HomeMy WebLinkAboutBuilding Permit 15. 0511 0 J
11JZ I � y
11 E a: W
: 1-
.._ z � � a Q R
�555Z >
CD :E a. =1" Z Q W
u+ '� OZce < it z
c 0 EC ri CD ,,, V.0000010
v O
W =
`4. � 0 -s• Co
G w aaJ m 0 oC
O »Z Z z o F2 0 4.
141
W c ii 0 0 $ 0Z O I- a D
Z a' Z _ SZZ _ W 1 CO
C3 0 Ili m �-' U. N Z oC
co 0 a _ V W W ?x r F O
J W < 85 J W W W W W R
aa3vna2 v w Z
,n 0000 ❑ ❑ W
c5�
O. a LL FZ-
O J
reZ 41
0 < 0 ° Ley
W W ! Z 0 ZO oC
5o5V 0 u- 80
Z y3 a
0 Z O Z W I-' F- F- 3 I124
Q
OZ 0704- N Z 0) 0 0 L J A
u. 0 w d• w 02 � j < W a O O O �y C) V
O}W 0 W Z OOUWZF- 0 \ 0 0 i
C) Z Q O a ' 0 ❑ ❑ ❑ 0 C.) 0 0 c
of P* '. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .3- 2 o_ i-
AND UTILITY CONNECTION PERMIT
iv
4WMMBSo1�
I. White File
2. fink city PERMIT NO. /5. 5-f/
(Please type or print and sign at bottom) 3 Yellow Applicant
ADDRESS ZONING(office tile)
3536' 0`-G ko'�Y C,-/-c.�e S CO
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER /� 3 ' /
(Name) 1-� "}�" [/el -7 A (Phone) /693.' 2(o7` G
(Address) 3585 /1. Ll�-or y 6'fG ie S W Pr•O✓ la k' ; Ai N,
BUILDER ) ! �� ,j�, i 7-�®
(Company Name) l Ta f:zt t 1 e frag /pa. 1 De j I:5 P4 (Phone) 15-2-yv13'60 3
(Contact Name)
2`�/ e i' CyA.fr ere /"` // (Phone) (Oa-57 - 2172
(Address) ,y3 40 I Laie 4op/e !At[l/ fN 5f/.27
TYPE OF WORK 0 New ConstructionDeck ❑Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
['Addition ['Alteron ['Utility Connection
CODE: I.R.C. QI.B.C. ❑Misc.
Type of Construction: S I H III IV V A B PROJECT COST/VALUE /n Oa).
Occupancy Group: A B E F H I M R S U /
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have famished 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 revokes r it f!,_just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed i pectum
X �G' (07 9�C 6 /f i5"
Signature Contractor's License No. ate
Permit Valuation 5 00 Q 0 Park Support Fee # $
Permit Fee $ // 7. ?5 SAC # $
Plan Check Fee $ I(B 5-4' Water Meter Size 5/8"; 1"; $
State Surcharge $ z J b o 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 $ /q 77
L
This App'% 'o i.ecomes Yot�r Building Permit en Ap. ' ed Paid / it(C. 77 Re ipt No. /
,336/ ` Date � es-
Buil ng. ' Date •
This is to certify at the request in the above application and accompanying documents in accord, e with the City Zoning Ordinance and may proceed as requested. This document
when signed by Ci anner constitutes a tefrrporary Certificate of Zoning complia ec and alio . construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. .X
Planet or Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372
DEPARTMENT
BUILDING ANDOF INSPEsCTION
RIOR LAKE
SITE ADDRESS 3586 1�Cto C4 te-&cE
INSPECTION
RECORD
TYPE OF WORK �E%�!�
USE OF BUILDING / � 1/Z
PERMIT NO. `3. 37/ DATE ISSUED 5- 2a- /
BUILDER /10/C )N 4-4-A/05.67TO ° CES-1c ( PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING ;( ,( /.5--
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UMW I
IFINAL ,,. c 6/1 S- ) 1(1--
FOR
,FOR ALL INSPECTIONS (952) 447-9850