HomeMy WebLinkAboutBuilding Permit 15. 1547 - Unit 222 r
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°v,.,17.14/.°.p CITY OF PRIOR `_
‘4..,50.
TEMPO LAKE BUILDING PERMIT
• TEMPORARY CERTIFICATE OF ZONING COMPLIANCEYDate Recd
" ` AND UTILITY CONNECTION PERMIT
/Z._ 151 /1
'
4ivEs01P
I. White File
se t e or 'tint and sin at bottom) z. Pink City PERMIT
DDRESS 3 Yellow Applicant NO. /� /��
4/4�'4 ivy tv St_ 5 J
�ZZ �'e/Lr- La ZONING(office use)
LEGAL DESCRIPTION in� �3
(office use only)
LOT BLOCK ADDITION
OWNER PID
K I G0 1 140 r-e
(Address) (Phone)
BUILDER
(Company Name) rile 4/
r� /Un1 LLC
Contact Name) /'Y)f', /Se?, -_ J S-2- 6 r
ddress) Air 9
767 </ /844 ill,e: S a . s ' (Phone)
c I e d »ri - —s-.4.
TYPE OF WORK 0 New Construction ❑Deck ❑porch
DAddition ['Alteration ❑Re-Roofing ❑Re-Siding ['Lower Level Finish
QI,R,C. 0 Fireplace
t e CODE: DI.Ru DI•B•C.
Construction: I Misc. I A.' 1 I YW
ision cy Group: A B E II HI IV V A B
M R S U PROJECT COST/VALUE IE $
1 2 3 4 5 (excluding land)
I hereby certify that I have famished information on this application which is to the best of my knowledge true and correct. I alsoI
above-mentioned property aand furnished
all construction will conform to all existingchs state and local laws and will proceed anc in accordance
I afficialbove-can revokeondthis permit thaticon Furthermore,I herebyomagree that the official a designee may p certify that rl neededm the owner ort authorized agent for the
X g city with submitted plans. I am aware that the building
=1� - " - • 77�� g enter upon the property to perform inspections.
Permit Valuation tractor's License i�lo. —12�Ze
Date
Permit Fee Park Support Fee
Plan Check Fee
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Water Meter Size 5/8"; 1,,
; 1.111111111.1111111111111
Penalty Pressure Reducer
Plumbing Permit Fee Sewer/Water Connection Fee #
Mechanical Permit Fee Water Tower Fee
Sewer&Water Permit Fee Builder's Deposit
1.111111111111111111111-1111111111111111111111111
OtherIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIII
Gas Fireplace Permit FeeMIIIIIIIIIIIIIIIIII
TOTAL DUE111.1111111111111111.1.11....... -
This Application Becomes Your Building Permit When A
pproved ,�
Paid
Date /Z_ Z r =mei.t No.
uilding Ufticial .,
B
Date .
s to certify that the request in the above application and accompanying documents is in accordance with the CityZoning
signedto by the City h request
constitutes a temporary and accompanying
o pof Zoning documents
is and allows with
commence. Before
ed.
and
e
co
o
Ordinance ore occupancy,
may y proceed as requested. This document
occupancy,a Certificate of Occupancy must be
Planning Director
Date
24 hour notice for all inspections(952)447-9850 Special Conditions,if any
4646 Dakota Street Prior Lake,MN 55372