HomeMy WebLinkAboutBuilding Permit 13. 0597 J
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F PRio CITY OF PRIOR LAKE BUILDING PERMIT, Date R.ec'd
° 'v4' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
3
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�` z AND UTILITY CONNECTION PERMIT I"-
ma;
,NNESO I.White Fill 2. Pink City PERMIT NO. /3 5 q ,
3 Yellow Applicant
..Eleae rint and sign at bottom)
ADDRESS ZONING(oftic
33
q L.,-,,,,c 4. 51_0. &,Le.
LEGAL DESCRIPTION(office use only) .
LOT BLOCK ADDITION PID 25, 4-4-z_ NC C 0
O All. R 4.022. Yellol q5-,7 —'-/ 2_S-115'7
1 /1 oT owk QPhone)
(Address)
•
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address) •
TYPE OF WORK 0 New Constructioneck ❑Porch ❑Re-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Altera o ❑Utility Connection
CODE: I.R.C. ❑LB.C. 0 Misc.
Type of Corlstnrction: I II IIIIV V AB PROJECT COST/VALUE $
Occupancy Group: A BE F III MR SU (excluding land)
Division: . 1 2 '3 4 5
I hereby certify that I have firmished 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-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 that the building
official can revoke .•.permc se. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed in • chins.
x / i —
j:' - . *ir'T Signature Contractor's License No. Date
Permit Valuation3� 000• 6} 0 Park Support Fee # $
Permit Fee $ ? , 2 5 SAC # $
Plan Check Fee $ 51 .3(e Water Meter Size 5/8";1"; $
State Surcharge $ I 50 Pressure Reducer $ .
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $• Builder's Deposit $
Sewer&Water Penn it Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 1 1 '7 l
This App do :.4•n s�� our Building Permit WI 'n •pproved Paid /4-7.. / / Re ipt No. C�7/%V
ft ,do, c; /J B —r Date , //
Bui• i'0Bic, o. sat.
This is to certify that the r quest in the above application and accompanying doe ment is in accordance with the City Zoning Ordinance and may proceed as requested. This ducurnent
when signed by City 'tanner constitute a temporary Certificate of Zoning c•mplia ce and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. /A � '7v l '
f, !o� • D. Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
DE
TMENT
F
PRIOR LAKE BUI DRNG DOINSPECTION
INSPECTION
•
ECORD.r ��
SITE ADDRESS 1�� -
TYPE OF WORKUSE OF BUILDING
PERMIT NO. . . r/ DATE ISSUED �ANIAG
BUILDER '�I �T PHONE # �'
NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPEC IONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I (N),, ����- •3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
FOR ALL INSPECTIONS (952) 447-9850