Loading...
HomeMy WebLinkAboutBuilding Permit 14. 0428 CD a N 2 i= Nz z ui E Jf- � u- _ Z w ` z W W .4— GL \ i 2355 = c v ' ll O1WWi < 11 W z N ) IL C9 ra ` I) W a I 000000 N �. U W II O x x v. � W O aa � �, m c O IAW J Z Y Y Z 0 C) 0 0. G H M 0 0001 • 43 W)il q`— ' iL ' IF Eti�',, \'O I W �� F' o �, , N 0 is OI Q z 0 z w I- L I rz ~ OW ., _W te wz 00WCAzI- 2 ' C' 0 oZ.c0 Di N 0 ❑ 5z a O a ❑ ❑❑ ❑ ❑ 0 (Lf',II of PRl�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 41 NE sOlP. I. White File2pERMIT NO. L �J 3 Yellow Applicant Pink City PERMIT 7 / • e 3 (Please type or print and sign at bottom) , ADDRESS ZONING(office use) l6 36c( Tec., I\ c vi, k., G1- iv Le W-15 D LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID V.S. L4S1057-0 OWNER .r (Name) pa e (t S e) to e r / (Phone) 6 f a_ 3-.t1 <36,-> (Address) BUILDER (Company Name) 11C-51/1"‘ Ui e r (Phone) 6 (- 2 e t co c)-- (Contact Name) (Phone) (Address) • TYPE OF WORK ❑New Construction Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish CI Fireplace DAddition GAlteration ❑Utility Connection CODE: I.R.C. ❑I.B.C. El Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU 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 authorised 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 chat the building official ca re ke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X / ,, :s77- c/, .' Signature Contractor's License No. Date Permit Valuation 3 000, 00 Park Support Fee # $ Permit Fee $ e Q�' SAC #k $ Plan Check Fee $ /"7.3C_ Water Meter Size 5/8"; 1"; $ State Surcharge $ f • 564 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 $ ` l / / This Applicat'•i B omes Your Building Permit en . 'proved Paid /,l..7/ �r"etpt No. it A l Date S , .d r ,y - - B ildinit •'-c, Dat , J This is to certify that the requc, in the above application and accompanying docume s is in ac rdance with the City Zoning Ordinance and may proceed as requested. This document when signed by the Ci la r constitutrts a temporary Certificate of Zoning comp ante an Bows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. s S 1f Plann' g Director Date Special Conditions,if any 4 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 F PRIOR LAKE BUILDING D�INSPECTION INSPECTIQN RECORD SITE ADDRESS /&3 2flH4i' .4 CST TYPE OF WORK USE OF BUILDING a 4/4. PERMIT NO. Pr" DATE ISSUED �. 2.8 • J¢BUILDER it* ✓ ' PHONE It`/j . Seg. 034 NOTE: THIS IS NOT A PE ' MIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE IFoonNc � PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FINAL k07//..,L FOR ALL INSPECTIONS (952) 447-9850