HomeMy WebLinkAboutBuilding Permit 16. 0419 — 0 OYEL n ol0000 -a o > E0
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of PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
m AND UTILITY CONNECTION PERMIT 3 5lc,
44„...., I. White File
2. Pink city PERMIT NO. 1„,_ it 1
3 Yellow Applicant 1
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
C.5 7 Li 144. --10 ,S,..4.11 A' E ?o3
LEGAL DESCRIPTION(office use only) �(�, �-
LOT LOCK\ ADDITION' Ib 'W t6C6 -Cr L ma{'\ PID ac---. 2305 ,(303'0
OWNER ^''�
(Name) `O(,'` Lti(t�1
(Phone)
(Address) 5 7q I-4E Wr— 13C431.CA Alf Pf{Or 1_qr It< /4 j I 55 3 7 Z
BUILDER ICti,be5 �—at 5frLAGft(W LLC
(Company Name) 115.z-445-7-951C
(Phone)
(Contact Name) 4i',,d' le-„,17, 5 (Phone)
(Address) 'gib Li Ave.41-‘ Al i./ /lie.," Priijce, !V SC,0 7(
TYPE OF WORK 0 New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
DAddition ['Alteration ❑Utility Connection
R Y (A-4,1 S )
CODE: IfiLR.C. ❑LB.C. �Misc. ��' lG G ►r v1-5
Type of onstruction: I II III IV V A B PRO-cleCTC V~AL,I $ig, -
Occupancy Group: ABE F HI MR SU
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have burnished information on this application which is to the best of my knowled'ie 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. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X BC cA5333 5-I5/Zct6
Signature Contractor's License No. Date
Permit Valuation Dd o, " Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ 5--7 ..30 Water Meter Size 5/8"; 1"; $
State Surcharge $ ( ' Z' 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 $ TOTAL DUE $ /4-7 ` f f
This j ph ion Becomes Your Building Permit en proved Paid 1 )r0
Receipt No. S`
` . 6." ( f Date 5G : Gy BY �.t.e-�
Build) fticla - D e
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 signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372
.f:
PRIORLAKEDEPARTMENT AND BUILDING INSP CITIO NS
INSPECTION
RECORD
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED
BUILDER PHONE #
INSPECTOR DATE
FOOTING
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING
I FINAL I Pg
• FOR ALL INSPECTIONS (952) 447-9850