HomeMy WebLinkAboutBuilding Permit 15.0970 00 Ek0 000000 0 > En
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Reliabuilders
952-226-5514 p.1 u,u
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
4 .� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE t 10.- iS
AND UTILITY CONNECTION PERMIT
4,,„vosol° t, wh;<[ Pa[
2. Pink cry PERMIT NO. /5 X 10
(Please type or 3 Yellow Aupllean[
print and sign at bottom)
ADDRESS ( ZONING(nems use)
•
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) .--JC S le\ 0 k S
• ff p i 1 ! (Phone) CC.1 --2 Si) — �� ?Gt
(Address) t (, J i 'l c `(G;.✓ Lo.„.c f 1?'" t��' La :-t/ C.0 3 •;? k
BUILDER !
(Company Name) ..eh.C) o f 4', (e VBG(!',t? ( , ry (Phone) f c�• ` S .�1'{ 6 S i�.
(Contact Name)// .J Ci,5C0.i 7 "i C 14 e i f L (Phone)E tat- K- 1 - E:,i.s--A._.
O
(Address) ( 7 {L -€�•1e-,,. "'j`-C, ,, ( f a. k t.•.-(1e !�
TYPE OF WORK 0 New Construction [IDeck OPorch )(Re-Roofing a-Siding E> []LowerLevel Finish 0 Fireplace
(]Addition DAlteration DU6lity Conne n
CODE: ❑LR.C. ❑i.B.C. 0 Misc._ .
Type of Construction: T It III IV V A B
Occupancy Group: A B E F IT I M R S CJ PROTECT COST/VAT UE $ ._ C G� _(;j�
Division: 1 2 3 4 5 (cxcIudiag land)
I hereby certify that l have furnished information on the application which is to the best of my knowledge;rue and correct. I also certify that I am the owner or authorized agent for die
above-mentioned property and that all consuuction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awaie that the building
utrasi revoke this pe-mit for just cause. Furthermore,1 hereby agree that the city ofrrcial or a d:signee may enter upon the
x 1i�-- {l r /\ /+ n Po property pent to priforn needed inspections.ra c n S1.),-,,,/ l�
Signature
- Contractor's License No. Date
Permit Valuation I Park Support Fee ## $
Permit Fee w Nitit SAC • # $
Plan Check r' t°-1
RpOF Water Meter Size 5/8";1";
State, SSE ,-`fi: ,,
Reducer $
Penait) PL VW T ,oke• — ��
r�Or Sewer/Water Connection Fee # $
Piumbin ,a @c IOf p Water Tower Fee #k $ •
Mecltanic Qen
Builder's Deposit $
• Sewer&\,‘,.,cr Permit Fee S
Other $
Gas Fireplace Permit Fee S TOTAL DUE $
This Application ecomes YourEgiiding Permit A h•.Ap i oved Z(t
Paid j ^ f.. 1 Q12eceipt No.L
Date
F3ui rn�' �� Date
(S 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 signers by rhe City Pioneer commutes in temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy,a Ceruticate of Occupancy must be
issued
• Planning Director Date
24 hour notice for all inspections(952)447-9850 ---Special Conditions if any
4646 Dakota Street Prior Lake,MN 55372