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HomeMy WebLinkAboutBuilding Permit 12.947 w u) § Fe b � �■ ■� U % 3 5 5 5 § t k s 0&ww� 0 2 m 1 O 0 § ■ 6, ❑coo ❑0 > 2 S o _ U. iNI \ 0 0 a. 0. -I . m k 0 q -J o w t re 00 Z a k � \ r. ■� w ` & o (0 U a © Iw�� x © a. 0 ■ $ `i ��L§ .4 • le w w X k. a s3 ■A a w w , � • 000000 �' 0 0� V a a 0. X x ( re § < § § ul uj . - o < U 5, o x Z i�' U z$U w �k Z is kZ2 a ye U.1 III § § � S §� �z K§§ Z © E $ 0 $ 0 u. u &L co 0 ■ 0 0 g 5 ■ 2 0 a O000 U )ko s. o PRl( CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .. Ir , * AND UTILITY CONNECTION PERMIT U . r'NNE0, I. White File PERMIT NO. i 3 Pink City 1 .147 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 14' © Rok -. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) S K.0.-i` t A (Phone) L(4 S' aS L t (Address) l q -3---c_. l-.) -e-t P L__, BUILDER (Company N a m e ) r ■f l % . � - •c . t . — , Z.■C • (Phone) C O - - k ) - ' 7(c (Contact Name) J D .S ..r∎+Cx..)` (Phone) Cf 5 4� ST1eS (Address) 30g2)74 c, ° . 71 - 1 - 7-1 5(,J (J L TYPE OF WORK ❑ New Construction ['Deck DPorch ❑Re- Roofing DRe-Siding ['Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection �] CODE: ❑I.R.C. ❑I.B.C. tsc. , / 44 N / /3JJ S J 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 I hereby certity 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 pr. • i ty 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 revoke � t it for just ca \ e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. I Signature Contractor's License No. Date Permit Valuation d C ®. _ Park Support Fee # $ Permit Fee $ ,i ` . L SAC # $ Plan Check Fee $ Z t 8 i Water Meter Size 5/8 "; 1 "; $ State Surcharge $ „ 5 Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ ( l Gas Fireplace Permit Fee $ TOTAL DUE �q�1n 1 (} iif v t $ 6 8. So This Appli ion t eco ' • Your Building Permit When pr ved Paid (� S� `! J x/ �� /w �� `v" R e eipt No. & w)� 1 / -- Date 4, /0.lZ B 1 Building Ofticir to This is to certi hat 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/ , Ci , •lanner constrtutss a temporary Certificate of Zoning c plinn and allows construction to commence. Before occupancy, a Certitcate of Occupancy must be issued. do /2 e z. (-z "�_ ector 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 4 S �c � TYPE OF WORK 4 ST S USE OF BUILDING (z&s A- (p- PERMIT NO. 1 141 DATE ISSUED /(,_ BUILDER ' t ,,e,v ,e,•.3 sr- PHONE # 6(2. - 140 _ 1 05 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 3Rleggle I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 1 1 FINAL I I FOR ALL INSPECTIONS (952) 447 - 9850 • r 4- 1` '= . t/ r - Z .r /1 ifilli • . , \ 1 1 i 1 , . ou i I o .� 4 , 0 i 1 i id o D g • - 1 4 1 1 ' a 3 :0 0 _tv I 0 1 .i n o 0 o A / A __, \_~ v 'v o. _ .7, / _, 2 o 0, co Nr K wo .s — otr An. -- >1 4 1 1 11111111111111111111 4 Ler I(L IiuiIU ulIIIIIuuuHIIIuIuII vi/ tit tail EVI11111111111111111111 11600 1. '-t 11 1 1 1 1 1 1 1 1 1 • 1111.1.1.1 I-