Loading...
HomeMy WebLinkAboutBuilding Permit 15. 0289 E 0 lg n Or DDO 1 0 > E § * O ■ -n -n -n 0 § § '� 73 § r 7 73 o § s M > CEE§ z 7/ �@ m m m ■ ■ o ■ ■ .5 ® r n n ® ■ -4o > @ . 0 / .ill § -1 m § 2 z§ % CO �� d k k S n > o© V) m m m0 xir z 7 r o 10 § k ' \§ § § b 000000 mm§ X ' c17VISE17 * § o o oc -ioc | 2 / 2 c . § ■ � � § m § 0 e o (D 9 > 000 § -- m § o z « r OO c k Z 7 m r § -0 9 0 / k � § ‘11N M . 000000 / z � � B kmmE§ � _ > E "0 -0 •• 73 tm 0 x002iv § m _Agii ■ ter 2 Wit - Z m � r 0 OF PRI0� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1- (�-. �S� x AND UTILITY CONNECTION PERMIT U lI Af P I. White File 5 zey ��NESO� PERMIT NO. // 2. Pink City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /L)55-6 Cfiri 6 1.?' >✓e LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) BUILDER `� / /� (Company Name) P11--.7JG�1 (Phone) e) f--3/g-2-8/7/ 4,— (Contact (Contact Name) 6 Hon j i I tlti') i (Phone) (Address) 351,0 1/\C‘A„o 1 - w 311 L )04 rnv , Mw ,.53 `47 TYPE OF WORK ['New Construction (beck OPorch ❑Re-Roofing ['Re-Siding ['Lower Level Finish ❑Fireplace ❑Addition ['Alteration ❑Utility Connection CODE: .C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ I�,U 0 i) Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I have burnished 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 rev e 's 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 /3e Diff? 14 /a2.0/7 Signature Contractor's License No. Date Permit Valuation 0Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ 5- 3(0 Water Meter Size 5/8"; 1"; $ State Surcharge $ f 4 Sb 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 Mau) 417,Ls- $ /¢/i- / / This Appl' - 't :ecomes Your Building Permit When Ap oved Paid /.11.1/7Rec t No. �(�� y,1 44/011 _ADate 7 (5- B f�% A 1 This is to certify that the request in the above application and accompanying do omen is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by t i 1 ity�lanner consntutcYt temporary Certificate of Zoning ompf nee and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. WI t%"' 4- 'r rj 'lamming . • Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 F PRIOR LAKE BUI DRNG A D�NSPECTION INSPECTION RECORD tt SITE ADDRESS I��7VDECK.� TYPE OF WORK � USE OF BUILDING ger I*/IL PERMIT NO. jr. L49 DATE ISSUED 4'. • Ise BUILDER Pia Der�' PHONE # 63/.39d. Z87I NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I cam= _ I � PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED *W. I I I FINAL I �� cia?! I FOR ALL INSPECTIONS (952) 447-9850