HomeMy WebLinkAboutBuilding Permit 13. 1107 Ts) 0J
• a co
▪ Z 0 U a w
Z w
N
2555 =
>
UaaaN3 0 ca
a 41
cW _ c;. cere <
1_ u j Uu LLCW Z 6.
000000 > Cl)
h i 0
o
lig Ce
u. N cz
W O » a CO o O w
O 1 ~ 2 W OOLLJ ' O 0 0 -4
Q F- N a t' ti
O• 1 0 W Z - = SZZ ., 0 c
Z ��„
m � d' Q' mLL 3
Cl) U a � c=i � � c=i 1 o o z o o
\� W
I___J
J W Q ...1w k.
p
as3maa iii w L
000000 0° 0 O 'C
‘ a a LL
Ce
re Z -' 0 W
I O a O w
0 0 10 114
II
dd
° iW O y Z co Z _i Z W x a' cc C Q O
O W W W W O > > a W = 0 0 cc 0 V V
MZI-
d 0 0 u. u. u U CI) o U
Z.3 a 0 a 00001(0 0 ❑ ❑ E.
JQ
F * a' it
V V W N1 Z
UgWWJ U C7 p W
I
C100000 >
• U 'O
re
xz :
LL Z 0t�
UJ O » a m c O 1%
0 a' F a O p W J O V V °'
_ O_ < W
v •-/ 0 w za Za w Cl)aO
co I�0 0. g = UJ i N Z a
$ J W < J W W W ? K
a 2 3 w a 2 Ir W W W k
000000 Vi
Z
W O V OW
H Z
N vv HNw <ZF-
ZWuj WFi1 a0C'7,4•
u.WOZ W Z 8F, goll ire iV0
O O O
PO 2 O 'Li,.
1
u. ? N 03 U a
0
52 < 0 a 0 ❑ ❑ ❑ 0 0' 0 0 X E.
of PatioP CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
A.co
CERTIFICATE OF ZONING COMPLIANCE V.
l3
7.1 m /D AND UTILITY CONNECTION PERMIT '
~%kNFSOs I. White File
...) 2. Pink City PERMIT NO.lf5 4101
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1531-1 I cey_ts qty. N w _,1
LEGAL DESCRIPTION(office use only)
LOT3s BLOCK 3 ADDITION Le-) i )dS 5-0,ti, PID 025-'1560 -On-
OWNER `
((Nao c .) 14-►4n Q.U+•cd K./ (Phone) 9c - ala - 10o 3
(Address) )C-3-1/ S cat ci N kJ
BUILDER • U i
(Company Name) 5+16k( a ALt S' vt-es WS-fp,' &i lel (Phone) qsr} a%-to -6'67 )
(Contact Name) C (Phone)
(Address) 1515-3 CI'Vsla A,CIA (, 101 0-.oSe ^a. if 1'7 N 0/02
TYPE OF WORK 0 New Construction XDeck ❑Porch ❑Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: kILRIC. ❑I.B.C. 0 Misc.
Type of Construction: I II III IV V A B
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ I 006
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have hirnished 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 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 C' ;c. , 13c..,V-11 313 /o! 13
Signature Contractor's License No. Date
Permit Valuation it -- Park Support Fee # $
Permit Fee $ �t SAC # $
Plan Check Fee $ a.C.,A5 Water Meter Size 5/8"; 1"; $
State Surcharge $
2!- 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 I $ TOTAL DUE C 7.1 i0. 3 $ I,7 G' f
r This; lir • 'on Becomes Your Building Permit en proved Paid —11,,C(c Receipt No. 9 / ,�7
N.
Date ta.a . By L
ilding U ...---2Dae
This is to certify that the request in the above application and accompanying docum. is is. accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed b/ e •', Planner conttitutes a temporary Certificate of Zoning co ,ianc' nd allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued 0
r Pl. '! Director sate Special Conditions,if any
4 hour notice for all insp ctions(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS l 31 1 ( �'O /•`1-L
TYPE OF WORK � --�
USE OF BUILDING te-
PERMIT NO. t3-R01 DATE ISSUED to "7 f3 _
BUILDER iz;?.6-5 t6,•) PHONE # 157-- Z49 ..66-1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT
IS BY SEPARATE DOCUMENT
INSPECTOR TE
I
FOOTING off` '4-S ' 0,9 /�� J
PLACE NO CONCRETE UNTIL ABOVE HAS BE N SIGNED
I FINAL A /eN
FOR ALL INSPECTIONS (952) 447-9850