HomeMy WebLinkAboutBuilding Permit 15. 1036 W CD "1 P-
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,��� PR/o�P CITY OF PRIOR C/
U TEMPORARY CERTIFICATE OF BUILDING PERMIT
n, ZONINGDate Rec'd
AND UTILITY CONNECTION PEMIT COMPLIANCE
41VNB S011'
Please .e or
D •rint and SI: at bottom) : White File
AD
ADDRESS
z rine aty PERMIT
ii3 Yellow Applicant NO. (03 /
Q, s 4 4r-
ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION
OWNER n
(Name) Qs-\ i fMet k PID
OCA\ r --Sc)
(Address) 16-(4 �� 2ct, t (Phone) 7 /-5 ��
BUILDER
(Company Name) SCS
(Contact Name) _
(Address) �6�✓" (Phone) 9s* qa2- Y
TYPE 44,A..„ ../------
..A.01.."
(Phone)
OF WORKt
❑New Construction ❑Deck /./19 -•
. 9 � 37
Addition Construction
anon ❑Porch ❑Re-Roofing
CODE: ❑Utility Connection ❑Re-Siding ❑Lower Level Finish
I.R.C. QI,B.C. ❑Fireplace
Type of Construction:
Occupancy Group: I II III IV ❑Mise. Cel
Division: P A V A B
B E F II I M R S U
I 2 3 PROJECT COST/VALUE $
1 hereb 4 5 (excluding land
y certify that I have htrnished information on this a land)
above-mentioned pr.• t
I official can revoke and tl Pplication which is to the best of m
all construction will c. form to all existing state and local laws and will proceed in accordance with su
ermit fo cause y knowledge true and correct. t also cern
urthetmot-, hereby agree that the city X th to that I n the owner or authorucd agent fur the
official or a designee may enter upon bmutcd Plans. I am aware that the building
Pon the property perform needed inspe tion
Signature �,_
Permit Valuation Contractor's License No. r
11111111111111111
Permit Fee dD Park Su Date
pport Fee #
Plan Check Fee
gIIIIIIIIIIIIIIIII
Water Meter Size 5/$
Penalty I"; IIIIIIIIIIII
Pressure Reducer
Plumbing Permit Fee Sewer/Water Connection Fee #
Mechanical Permit Fee
Water Tower Fee
Sewer&Water Permit Fee Builder's Deposit #
1111111111111111111111111111.1111111111111111
Gas Fireplace Permit Fee Other
1/ 111
This Appli MO
�!� TOTAL DUE
1"_
r. Dines Your B . t. Permit rtrut Whe AP oved i
41I't / Paid igtlild.`2 DateNalellin Recei.t No.
---...„%.. Date B { i
This is to certify th t the request in the above a ,
when signed by h 'r t
issued Y er constitutes a to tai°and documents i
P Y Certificate accompanying
of n ac .rdance with the City
_ Zoning cumplian. and flows construction to commence.
Before and
ane
may Proceed as requested. This document
�" 9 occupancy,a Certificate of Occupancy
r�ntng Direc• ( P• Y must be
fat
24 hour notice for all inspections(952)447-9850
4646 Dakota Special Conditions,if any
akota Street Prior Lake,MN 55372
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