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HomeMy WebLinkAboutBuilding Permit 11. 675 5 0 0• 0 000000 " 0> E n n \ 0 0 ■ ��k k k � § k sin) m n m E R § §en m zr2222 z $ a § t -4 m / ©§Q P Zk 10 -4 § ■ n z , z ■ 0 §r Z. 2 g � o f N m X m n, 0 xl > ƒ 2 - § r 0 71 - 0 • Z 2 7 0 I 000000 ,..---) x § mm ~. mrl >mr § � O C -IOC • ° ° � ! % ■ V z■ mzs n @ % m ., m > 000�0 m z z 'V § 0 x ƒ 2 2 @ . c m �x cc z r 2 # m � � - a P § 2 « 0 m c 0 - \ f VJ Tit 0 i . , ® DDOOO 4 - J �� �� o !3om § R. >0 ® I: -0 % t �\ �, m n >mm § m q�� 2 -IA 0 O.t PRI04 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd r~ AN 9 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. z .1 d , 4,ESo is White File PERMIT NO. // 6 �51 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) -� n g ll ter l C; r t LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER }} 1 (Name) N l."�Q-r 1 RAS f: (Phone) 6 /d- — 716 --Y y � S 7 l q (Address) v „ ` ,,>< - . BUILDER (Company Name) �s 0`^ • 4 ' DC)- �� w� S (Phone) a._ f . 3 Cr (Contact Name) : w , i ). Ce (Phone) .0 Q . (Address) 11 -II -v 3 j Q / I ' �/ ���r ,........,-/ l h, m d m d c50/ ^� TYPE OF WORK 0 New Construction [Deck DPorch DRe- Roofing DRe- Siding ['Lower Level Finish 0 Fireplace DAddition DAlteration ['Utility Connection CODE: jI.R.C. DLB.C. 0 Misc: Type of Construction: I 11 III IV V A B t'� 3 0F, o 0 Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ 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 - 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 . ~ 1/ just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspectio X A// i l . �Q up oc 6 4/1 S f Signature Contractor's License No. Date Permit Valuation .50441%1.- — Park Support Fee # $ Permit Fee $ i t 7.1 SAC # $ Plan Check Fee $ -70.5+ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 5b 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 a e, r-a 1. _La , i I $ (9 (D 4 . a 1 i This Appl on Beco Yo : nil * .: Permit Wh • . A .. • 1 ved ' Paid �1� , I Recei • t No., �i� ... Date jL7 B / VAIIIIIIIIIII 4, . , 7 Z 1( u ilding Official •4 • ate This is to certify th e - . u.. t -, the a.. - application and accompanying docu .. is is accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by it y :" 1 ■ er I� nsti. - / .. a temp Certificate of Zoning co • dim. and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ��/ I • ' Planning Dir- or Date Special Conditions, if any hour n 24 houotice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PRIOR LAKE BUILDING A D�INSPECTION INSPECTION RECORD SITE ADDRESS 3i7 8 HBEpiIIa.• I�/IK► TYPE OF WORK USE OF BUILDING A PERMIT NO. Dag D ISSUED .t� BUILDER eesnoW� PHONE# t je �. .'�r�♦ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE IFOO 1 13 -Y1r- ✓3 I PLACE NO CONCRETE UNTIL ABODE HAS BEEN SIGNED 11.010. 1 I FINAL 1 P)., 3-aS' 13 FOR ALL INSPECTIONS (952) 447 - 9850