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HomeMy WebLinkAboutBuilding 04-0495 5' 0 0 (') 0' 0000 " 0 > -0 '" 0 :x: ~ c z_ "0 0 ~ en."z."."." 0 c ~::;! <"\ C1l 0 is: ::jzen~OO z Z ~ 0 Sl m mO c )> ~ ~ ~ !: ~)>c3:i8 m ~ m 0" ~ r- ;:t1 ;lI; Zr-!;ZCZ Z en ~ t'l r- m en m 9 en -"lJ ~ 0 )> z ~ ::IGl~Gl 0;:t1 t -t z- t'l )> -t -i m 0 - zO lC -..j Cii CJ) o z 0 ~ 0 o~ S -t ." -t Z co )> (5 ::I> ~ 01 0 0 0 Z -t Z O;ll; " )> 0 ~ mm ~ 0 Z ~ ~ r- c ~ -t "" ." "lJ "lJ ~ :x: 0 ;:t1 ;:t1 ~ m ;:t1 0 0 000000 t'l Z ;:t1 0 0 !(\ m m m ~ >< m m m 3:"lJen:e:!l:"lJ r Z mr-~>mr- -t c C OC -tOC ~ en " ~ Z ~ "lJ :x::!l: m:x::!l: "lJ 0 en ~ en m .,,~;:t1;:t1;:t1~ m 0 0 ~ "lJ ::J 0 ZZ:x::x:-Z ~ z :x: ::! m C1l -t )>GlOO Gl 3: -t m 0 :::!. (5 r-."oo ;:t1 ::j ;:a c ~ 0 -t 0 Z -;lI;;lI; - C 0 a- m zc:c Z r- ~"lJ"lJ 9 m z :-! m C ~ ." \ ' N 0 .c.. ~ :x: ;:t1 ~ m ~ 0 0 C ;:t1 0 } < 000000 ~ CII m :i! Z ~ Gl"''''om c )> )> Z )>:;a:;aO~ 0 ~ Roo Gl l!!mm3:Gl m c ~ < _"lJ"lJ"lJ$! ~ ~ )> ~>>>c ~ z ~ 0 )>oOZ=i'j \ ~ !T1 _mm-t_ ~ :xI,,;:t1 r- -t-- r- i enZ Z m -t~ Gl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d s: ZS. 64- File City Applicant I PERMIT NO. 04. OH.s-1 White Pink Yellow (Please at bottom) ADDRESS /&9~/ ..5lnp/c/NS C I Ie (!, (,.,,6 sw LEGAL DESCRIPTION (office use only) LOT 2. BLOCK & ADDITION / sr /l.DOA./. 7lJ W6ST8u. ZONING (office use) 1</ PONDS PID25.308. 032..0 I07TH6/e.1N6 I OWNER (Name) C':/teOSK'-/1 qs (Phone) Cf5~- f./YD--7 '0 3 95;). - '190'- (09/9 I-I-tn ClolCAl-- (Address) BUILDER (Company Name) (Contact Name) (Address) (Phone) (Phone) TYPE OF WORK 0 New Construction OAddition OAlter 10 Deck OPorch ORe-Roofing ORe-Siding OUtility ConnectIOn 0 Misc, OLower Level Finish CODE: 1SIII.R.C. OI.B.C. Type of ~nstruction: Occupancy Group: A B Division: B S U PROJECT COST IV ALUE $ (excluding land) I E II F I III IV V A HIM R 2 3 4 5 o Fireplace I hereby certity that I have furnished mformatlOn on this applicatf' which is to the best of my knowledge true and correct, I also certtfy that I am the owner or authonzed agent for the above-menttoned property and that all construction will conform to a xisting statc and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg :fi'"'" ,~ . "'.i, ".m" '"' .'" CO,," :""" =". , 00"" ","' "" ,", '" ..ffi,.' "'" "",,"0 m.. ,m" .,,,.. cli, "",,,,,,.. ",.'",m ""51.24-/0 1- Contractor's LIcense No , D~ Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ Park Support Fee SAC # # Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTAL DUE This Application Becomes Your Building Permit When Approved ~~ Buildll1~ OffiCial sjZS" (0<( Date $ $ $ $ $ $ $ $ $ ThlS tS to certify that the request in the above applicatIOn and accompanying documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document when signed by the Ctty Planner constllutes a temporary Certificate of Zoning compliance and allows construction to Commence. Before occupancy, a Certtficate of Occupancy must be issued Planning Director Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Special Conditions, if any -\.'.:,:..,--.,.." C,: ;;.- _,' __ _,~' '_ \ PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS IlD Cl~J S~.s. c.L Ie C<.e TYPE OF WORK J)EC/C. USE OF BUILDING S, F=:' p, . PERMIT NO. 0 ~ - ""'S DATE ISSUED S/Z 5 J 04/ BUILDER c.?Rdr.KLA6S PHONE# ~-;1"()3 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOnNG I I IIIIIiIiiiiiIIRETE UNTIL ABOVE HAS BEEN SIGNED I I I FINAL r f , FOR ALL INSPECTIONS (952) 447-9858