HomeMy WebLinkAboutBuilding permit 15. 0616 2 n 0 n OOOQOo 20
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PRIG CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
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TEMPORARY CERTIFICATE OF ZONING COMPLIANCE c
�= AND UTILITY CONNECTION PERMIT
6..0/. J�
U en
P I. White File PERMIT NO. /5 /L
�MNESO� 2 Pink City f
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
0,/ 3 2- 6./.4944-oci (...9 R2...._
LEGAL DESCRIPTION(office use only) l s�
LOT2 BLOCK 2---ADDITION /, ,DITION E de 0144/;44 �✓PID C -
OWNERW wt-itef r(-- (Phone) /' `_ Vi-V—/70 2
(Name) � 7
(Address) W3/2— `C(--6,7-4-0✓ -S1
(ComDER iji_T fr'- 61,0-s/ ' L`c C (Phone) 6/Z-SN '7 �C)
(Company Name)
(Contact Name) Ju-.r7 ` 13/41I-45`1 (Phone)
(Address) 1736L1 Ac,1 ✓✓-e-vj C2_7-. VI)® [. 3 7
TYPE OF WORK ❑New Construction ['Deck ❑Porch 'Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
El Addition ['Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ID Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
I hereby certify that 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-memo •. p'sper and tr+t a onform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can vo this....••- • , ..thermore hereby agree that the city official or a designee may enter upon the property to perform needed rasp tion.
`.. 135730 L $ ��.'
X ,��,'/r �� ate
i,wa! Contractor's License No.
Permit Valuation Park Support Fee # $
Permit Fee $ ifi SAC # $
$ � 4
l/k
Plan Check FeeWater Meter Size 5/8"; 1"; $
6-2..........467) Sewer/Water
State Surcharge $ Pressure Reducer $
Penalty $ Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $ yl
Gas Fireplace Permit Fee $ •TAL DUE $� /q.-
Approved �7, Receipt No. /•+i�tttti
K .
This Application Becomes Your Building Permit When pp lq [
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Date ./ ( By
(f) , , (q 1 S c5S..?
Building Official Date
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 Prior Lake,MN 55372