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HomeMy WebLinkAboutBuilding Permit 14. 0887 5 O O n 000000 o a ■ n cz nx. k z . RkkToo zco mH LH m Er" ; - k . z S� 0� 0~ j § 2 r Z X 0 3 I -n '0 z k § § / 0000cO 41 x q m m m -00) 1c � � n $ f § o o § 13 ■ § $ M m 0 Co) § 2 e \ t § X § § 3 X ~ n 0 rG § o \ q XI / a z = z p r g § r13 "0 P o / C■ ii) xi p c i© ' . � % . O ❑ oOQ _ v ? ..-..- � § �' ? ,- ® _ •—'""... . a m ;mv —E Q% t § 73g A - _, — r ■ 4.6 -4i 0 -‘ <y04 PR ION t � 'J CITY OF PRIOR KE BUILDING PERMITDatee Rec'd TEMPORARY CERTIFICALATE OF ZONING COMPLIANCE Da AND UTILITY CONNECTION PERMIT 7 9 75 rhNBsos' I.White File 2. PPERMIT NO. f Pink Ci /`��/�/ ��C l 3.Yellow App licant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 5871 Crossandra Street SE. Prior Lake, MN 55372 (.2� LEGAL DESCRIPTIONj (office use only) LOT BLOCK ✓ ADDITION jQ Q/ 7 '� r , jF Ar4/ PID i. 5-' f-a57 b 1 aOWmE R Bruce/Betsy Primeau (Phone) (952)440-5261 (Address)5871 Crossandra Street SE. Prior Lake, MN 55372 BlUILDER 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 DPorch ORe-Roofing Siding OLower Level Finish D Fireplace ❑Addition ['Alteration ['Utility Connectionpci.J��\ .0 S-7-1)1-) CODE: ❑I.R.C. ❑I.B.C. ElMisc: Type of Construction: I II III IV V A B 9625.00 Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE S ' ' 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-men.oned 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 tae building official c - oke this. ...'t for just cause. Fu ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X O' 1ii, ` f CR001748 August 21st 2014 Signa Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ - 5' SAC # $ Plan Check Fee $ AA` Water Meter Size 5/8"; 1"; $ State Surcharge $ / '- r Pressure Reducer $ Penalty $ 2 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 $ r//1(,'` � ' .J This Application Becomes Your Building Permit When Approved 1 1 .L l s Receipt No/7 7j/L.-� D to66By <---- -.--.,' 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.`TM!,document 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