HomeMy WebLinkAboutMechanical Permit 15. 1304 ƒ 00 A 0 000000 -0 0 EC)
k k kk 0 �kkkkk Z MO
2 mm ■ m zr � § § 2 z $ ��
2 V k > § M J ®- o 2■
/ • 0 z 0 _
t 0 a 1" y.
2 m
xl r § 7
I 71 '13 %I4.
in
§ / 0 0 000000
% \ 0 m � � � � �
» mL-
m X ■ mi ■
a 2 § ƒ n mTmmmw m 0 m
k - zzz ■ - z ■ z =
o rm0 - § §qd z 0 p
it 0 § k� o §
{ § § i
c
0 . @
■ E OOOOQ - -
E o ; iin ` g
2 m2§ � m
> ' c13 -0lo z 0 -c-
.,1 m 5 t,'
7 A s22zr
xi � x � F
�t z ■
� r z
04PR/O
/ CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCEDate Recd
�0, Z(.. (1/41
�
AND UTILITY CONNECTION PERMIT
(.4.•
2r�'N E S���
SSS
1.White File PE[ RMIT /
3. Pink City NO./� `�
ease A.e or.rint and si a. at bottom 3 Yellow Applicant
ADDRESS
16865 Lime Road SW. Prior Lake, MN 55372 ZONING(office use)
LEGAL ESCRIPTION(office use only)
LOTL BLOCIC-6< 9 Inictef--1
OWNER PID 1 - /33-0(6 G
(Name) Wendell/Gary McKinley
(Phone) 952-447-3984
(Address) 16865 Lime Road SW. Prior Lake, MN 55372
BUILDER
(company Name)
(Contact Name) Karli Anderson Custom Remodelers, Inc.
(Phone) (651)784-2646
(Phone) (651)784-2646
(Address) 474 Apollo Drive. Lino Lakes, MN 55014
TYPE OF WORK 10 New ConstructionDeck
❑ OPorch [lRe-Roofing ORe-Siding OLower Level Finish El Fireplace
Addition QAlteration ❑Utility Connection
CODE: pl.R.c. pl.B,c 4 Window Replacement into existing openin '
Type of Construction: I II III IV V AB ✓Misc:
ccupancy Group: ABE F HI MR SU 5,695.00
ivision: 1 2 3 4 5 PROJECT COST/VALUE $ '
(excluding land)
I hereby that I have funis -•information on this application which is to the best of myknowledge true and correct. I also certify that I am the owner or authorized
_above-me• ..ned property and . 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 c. - o this 't . f use. ./ rth- o_- I hereby agree that the city official or a designee may enter upon theagent for the
x I,lr� F 4 Po property to perform needed inspections.�4'1i'_, CR001748 October 13th 2015
Signature Contractor's License No.
Date
Permit Valuation
Park Support Fee # $
Permit Fee
SAC # $
Plan Check Fee IMPIRMIll
Water Meter Size 5/8"; 1"; $
State Surcharge
�., Pressure Reducer $
2hommommillPenalty _ III
� Sewer/Water Connection Fee # $
Plumbing Permit Fee
Water Tower Fee # $
Mechanical Permit Fee
IMMINIIIIIIIIII Builder's Deposit $
Sewer&Water Permit Fee
Other
Gas Fireplace Permit Fee $ URNI
TOTAL DUE
This Application Becomes Your Building Permit When A t/�
pproved Paid DISIMIlina �,�/
Recei it No. ligiadill
Date11111=11. B -
Buildin_Official Date i .
I
- is is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may
en signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,
ed. proceed as requested. This document
b
p cy,a Certificate of Occupancy must be
Planning Director
Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372