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HomeMy WebLinkAboutBuilding Permit 15. 0552 5 0p n 2QOCOO g o li ■ n n n O ■ � � �� $ & § � � § o - r 7 m hi m \ r \ Epz Z cn /-0 01 r C" ® Z off © z- cz it -4 --1 . - 2C k/ CO 7 Z § z m m 01 0 r Z -n "0 'V % r 2 § o 000000 z41 x mmm ■rn � 0 ■ sem 0 00 _4 -6c oti r, w � xMmx„ s2M m O 0 7 § $ (3 2, zzix z ■ z m Q § C 5 Al — P6:188 § 0 § A iQ z c § # m ' § m = 7 0 c m .... V J (7) 2 DDDD0 ✓ § kk8§ . . Q ° 1310 © c1 to v\ « r z c % z sMMFII q A -m71 ■ � r 2 - - m -4i 0 al,c)i PR/04c..., CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE s/z 0c" c.) AND UTILITY CONNECTION PERMIT +:1:1VNESI) 1.White File PERMIT NO.i 5 'C Z 2. Pink City 3.Yellow Applicant • (Please type or print and sign at bottom) ADDRESS ZONING(office use) 4660 Tower Street SE Apt. 132, Prior Lake, MN 55372 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION pID 252310060 OWNER (Name) Luke Israelson (Phone) (952)826-9068 (Address) 18684 Dulaney Drive, Farmington, MN 55024 BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ®Deck ['Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace ['Addition ['Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Misc: Type of Construction: I II III IV V AB Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 2,000 Division: 1 2 3 4 5 (excluding land) I 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 r this pe for ju ause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. % Signature Contractor's License No. Date Permit Valuation ,J� Park Support Fee # $ Permit Fee $ 73 75 SAC # $ Plan Check Fee $ 4-7 q4t Water Meter Size 5/8"; 1"; $ State Surcharge $ lr 0d 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 ett6cie6 j_ Z l./5 $ / Z Z,(e 9 This -2.- A plication Becomes Your Building Permit When Approved 1•;j� v�- .<ke Ck Receipt No. I Get 8(15r55 12- ate ��� By Building Official Date t This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 F PRIOR LAKE BUILDING A DOINSPECTION INSPECTION CORD �� ?.� SITE ADDRESS - � # / WEXes" . �7/ /'I • IVim+ TYPE OF WORK p -a , USE OF BUILDIN _ i PERMIT NO. Iffio!•Y DATE ISSUED j.A7:Arj-- BUILDER All7.7:1 -1_- •I0n _ - PHONE # - L "a NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE MEW I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FRAMING 1 `t y I it 'O" � I FINAL I Sit,- -1 \ -1 \ i ' ,• FOR ALL INSPECTIONS (952) 447-9850