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HomeMy WebLinkAboutBuilding Permit 12. 0288 U J 1� X oc u i z w f' r- LL Z U U � ° g Z ° Q 0 re re a WULL a O 00000 > 0 `� W 2 �►..` o N I.L. Z W C 0 w W 0 Z » a 0 0 U - J Z Y Y LL J H a`i a . � c D � a 2 ( oi0 0 z° 3 a x 0 w m re reaC o o z o u) V Q. _1WQ ? w . ■ w w z z 4. /�,) a 23 cna 2 O O re W 0000❑❑ a a O H .� > Z J 0 W CC LC 1 0 Q U O 144 U O &-c----, _.., a 0 04 W W m 2 Q F= Y U ; \, O N a 0 '' a r 0 Z O 0 w F- N U U 4 W �Z O z o z w a , L a o Q p LLo N C4 w O ; '`nJZ 2 3 a U a U U W �NZh ,� N p W , p p O LL O LLLLZ t i, u) 0 ❑ ❑ ❑ U? < CI 0 o ❑ ❑0 ❑ V o o41 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd '''L \ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / 7� / Z `� AND UTILITY CONNECTION PERMIT 4? r M 1. White File Pik 2. Pink City PERMIT NO. `Z , 2 S 8 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3 3 51 Ls 9-17,45 res.er SW t v- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PH) OWNER f U y p 9 ,� (Name)' � ?f (1 a K&1» -h t LGih4C (Phone) .`� 7' Q _I (Address) 3351 ( t C9 C SA rr e 4- S W ( P( . 1 O r La IS 1 ini Il/ 55'7a BUILDER (Company Name) . I► k 7. int . ! . . (Phone) I's? - 49P.- a (A S (Contact Name) A T . t . (Phone) L O A - 9h 5 - ,9.1) 4a (Address) '325 -:-r 1 r13'3.r) S R,J l 101■S 66g S2- TYPE OF WORK ❑ New Construction KIDeck ❑Porch ❑Re- Roofing ERe-Siding ['Lower Level Finish ❑ Fireplace ['Addition ❑Alteration ['Utility Connection CODE: R.C. ❑I.B.C. E, Misc: Type of o nstruction: I II III IV V A B 4-5 Occupancy Group: A B E F II I MR 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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x (� /�(' AJJA 4' -7/7 Signature Contract is License No. Date Permit Valuation 126,1tr) . ' Park Support Fee # $ .` Permit Fee $ d1 1 j SAC # $ Plan Check Fee $ 3 i , ©¢ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 1 Pressure Reducer $ r GO 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 $ "'"/Q 3: This • .; .li . ' . n Becomes Your Building Permit en proved Paid 1 'z 5 Receipt No. 6, y 5 - ,/ Date 4, (1 (t By (11) fIr Building Official Da e This is to ce : that the request ' i • e above application and accompanying documen is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign . '� i r ;' Pl. i t - institutes a temporary Certificate of Zoning mp ' ce and an construction to commence. Before occupancy, a Certi ficate o Occupancy must be issued. I _ Q r (Z StfN $ co c- /s Z5 • anning ►sector Date Special Conditions, if any L /A/ • notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 335 cI14!C sr. TYPE OF WORK USE OF BUILDING .f otAfr_ PERMIT NO. /20-• + DATE ISSUED # l7 l BUILDER LAmes PHONE # 49 Z(. S NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING 1 ei6 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING I FINAL FOR ALL INSPECTIONS (952) 447 - 9850