q
_________..
OWNER
(Name) j I bryi1 PM, i k ( Phone ) . - Rr to - 1b
,
(Address) y . A ill ekob, - en i,. L .
BUILDER a Cy
(Company Name) N l Q`�'.S VI C— (Phone) 1 5D ^ 4 - 5� 1
Name ` T ' 955 .1 t ) 0 •
(Contact ) , ��� 1 h�� ��`` _� Di ` (Phone) 4, (Address) I (} • 7l 19 I �.pt e. t,e _ ) Hp 5 zi 41
TYPE OF WORK ❑ New Construction LIDeck DPorell ,Cie - Roofing ❑Re•5iding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration °Utility Connection
CODE: ❑LR.C. DI.B.C. ❑ Misr _
• Type of Construction: 1 If III IV V AB j )
Occupancy Gawp: A B E F II II I MR S U PROJECT COST /VALUE $ 1 L Co '
Division: 1 2 3 4 5 (tutu 'ding Land)
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 I am the owner or authorised 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
Oftial can revoke this permit for juss Furthermore, I hereby agree that the y official or d fbn l
designee may enter upon the property to p needed i
77 Ql+_' a i acror'S License No. / V / Date
V /
Permit valuation Park Support Fee # $
Permit Fee $ SAC # $
r
Plan Check Fix $ Water Meter Size 5/$ "; 1"; $
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 $
This Application Becomes Your Building Permit When Approved Paid Rene • No. V 0
Date i 57J B
• Building Official Date
This is to certify that the request in the above appl eati oo and accompanying documents is in accordance with the City ,Zoning Ordinance and may proceed as requested. This document
whet signed by the City Flamm constitutes a temporary Cectylkate Of Zorivrg Compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued,
Planning Director Date Speoial Conditions, if my
24 hour notice for all inspections (952)4V fax (957) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372