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HomeMy WebLinkAboutBuilding Permit 11. 0528 �1 ' ((( ��1 J W Z Z I.. \ _ P JF.W Wr � L 1 .V oz(�vW A i Z w ►W- D 0 O W UJ Q co 0 C3 41 + \ Z Q 41 Ks\ l/ W U u u O Z "� ❑ D❑❑❑► w c� Nit • w o =o J W = \� LLO re N v. col \ Z » Z • Z o p W a, Y Y 0 0 U 4. F_ pptiJ r i w \ 1- 2 p 000< f' a O o Z Ce z_==zu. • 0 = 3 N o 0 a. 0 n. m W pm N, N O z �� \ ? w a � w w ° W Z x N L - L i O a.2 cna2 V U Z �` �c� , � 00000 0 a a O LL lZ t d Y 0 Z �� 0 O Y "' 1) r� g P p ` < - re rx 0 z w • ° j\ O Li- Q 3 n fi? a Z 0 a 0 P N 2 0 0 0 - W ° — N Z zo? z W v o W i J A 0 uj W W 0 n 4 . ( � <W O p p U to d 0 z ppLLZ 0 1 0 0 °' in 5Z 0 0 a. 0 ❑D❑❑❑ 0 ❑ ❑ E PR10 ) (c-s*c 4' CITY OF PRIOR L AKE BUILDING PERMIT, Date Recd 4Xl It f _ �� TEMPORARY CERTIFIC OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT r NNE 5 D � 1. white File 2. Pink City PERMIT NO. / / 5z0 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ( Z 7 6e, 6.0 04. -/-- Av-a-- ri - L - 0,/ L Cr 1, LEGALL DESCRIPTION (office use only) LOT BLOCK 3 ADDITION ld,/t & 4 "zjC S PID OWNER r--- (IVa G rtc/ 0v- fY, 4..1.v �,...,..- (Phone) l S-2- — L t ?' C 6 6 C y (Address) 1 Z 2. (-, f L./ Avg Sc.., i 1 ' BU (Co IIDER C r. (Phone) 9S Z— ` Y5 GG c� �1 (Company Name) rr Q✓�r �Av� �,. c.. �� � �-� . � � � Phone (Contact Name) t�✓ ,1'L /VI P. ,Jt.— (Phone) G (2--- ? 76 — V 7) 3 (Address) 2 2 Cs E 't R, A, A S'‘ k 11 0 TYPE OF WORK ❑ New Construction 151Deck Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ['Addition ['Alteration ❑Utihty Connection CODE: R.C. ❑I.B.C. El Misc: Type of on struction: I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 18 t D `- 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 - 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 1 , , o5 k 3 Z V2-1/ t/ Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ lE oo. - Permit Fee $ � 0-0 ck k. ,- o SAC # $ Plan Check Fee $ 1 �4 . 4,$ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ r . - 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 pu b ( Z? , i.` $ 32,649 This ' . plicatio . ; eco . , e Your Building Permit When Approved Paid ,�ZL? �} eipt No. �3/ L Date 3. F� /( A 'LW if, e, Zz. t Building Official Date This is to c' i , = t ' e - quest • . , e above application and accompanying docum: is is in . ccordance with the City Zoning Ordinance and may proceed as requested. This document when spy by 'e •, :lann r • sautes a temporary Certificate of Zoning co .fiance . d allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. f / 1 k , 6Zz it Planning s irector Date Special Conditions, if any 24 hour 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 162/ 13e)°`t A :,16- S. C) TYPE OF WORK D--c--t4 + 3 - 'u . - vdt USE OF BUILDING F- -- s A- g PERMIT NO. 1/. 52-5 DATE ISSUED &A zli t BUILDER _ s? -tee C�- PHONE # c,,rz- 3 -43• C NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I SP OR ATE I FOOTING 1 1 G , 2g I PLACE NO CONCRETE UNTIL ABOVE HAS BE N SIGNED I FRAMING 1 VA 1 ?((z'(( I I FINAL 1 1 I FOR ALL INSPECTIONS (952) 447 - 9850 __ _ r a 1 . ,____ g 8 r i , .4, L s ,s b-- :_. _.......,..- co x 1 a 31 IN ND - 1 4 M .' § A. a A , _ _ y _ T 1 J C 111 '16 " 4 I le ' t. '" COX X..? :-. - k 3 k 1 ^ v \ cS iS -.....,..--- t. Do - P NI 4 _ .-t1 :), T T .tE.',_,___. S Y V f • -.64 " ° ,,a •.% i -:." s: I„.. -.4 ?" = 1, 1- t ..4.1 .......' '' ',..Li .... •1 0...... 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