HomeMy WebLinkAboutBuilding Permit 15. 0232 J a.
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�/°1—�RIo� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�� }}� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" I 1tTi' AND UTILITY CONNECTION PERMIT '3 18
iE
kivEso
' ' ` Cit PERMIT NO. `
Yellow City / �• Z`3
3. Applicant
(Please type or print and sign at bottom)
ADDRESS ZO G(off cc use)
K.. �'// 01‘SPA L'e41 C-
1
t
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 25.4-50 0 6 0-. d
OWNER
(Name) r(/i to 01 C n (Phone)
(Address) 38-4// V t e.f v'i.'H�%L'"
BUILDER
Company (Phone) .7t ?- ( 6 Sgi�5-
(CompanyName) O� �� rl�s-r*��C- hone(Contact Name) r• i1. �ca-tf/1
,. (Phone) ,A,2— g- 49
(Address) 3 /y is -°-,_, 74, /14t/ ft010-'4. .
TYPE OF WORK 0 New Construction 32beck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Alteranon ['Utility Connection
CODE: R.C. DI.B.C. 0 Misc:
Type o ons tion: I II III IV V A BG`/L t''%
Occup cy Group: A B E F H I M R S U PROJECT COST/VALUE S // 76
Division: 1 2 3 4 5 (excluding land) /
I hereby certify that I have furnished' . .n on •. application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
above-m.,.:•. d property and •: ion t conform to all existing state and local taws and will proceed in accordance with submitted plans. I am aware that the building
offi:. a,. ••this permit f• • •- Fu• more,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
t
Signature Contractor's License No. Date
Permit Valuation 5, 0®O. 0 0 Park Support Fee # $
Permit Fee $ //7, 75 SAC # $
Plan Check Fee $ 7(9.54.. Water Meter Size 5/8";1"; $
State Surcharge $ 2 . 50 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 DUE4 j4 J 3_i 9 (5 $/'7 6, . 7•r
This Appii on comes Your Btril>}ing Permit n App ved Paid Re ipt No. C+
(" (, Date 3, sl- is
Build • bate
This is to certify that the re•nest in the above application and gccompanying documents is'•acco cc with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City:••. ••-•rotes a temporary Certificate of Zoning compliance ad aUo' cons1Eitction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
P'ening 6 irector a c Special Conditions,if any
24 .o notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
F
P R I O R LAKEDEPARTMENT UILDNG A D�NSPECTION
INSPECTION
RECORD
SITE ADDRESS 304-1
TYPE OF WORK DEC�
USE OF BUILDING41/Z
PERMIT NO. KC-, � 2 DATE ISSUED .3 - teI• IS--
BUILDER OWE (3U/[..OE/28� /�A� . PHONE It 7G3. 2.103 .. 38(0NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING -q?'l i s
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
' FOR ALL INSPECTIONS (952) 447-9850