HomeMy WebLinkAboutBuilding Permit 15. 0707 • JT
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of PRtp4CITY OF PRIOR LAKE BUILDING PERMIT,
�► TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /Date Recd
AND UTILITY CONNECTION PERMIT CP� ..
41111NEsCilt* IV
I. White FiCit PERMIT NO.
3 PinklfCity 15.. /,,,,�
(Please A.e or .rint and si: at bottom) Yellow Applicant `./) '/
ADDRESS
f � � � ZONING(office use)
( , S CLtw • i'v,
LEGAL DESCRIPTION(office us only) / `
LOT BLOCK ADDITION �L� 8 f
PID ��&S — "'
OWNER r f /
(Name) Po
rorr Z,, etl�--Cb L C (Phone) ?I a?Z 66c6 5
(Address) `' j ij r �-,/ii�/6..
BUILDER
(Company Name) 4i
gad" c�
(Phone) S l �lv
•
Phone 7 7
(Contact Name) ��ti ��pt,
(Address) ;•4 /� - � A (Phone) 4,51 Z418 77z/
UU 1'f..._- 4 .jrj• - i�
TYPE OF WORK ❑New Construction ['Deck
❑Addition ❑UtPorch Connect❑ione-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
DAlterationUtility
CODE: DI.R.C. ❑LB.C. ❑Misc. tQ CO la (,vim
Type of Construction: I II III IV V A B 1 �/
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ /`7� dCTO
Division: 1 2 3 4 5 (excluding land)
II 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
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
offic.•1 can revo •thi•permit forjust c tse /trthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. I t for the
X ' '�- ' j SC- ‘,,,3 g 4, Zy 1,s
Si: ature Contractor's License No.
Date
Permit Valuation
Park Support Fee # $
Permit Fee $
Plan Check Fee
��� SAC # $
Water Meter Size 5/8"; 1"; $
State Surcharge $ 5` 00
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 $ L/53 Sv
This Application Becomes Your Building Permit When Approved J?�7
'g i�S Re = pt No.
I Paid Date 6, Z! , L,�
I
Buildinu Official Date `A t,,/l.r L q3 _ R / / x s� 1. 75
This is to certify that the request in the above application „f' / C� Sj40U 4 dr ` (O / 7� t�
and accompanying documents is in accordance with the City Zoning Ordinance`and may
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,
issued. proceed as requested. This document
b
a Certificate of Occupancy must be
Planning Director
-----f5; ---------
24
a24 hour notice for all inspections(952)447-9850 Special Conditions,if any
4646 Dakota Street Prior Lake,MN 55372