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HomeMy WebLinkAboutBuilding Permit 12.314 P 2 � } Q § § � j � _� _ W. @ R z \ }j } 0 ^ ■ww� 2 < p� W0 - ma ko ■re« Uao 2 z is � \ 000000 > 2 . W o § 04 § 0 p a a� § & § ti lli D 2 2■ z E e w E 2 oo --J 0 0 0 c X z & 2 0 $ § E S 0 a �0 /- 0- © ® �, E 0 x ° jw « § jw a 23co a■ � w w 000000 0 c4 ce 0 § ILI a a --j R 0 w 0 < � \ La Z IL ( 0 � C k o. Z o r W § � z Z0z z ® j w • 3 ® uj U. g it 2 oz ■ / z / k k } q o� o Q w w w o 1-$ 0 q § u_� '- @ � § o ■ o 0 a 5 ? < o a 000000 0 no o / o f PRI CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd M TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� U X AND UTILITY CONNECTION PERMIT A'�A'NESO�� I. White City PERMIT NO . 3 /4_ 3 pent Cpt l / 7 ` Yellow Applicant L� (Please type or print and sign at bottom) ADDRESS ZONING (office use) /6001-66 gees C LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) 7 t "4. SL p (Phone) (Address) (Co DER S 1 Tc9—"` 5 (6 Y. 6 6 6 4j (Company Name) (Phone) (Contact Name) J G) .J 1 i'`'l (Phone) • (Address) .7 doa i1,tA It c z- , " " vlr,J S POP TYPE OF WORK ❑ New Construction Beck EPorch ❑Re- Roofing ERe-Siding ['Lower Level Finish ❑ Fireplace ['Addition ❑Alterat n ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. • Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 1 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 1 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 ist cause Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspe ions / . X 0.---' ' ` 2 Y /. Signature Contractor's License No. Dal Permit Valuation Park Support Fee # $ Ot7G • o• Permit Fee $ 3a. 5 6 SAC # $ Plan Check Fee $ 86 1 3 Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Gb 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 I $ TOTAL DUE $ 221 G, 7 e pl ication Becomes Your Building Permit When Approved Paid fi7i/ , 43 Re. .t No. 6 6 ; Date 1 '(i;�L� By Building Official Date to 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 /'Z(a 0 ? S' TYPE OF WORK D-�C- USE OF BUILDING ritr /4//t- PERMIT NO. /Z . 3/ DATE ISSUED _ - Z- /7 BUILDER DSO/4 `i012&' PHONE # 0/0. 6 P66o,6 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT PECTOR I FOOTING I/er; �' -4 1 : 1 /r/ 1 4DAT ? -( 12- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I� 1 1 I FINAL 1 Pk, I 5/0/(Z- FOR ALL INSPECTIONS (952) 447 -9850 1