HomeMy WebLinkAboutBuilding Permit 14. 0816 sal 2 1N
amu. m
* � w
W �< • ° w
pJi! t:t:
\ i 0E3000❑ W
N
ce
1 -
L)
vW0 O
w O
C
W u
» CO Vu. m
z 0 14,1
a trJ ` >: zLL W ceZ Z _ = = ZZ
y UamWm
re
N O.= Wc =
WU. W Wa � aa Z2
< Ill w x k.
❑ ❑ ❑ ❑ ❑ ❑ X
N a O.
W a V U-
V O 10_
0 Z�
z3 Z a
0z 2 p w NF- p..
0 01
a <
Et o
a
aN Zh0 Lu
NW W w
Li. Z
Op � < WCC W Z gOdNZF- O O re O O V V
a D 2u, LL � ? tiv� V N
c, z < 0 a ❑ ❑ ❑❑ ❑ ❑ v m. ❑ 0 s
• J
W Z 1
CO
P J LL cc W
W W4 Z IQ
• V V � �
4
W +g 0ala � tn 0 a 1
nUlili � W Z 6.
0000 ❑ > re
o
r tuN
w 1 O » < m c O w
o `� Z p0p Q 0p = 0 0 C 4k
G pp[[ C 0 000 < � t W oC
= Z G' Z — __ z Z o c W O
co a a. 0° xWwax / LO 04
a 0 z
.4W aj _sW W W Z X ftp.
a � 3wa2 W W LU
0000 ❑ ❑ 8 oe o W
4 a a LL
ni Lt
Y 111 V 0 Q U O a
o a ma
g ~ z o ° o►
re z0 ° Z W F- a 3 W ihi
17. Z aco I- vz ZW Y LU LU cc DC 17- p IU Z ° a O O °o u. IcZ 4C 0 a 0000 ❑❑ V 0 0 E
04 PR/04,
CITY OF PRIOR LAKE BUILDING PERMIT, Date R c'd
t:'A N.c-..3 k..4 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 'e�/CSG
AND UTILITY CONNECTION PERMIT
79.75
41. o�
�'NBS
1.white File
z. Pink city PERMIT NO. aye g/6
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
16625 Anna Trail SE. Prior Lake, MN 55372 RI
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION fa AA-J/0 { • Z 4)21 A 46AJ PID 076--0 67- D// -0
OWNER Mark Dotson (Phone) (952)440-4878
(Na(Address) 16625 Anna Trail SE. Prior Lake, MN 55372
DER Custom Remodelers, Inc. (651)784-2646
(Company Name) (Phone)
(Contact Name) Karli Anderson (Phone) (651)784-2646
(Address) 474 Apollo Drive. Lino Lakes, MN 55014
TYPE OF WORK ❑New Construction :Peck ['Porch ORe-Roofing 'RRe-Siding ['Lower Level Finish D Fireplace
.. ['Addition ['Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Mise:
Type of Construction: I H 'HIV V ABa 13,612.52
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished formation 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 construction • conform to all existing state and local laws and will proceed in accordance with submitted plands. I am aware that the building
official
Andersonft,r, cause. Furth .. ,I�herebyj;��ecityCROO17L�semayenterupontheproperlytoperf August ne th
S2014
x �i
S gnature Contractor's License No. Date
Permit Valuation ./ Park Support Fee # $
Permit Fee $ atis , SAC # $
Plan Check Fee i. Water Meter Size 5/8"; 1"; $
.5State Surcharge $ ( L D
g 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 $ iq, -
/
This Application Becomes Your Building Permit When Approved ' $01 <' ( < F73 Receipt No. .—71C/L✓
D ate � By
t4.. i Li ,_.)(7
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 S.E.,Prior Lake,Minnesota 55372