HomeMy WebLinkAboutBuilding Permit 15. 0962 2 1t
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of PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
t.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 0, /915
enU enAND UTILITY CONNECTION PERMIT
4•A'NESO'It' I. White File
2. Pink city PERMIT NO. /j' q .z_
3 Yellow Applicant f
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1 7 4. 71 1014-7-U R S vt/14-i4 P/2-10g- L Avg—E. AA- r`!
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) N 514-L G 141 3 (Phone) 952 -ZZZ ' 3 i 5 5
(Address)
BUILDER
(Company Name) N'eW IAkAC&F-- >5-C-k CONE- 1NiC• (Phone) 95Z —4/41Z-130 E
(Contact Name) ✓Vl l I b 3C44-0 N 14-0,--0-0 1 (Phone) "t542444.-g--
(Address) /75g 5-rve-L/#.147 ]ZED N/4tO,J!r' A.A.W 55 3g 1
TYPE OF WORK ❑New Construction eck ❑Porch DRe-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition ❑Altera ion Utility Connection
CODE: I.R.C. ❑I.B.C. ❑Misc.
Type of on n: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (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 lam the owner or authorized agent for the
above-me io ed perry and that const- tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official v his permit for c ise urtk more,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ZaZ/ `r? 8'5 V/
Signature Contractor's License No.
Permit Valuation It Park Support Fee # $
Permit Fee $ v. -2g— SAC # $
Plan Check Fee $ 47 r q 4, Water Meter Size 5/8"; 1"; $
State Surcharge $ /_ U p 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 $ s� TOTAL DUE /} $ /z���7
This Applicatio :, omes t r Building Permit When 'pprt ,ed Paid /ZZ.( % Re .pt No. 0j(20�.
J /,, Date µ6 t- i 5 By riti„�'_'�.
irri
.uild.� bate
This is to certify that th nucst • ; e a o ... tht and acco . ing documents is in cordancr with the City Zoning Ordinance and may proceed as requested. This document
when signed by the C ann. .orary - ing compliance d allow. onstruction to commence. Before occupancy,a Certificate of Occupancy must be
issued ' II
A�►�lia 1.°' /
.'�Pl.1.1'_ *'ector 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
PRIORLAKE AND BzDING INSP CITIO SNG
INSPECTION
RECORD
SITE ADDRESS /7(#Plt1NA7otjaer y
TYPE OF WORK
USE OF BUILDINGIf/K
PERMIT NO. IS 9G Z DATE ISSUED S. ��• /SP
BUILDER New ��/�Js�� PHONE # �'21,I�
INSPECTOR DATE
I FOOTING I I � ��� I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN I NED
FINAL I � I VOlf/T.'
FOR ALL INSPECTIONS (952) 447-9850