HomeMy WebLinkAboutBuilding Permit 15. 0229 J
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CITY OF PRIOR LAKE BUILDING PERMIT, Date]teed
IE , I TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ( 5
" AND UTILITY CONNECTION PERMIT 3. 1 •
r..vE5°
t.White Cite PERMIT NO. /5 Z
2. Pink City
3.Yellow Applicant • !l
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3?o 6 ---AG,I To,*ZC C--6.
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 4 Co441 a
OWNER //
(Name) Sr(. U e eJay_ (Phone) /d /c�
vo ' iii -
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(Address) V(p ! i GerA (ptr c"e--
BUILDER /
(Company Name) DS”hQ DD ig u 'ICI ei �i'1G_ (Phone) 763-.263.?- 30e-
(Contact Name) _IQ,✓ ..- 1 ate , l (Phone) �9 J.?- �.> 9g4 b..
(Address) 371/Y l Td s 5i v J eri r .1..•4. Mil/
TYPE OF WORK 0 New Construction Beck ❑Porch 011e-Roofing ❑Re-Siding Mower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
/2- }.• /C)
CODE: DLR.C. DLB.C. 0 Misc:
Type of Construction: I II IIIIv v AB o
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ MAO
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have Rnaished information on•.,ti a.,' don which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized ager:for the
above - property and that all..,.„ • will..:,i, ,,to all existing sate and local laws and will proceed in accordance with submitted plans. I am aware that the building
official-Q this permit for jest..• .•. ...-,.one,I -- agree that the city official ora designee may enter upon the property to perform needed inspections.
X - - — AgG - GAG t-e/ 3-teys,
Signature Contractor's License No. Date
Permit Valuation /440(.00 Park Support Fee # $
Permit Fee $ 9 _"' •
.i!" SAC # $
Plan Check Fee $ 35 24 Water Meter Size 5/8";1"; $
State Surcharge $ , 76 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 D
.....a,...e*.44.. 3., /1_ /5-,- $ g?6,. 1,
This Application Becomes Your Building Permit When Approved Paid 9e r-( _. Re t No. clic
Date ? ?/ (5 B .
Building Official Date
This is to catify 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 consuuctien to commence. Before occupancy,a Certificate of Occupancy inmt 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&E.,Prior Lake,Minnesota 55372
PRIOR LAKEDEPARTMENT U
BUILDING A D�NSPECTION
INSPECTION
RECORD cr.SITE ADDRESS 3 906 7X19 PG / r - _
TYPE OF WORK PEW.USE OF BUILDING /E�.�rcS
/5:L
PERMIT NO. � Z9 DA E ISSUED 3. mi. �S
BUILDER UNE,� B(IYL�.� /AM/. PHONE # � 2443 ,:09
$
NOTE: THIS IS NOT PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
�''� DATE
IFoO1NG I tri! f/r�)t--
PLACE NO CONCRETE UNTIL ABOVE AS BEEN SIGNED
1411.0110* J
IFINAL I / F/y/S
FOR ALL INSPECTIONS (952) 447-9850