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HomeMy WebLinkAboutBuilding Permit 11.1072 ■ -J1- k j Z § z ■w. 25z 2 �� i k ■§www 0 ° % •c w0tEC0 000000 § 2 Q 0 :561 o w �� cv w z §§ z % • \ 0 -J O . ■ og�� /. 0 • 0 o % X b§ z_Xzz$ �/ 0 c a O 0 w ■■■■mom a �' a $ o§ . Q §3r §§o � , ooz 1- o _A ■« _1 w ■a■ w § w a■■ 000000 It QJ 0 0 0 w K% - \\ a a 0. I \ V Q1 k z / 0 § �� I- z o 517- z 4 § 03 @ $ � . § § 41 2 5t; ` w z p, m � a 2 , « ix a§ ■ z $0■� z w ) Ne l ' ce D in W W z 83ggRE & ( o 0 0 0 - u & o$ o u.ww ■-■ 0 3 0 0 g .6? 2 o a 0000 *0 0 - 0 0£ (i p � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE j Z .. x pe AND UTILITY CONNECTION PERMIT U 44,4e S01t. I. White File // 2. Pink City PERMIT NO /07Z— 1 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) c-kc 0 ....\ ‘ , (.( e....._ t. ,.. (--- . e. &SD LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) V OWNER - � �7v... IX O -- (Phone) at'JC[) i ? (Address) 401} sgi ©--..... ar.:4, L.: r 1 BUILDER //''.� (Company Name) ti. -- CC c 1 -. --1 (Phone) )`^ 140 "'-- "t'I e9 (Contact Name) 1 \es - -- C •sic' s„,.►. (Phone) 4l). ---4lv — si e L (Address) 3? tt ;, cryt.,.- k c1 s ' TAZI . TYPE OF WORK ❑ New Construction . Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ['Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 I hereby certify that I have furnished information on this application which is to the best of my knowledge true 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 offici. car e this •ermit for dust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature Contractor's License No. Date Permit Valuation 7 O© " Park Support Fee # $ Permit Fee $ 3k , SAC # $ SO (---------- Plan Check Fee $ - 2-0 411) Water Meter Size 5/8 "; 1 "; $ State Surcharge $ . SO 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 $ tZ , A This A ication a ome our Building Permit When Approved Paid 1/43 1j( ■ Recei e t _ . r - - Date /U 20 11 By t 74111" to k4 kt / Building Official Date 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 Pl ing 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 Oi PRip+ ti 'a U tr1 White - Building yr �P .4 - Canary - Engineering LANES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ( t - i ,.. IA, ( /1 C`_ . 0 / ;' . 77S. . APPLICATION RECEIVED / (. / 2 // The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 7 I /1( i(i) 1._, # .., Accepted /( Accepted With Corrections Denied Reviewed By: Date: /a _ ,20 " 4 Comments: a Ii ,( r "The issuance or granting of a permit or approval of plans, specifications and t computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." 1 PRIOR LAKE BUILDING A D�IN SPECTION INSPECTION RECORD SITE ADDRESS 4'072 WAGON B/UDrjE C/1666E TYPE OF WORK nEPx. itt4 /040c/. USE OF BUILDING Ie ES /Vie_ PERMIT NO. /I • /072- DATE ISSUED /0. /Z./I BUILDER Cd PHONE# b /Z• .94, 7 /O$ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT IFOOI I INSPECTOR {:'�.� ID / lei d PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED *Mae 1 1 FINAL IJ 1 �� fl(�J�f J FOR ALL INSPECTIONS (952) 447 -9850