HomeMy WebLinkAboutBuilding Permit 14. 0498 5 * 0151, 0 O 0000 U 0 > En
0 n \ km m . » kkkk 72 12 xi �/
k r m m § �\ $ � \ § $2 $ §�
n n
hi
hi %� k / k ' � �� � zk
§ • �� / > ilk
. '� =.1 5.
% o _ > 0 m �
z ■
§ r .
'0 "0 "0
% m § §
011
000000
41 X § m m �� C M CB * C
2 § oo - nC § � �C
§ k ƒ �i 14:
� � � 6 �� ��
'V q / z r � § § c
§ MX
$ § . � � � 0m
.o n ,.....
0 OO ❑OcQ (■ m
z 022 §§ � §
Re % o § -0 -0 � § s&
a m55o
$ o . � � &�
r -I
m F- (11 ,
� r 0
4-PRI-9 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 6 9
ti., AND UTILITY CONNECTION PERMIT
7\rE5�
1.white File /
PERMIT NO. 14, 4-
2. Pink City /
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS 36115 PIL padNr - 1JW pi\i\ - 1. e.flo SS37') ZONING(office use)
LEGAL DESCRIPTION(office use only) ,,
/
LOT BLOCK ADDITION ;' PID
'
M /
(Name) Ao 140 ` Mutat,,^ b rshGt r1 (Phone) 7 c)(-'7 9 b -S £ 31,
(Address) 1,411 S 172sple. (Po;h f G-f (J LJ Pyr LAAt.f. I✓10J n s37'a.
BUILDER
(Company Name) ?1 (Phone)
i
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction Deck ['Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
['Addition ❑Alteration ['Utility Connection
t , ,v t
CODE: I.R.C. DI.B.C. 0 Misc:
Type o Co ruction: I II IIIIV V AB
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $
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 rmi for just caus . Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
R
ignature Contractor's License No. Date
Permit Valuation y,Q 6 (? Park Support Fee # $
Permit Fee $ 73 '7 S SAC # $
Plan Check Fee $ 4.-7 4`4- Water Meter Size 5/8"; 1"; $
State Surcharge $ f3 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 n
B omes Your Building Permit •• n •• :proved
$ /Z L-. 67
This Applica'•• Paid Z . R r 1pt NO. 'AS V
� / Z G7 Date C l' --
Cr I/'
A�
Alms - I 1
I uil.in I''4114411, S ate
This is to certify that the re•uest in the above application and accompanying docume is' accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by ' ,ity ' ,ner constitqlps a temporary Certificate of Zoning comp ;nce d allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. i
°o1 Da Special Conditions,if any
Tanning Director
• hour notice for all inspecti•ns(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
•
F
PRIOR LAKE BUILDRNG A DOINSPECTION
INSPECTION
RECOR ,
SITE ADDRESS 39 ago or
TYPE OF WORK
USE OF BUILDIN
PERMIT NO. DATE ISSUED G • '•
BUILDER M PHONE Il �JOI.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS B LOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I FOOTING Iá21
PLACE NO CONCRETE UNTIL ABOVE AS BEE�tSIGNED
FINAL I L
• FOR ALL INSPECTIONS (952) 447-9850