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HomeMy WebLinkAboutBuilding Permit 11.748 A A / - \ / II ,, ' ;; . ;; ��r. , A il , Ott - I i , II I r n : n. Ai .. il l n .., 'c s a {, � Itfi f trafr t f ® x pnxtr r CITY OF PRIOR LAKE !pihnrnf of cHitntMMnj 1f n pitrfu.an Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursu to the requirements of Section 110 of the ❑ Residential l ❑ International Building Code certifying that at the time of issuance this structure was in compliance with the various = ordinances of the City of Prior. L_ ake regulating building construction or use. For the following: U se Classification 1- L 7.7 AA k 1 Bldg. Permit No. 1 C /5 Occupancy Type ❑ - Type Construction ❑ Zoning District Legal Description i Owner of Building R I -7 -\ Site Address G ,'7 0 11 _ r ( +c x : ) Co a t or's Name & Address _ ( v' s !,, , t , ,' , k -- -. -1 1'7,1 % f K Tr! 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Q 0 a. 0 0000❑ 0 0 \9c0 c 01 111( 1 19 . 4 �,� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE E TON PERMIT PLIANCE !3, / / AND UTILITY CONN C A N V N0 1. while File 2. Pink City PERMIT NO 1 1 . l% 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 6880 as, 0t N sr NE PIZZ H UT LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER n (Name) P H M t N NE So TA L LC. (Phone) 763- SS9 - 7338 (Address) h66 J(cATU / 9 t/ N V aD lord VA CIE y MN 6 4 4 17 BUILDER CC Al mpany Name) / S V M. M bt 6.41 Il fy r. /�, v !TC I It� EN (Phone) b / ona - 7/36 (Contact Name) lI pep y en (Q t 1'J (Phone) 6/a -t290- 71316 (Address) TYPE OF WORK pg New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ❑Addition ['Alteration ['Utility Connection CODE: ❑I.R.C. $LB.C. ❑ Misc: Type of Construction: I (9I III IV V A U �- Occupancy Group: A B E H I 1I R S U PROJECT COST /VALUE $ tiez, O &v Division: • 1 2 3 4 5 (excluding land) 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- m•ntioned pro. - and tha II 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 c revoke this pe I it fir j .t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X A A f 7- /02-1/ � � ' I Signature Contractor's License No. Date Permit Valuation 4 z to oD, - / Park Support Fee # $ Permit Fee 5-1/3-S° $ _4, SAC # D $ Plan Check Fee 8� o3 $ Water Meter Size 5/8 "; 1 "; $ State Surcharge Z(. - $ Pressure Reducer $ _ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other /0221Y $ Gas Fireplace Permit Fee $ TOTAL DUE /' ? 1p L r gyp C 1 $ (-1o This T ication • ome our Building Permit When . ppro d Paid /60 0 57 Bl R eipt No. (OScriy / Date if, <C. (1' e Buildin' Of icial it . 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 Plan - r constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Separate s2yn PcrMJk- R ref "i l/ . • f r anV' extEzHs 5i4na -. / tfttlfi ,r /� Planning D actor Date Special Condit s, y 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • '1!.7'1441 it *