Loading...
HomeMy WebLinkAboutBuilding Permit 15. 0141 E § n dDQOO V 0 > 2 i o o § . 0 § Z8 -n -n� 0 m k -0� \ n X M R C M r- E 3 Z f M 73 -I 17 � ■ m z § q -I m k � . � �k k �� n a q z � , § x, ■ �� § ° o kcs -n z MI ■ . �' m m % 0 p ,, A -1 r o % m k O O `r z O n El r m m m m .A cm or ■ -o 0 -f z o 0E _10E - 2 ? cn \► ■ smmI - n - Co % 2 m § > ° oo \ m q J 0 , r - § 2 - • k 2 % z § m ` r o �\ m / 1,3 I k , q �_ 0 000000 i J > ximnc �m R. 0 © r. -a -o�® m % z � � � § § A t § X � E 2 ® ,, m -Ii 0 ( PRN CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE z -/ -7-/5 en AND UTILITY CONNECTION PERMIT 4/NNEsdi t, I. Wke FiCity Pink Ct y PERMIT NO. /_t. /41 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESSZONING(office use) /6&97 e���✓jrci2)%9 frifi rs. him LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Name)_) laY't70 Cts di ia-A. (Phone) a !a' 63.-3 (Address) BUILDER (Phone) (Company Name) . (Contact Name) (Phone) (Address) TYPE OF WORK ❑New ConstructionDeck ❑Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ['Addition ❑Alter ion ❑Utility Connection 0 Misc. CODE: ❑I.R.C. ❑I.B.C. 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 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 revoke this permit for just cause. Furthe • :ree that the city official or a designee may enter upon the property to perform needed insect / X Contractor's License No. Date Permit Valuation 3, o oo_o 0 Park Support Fee # $ Permit Fee $ e28.26- SAC # $ Plan Check Fee $ 6-7.34g Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ / t_51) Pressure 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 $ /#7.... / 1 This A ati i'Be,omes Your Building Permit When Approved Paid Date ��7 r Z. Z-3- iR elpt No. I � Iv l%re' / V/5-- 2 ., Buildi to Official ate This is to certify that the request in the above application and accompanying documents is in a dance with the City Zoning Ordinance and may proceed as requested. This doe iment when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows .struction to commence. Before occupancy,a Certificate of Occupancy ust 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 D F PRIOR LAKE BUI DRNG A D�NSPECTION INSPECTION RECORD SITE ADDRESS /(o 6/97 Qie61.1TW600 Pf1"SS TYPE OF WORK DEG USE OF BUILDING .Q�.1' 41/L- PERMIT NO. / DATE ISSUED Z • (-7 - �S BUILDER Cl-f'E?4, 0/911-6 CttR'N PHONE # NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING IS� zz��� PLACE NO CONCRETE UNTIL ABOVE HAS BEE SIGNED I FINAL I ��j 7S5--- FOR ALL INSPECTIONS (952) 447-9850