HomeMy WebLinkAboutBuilding Permit 12. 1234 KS yy xN. , , i ?e, , ,.
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CITY OF PRIOR LAKE
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Final Permitted El Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Reside
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Building Code certifying that at the time of issuance this structure was in compliance l/wiith the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification S J N G I F F A M I! Y
Bldg.Permit No. 12-1234
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Occupancy Type Type Construction VN R l S D
Zoning District
Legal Description
Owner of Building
Site Address 3571 CRYSTAL RAY LANE NW
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Contractor's Name&Address C R F. T FX T F R I O R S
POBERT D . HUTCH I NS
'" ,i City Planner
Building Official i
Date: ( (i
Date:
` OST
IN CONSPICUOUS
PLACE
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o� PR t CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / �5. 2__.AND UTILITY CONNECTION PERMIT �,t. ,-.4!
U a*tis ;.- At 1 !l.r
\!-....."NNE sole' z n',e File
PERMIT NO. IL, r
3 Yellow Applicant ,
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3571 6-vBPty L ,e_ Ai /4-) ruses
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER /�
(Name) BOLA) Pc OPe -1,e.,5 (Phone) CO5( — 4 Ce.)0—/018
(Address) , ,e33 -__ 0141 1 I ► eV1clCom.- f 1 v e. �GL7/f m)Yl9+cm) J MA) 55 9
,Se'' £t - /L4"-"7 6,, k 7'Y'7 . ��rL
BUILDER / �/��•
(Company Name) fe5� Ey./erior.5 (Phone) C06/ y/eo_^ //g/
(Contact Name) _c 7/'/9 Ala. /1'7 f / (Phone) /)0 /-82.5--1,— 5
(Address) c.; „..30.... (2J i peri Ll i% /lye F/' I/7y 7 v4, MA' 5
TYPE OF WORK oleNew Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish El Fireplace
l ❑Addition ❑Alteration ❑Utility Connection
CODE: L'R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 3 56) 00 c
Occupancy Group: ABE F HI MR SU (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 tate 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 awate that the building
official -•revoke t k emit f st cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed mspe tions
X , e".' a � _ - &,3q 115 II 5 V,;7 .
Signature
Contractor's License No D to
Permit ValuationSD, DOD. Park Support Fee # $
Permit Fee $ 2 53. 50 SAC # $ Z36,5
Plan Check Fee $ ` (o 5-c 18 Water Meter Size 5/8"4", $ S 90, -
State Surcharge $ I
_ Pressure Reducer $ ( (00, -
Penalty $ 5 Sewer/Water Connection Fee # $ 00 -
Plumbing Permit Fee $ t ,t Co Water Tower Fee # $ gyp, -
Mechanical Permit Fee $ ( ���[ . 5° Builder's Deposit $ 1 500. "
Sewer&Water Permit Fee $ 5-c .5° Other $
Gas Fireplace Permit Fee $ 5 45-0 TOTAL DUE $ t i C Z 3 Zg
This • , ,lic tit B. mes Your Building Permit Wh n Ap oved Paid j l l/1.3 L. Receipt O.•� 7/%
� (r Date ,'���V/2._ By ,. s r,---
' -i�r_ 1l Z� ( Zi
Building Official ate
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 iequestcd This document
when signed by the City Planner constitutes a tern Diary Certificate of Zoning compliance and allows construction to commence Before occupancy,a Certificate of Occupancy must be
issued n
/ Planning D' 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