HomeMy WebLinkAboutBuilding Permit 15. 0291 J
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of PRJ�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE t .7 �'5
U X
AND UTILITY CONNECTION PERMIT
���NESOP. I. White File PERMIT NO. /� I
3 pink City I �//
Yellow Applicant / �/
(Please type or print and sign at bottom)
ADDRESS 1"1/ y / ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER /
(Company Name) I l.� C4B rr, �Q,, , L.L C (Phone) (/),5 ) /J if g J.11
G(Contact Name) 471 liar 1j� l I (Phone) `S4.v W
(Address) 11113 : �' �Sl . Avt. J 1„,Airil 4 e i ,u
TYPE OF WORK ❑New Construction Deck DPorch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
['Addition ['Alter)on ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II HI IV V AB PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU
(excluding land)
Division: 1 2 3 4 5
l 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 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 f ust ause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspection .
X � � $�a � ��
Signature Contractor's License No. Date
Permit Valuation 4Park Support Fee # $
Permit Fee $ /03 0 0 SAC # $
Plan Check Fee $ 66 _q 5 Water Meter Size 5/8"; 1"; $
State Surcharge $ 2_ 0 0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $ e
Gas Fireplace Permit Fee $ TOTAL DUE $ 17�. 9 --
.5
This Ap� ca /749r.--t n Becomes Your Building Permit en proved Paid �� � Re 1pt No.
910
47
t' /— ii-;Date ^, /�- B
Building•.. ' Dat
This is to certify that the request in the above apphcanon and accompanying documen is in a ordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the ' Pla# - s i u , ii.orary Certificate of Zoning comp!' nce a allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. A
Planning Director ate Special Conditions,if any
i ur notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
•
DE
TMENT
F
PRIOR LAKE BUILDING A DONSPECTION
INSPECTION
.R�/E� Cy,ORD/�
SITE ADDRESS vHTO /"N���rOI�", �A
TYPE OF WORK D% —
USE OF BUILDING A/K�
PERMIT NO. IS Z9I DAT,
ISSUED 4. 117, 15.
BUILDER � HONE # 952,. �`�
. � �"I
NOTE: THIS IS N T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I
/I/PECTOR61
�b DATE
PLACE NO CONCRETE UNTIL ABOVE HAS. BEEN SIGNED
I deligart0 I I
( FINAL f ' ( 1 y
FOR ALL INSPECTIONS (952) 447-9850