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HomeMy WebLinkAboutBuilding Permit 10-1055 n § §cOe 1 o Kg ] 0 0 0 ® zm ,,m 0 z o - o ) /§\ 0 k g_ ,- ,- C k} z 0) -/ m r § -4» � m q % B �Q g z74 / --I a > j $ § q k �° ° > 1 d -1 % % § . q ?m m n n o �\ ] 0 / § .` 1 � ' § m 0 7 ' � • £ % 2 x0 0 0=01700 ) q � q m ~ fr ° $mI- ° ® - ° ° 11 me m?& -13 0 0) o m | § k m > 0 m 0 0 o : 2 m m ® rmoo x w 0 k 0 0 k >cc z / / z ( m I- 0 m / \ m § < OOOM:0 lib NI tN m �nm0m �; R. > 0 ) In \ / K��; N z n�kzm q % - � � k U) 0 (� 0000❑❑ z 0 o N z2 ❑❑ T 0 wm - T-nT 0 z 0 % � n o n 0 0 0 0 1\ p, m> c , c0 z au m m0 b D ° . z r 3 o� Z c = r r - - D � CD �, Z m 0 0 1 0 z 0 t0 V * n in 1/4*-, 'f f!1 Z z O N. I•�., _ -� T r c 5 z i` \ ,n �{� z m tri 0 > D z 1 V\ �/' m 4. m � � ° f „ , 1 3 73 o o _ t� 000000 hi Z m m m m \' § 1^ mom >m� �i x c$$ c a i °° E--, x m z 3 v 0 co y -< z O v ti\ • C C T� ���W m 0 �� 0 m 5 C Z 000 0 3 - m Zi � 0 O C. � m -1 0 c o Z j � c n cc Z m T f' 71! 0 A 0 �\ p' 0 m r \ v 2 �- N ° G C � ,. � � 0000 y Z Z \ J O ? i n C� m C D Omm30 -�" R. 0 1/t vvv 0 z 2 D��Z° v ) �C � u) D Z m T ' -4 r 0 ) V. 5 0 0 0 0 00 0000 "V 0 E I * or cn _ \ 0 0 0 V 2 rn >c C0 m m m §� \\/ 7 7 7 q z 4-§§U z§ 2 � 4 I- q q - i Z •D§ 0° 0 � § tri 4. C f o 0 § 0 % 0 § § -4 5 � § it o g z ) E § - $ } 0 2 / ? 0 73 0 o r 000000 0 \ § m m o zo o m�$* c� Z >�c XI 0 § ? ■$m?■ 13 0 2 ) § k a) m 3777 § 2 } ? ! q m§ >000 0 3¥ m n a r r-n oo 73 F z o m 0 / z / I Z m c / 0 f m r -0 13 P m rp 2 k 0 ‘1) - 73 = m q 0 m C7/3) m % 00000E — VI '-I § 2 253 0 \ R. / ® �qm� © 4\ o \ 0 7 77 § .1..\ § -I - t § wz - q � 0 r 0 c CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd A TEMPORARY CERTIFICATE OF ZONING COMPLIANCE // (, J() AND UTILITY CONNECTION PERMIT M,A'NEScitP I. White File PERMIT NO 3 Pink City /Q • / / �� v � 3 Yellow Applicant ! L6 (Please type or print and sign at bottom) ADDRESS ZONING (office use) r— (- 2 -2--- I M i �/ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWN ER T"� ` �C N r' I J (Phone) (el Z - 40 9 $ SS (Address) .. .• BUILDER (Company Name) R ��r ' 0� , T ` « (Phone) tia I 'Z — 8‘8 9 ( i t (Contact Name) � et) C-- ----7 - (Phone) 9pr "n E (Address) .......:j S. '. ,- 1 ELQ.- - a_-- TYPE OF WORK ❑ New Construction ❑Deck ❑Porch Ye- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ['Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. AO Type of Construction: I II III IV V A B ROJECT COST /VALUE 4. Occupancy Group: A B Ems' F HI MR S U Div•. ion: /-' 1 2 3 4 5 i I here it certify that I have • ished formation on thi' application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the abov , entioned pro• and that consti t tion wil , on . to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building offic .61 ,n rev 0 permit ter ju , use. Ft - therm° , 1 h; reby agree that the city official or a designee may enter upon the property to perform needed inspections. ' .--111111111 1 1161., — tit 1 i..114) Signature Contractor's License No. Dare /rmit Valuation Park Support Fee # $ rmit Fee , SAC # $ an Check Fee Water Meter Size 5/8 "; 1 "; $ ate Surcharge Q , -- 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 D 7 DUE $ A �' 7). This A/'' at' •`' Bec• • t .'ng Permit hen / proved Paid 4 L©, ` — Receipt No Co I -1 3.5 I A .r i i ' W o Date /I�/ By _ h r Bt ■ 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, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /6 ZZ / /11/q//(-/ TYPE OF WORK /2( . /eaF USE OF BUILDING / PERMIT NO. `O , /0-55 DATE ISSUED // /� ( a BUILDER e PHONE # NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS EEN IGNED I T &i2 -off= 1 Ri 11 Z ;Po I I FINAL 1 1 FOR ALL INSPECTIONS (952) 447 -9850 • •