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HomeMy WebLinkAboutBuilding Permit 11. 0926 7 0 0 0 0 000000 7 0 > 20 O c i ' n m 0 $ 0 % �co m m 0 k r n gl\ k 2 � / § \ z @ q 0 dk g � \ t � § -I m o 6 \. � o .T I © . % / q k 2 ® % § £ $ q 01 § / o z 2 m m M \ �. \ m 2 0 0 ' 000000 % . § mm 0 \ c) �s■- 1 \ q Z § o —\ � ` 0C -t . m t, — 0 -n ' m o 0 2 $ 0 > coo 0 2 m � : E m§ o A r -noo § D un o \ m z ft . / §{ z m 0 / I m o 0 | ! % 0 1 OOOOO F � m Q�mOm ? e 2 � i > ;I 0 t g R. a § % �1313§x w i IJK '21 2 0 �kk % �' -4 § t'l rn ■ "n 7 F ■ m §K 0 � r � 1 �. ir PRI CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9 is, / / AND UTILITY CONNECTION PERMIT j t �'NNESCi."r I white File 2 Pink City Y / PERMIT NO / / 7Z. 9 a \V // /_ Yellow Applicant {' /// _ lQ (Please type or print and sign at bottom) ADDRESS ZONING (office use) /5 Y5 Ed m LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �1 f rI C 1 IR. C ) L,5 c f S- cis (Name) � �-( � G.+� � ` ��rL� (S )f' �1 (Phone) (Address) 6 1 a Gel rs-1 fm+ 4v E , - hc-L kc e r 1 P 55 3 7 9 BUILDER ------ r (Company Name) -- in n e_ L..9 L..9 �oet LL (Phone) 66 - 1 _ aq S �D.' (Contact Name) / ti e.,.et -7"• N 1 S e n (Phone) C '3( ,- 5 - `3 (Address) C..f Z 1 -U 5 Vc. e Jn7 A) 5 ?'7 5 TYPE OF WORK ❑ New Construction P Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. • Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 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 1 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 oflic+: can rev • • , is permit for just cause Furth • 'more, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Mai - 9 /0 -c30// �. Signature Contractor's License No. Date Permit Valuation 3 o o o_ o O Park Support Fee # $ Permit Fee $ e Cd _ ZS SAC # $ Plan Check Fee $ S^1 _ 3(o Water Meter Size 5/8 "; 1 "; $ State Surcharge $ i _ SO Pressure Reducer $ Penalty $ V 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 $ /#7, / / This Application Becomes Your Building Permit When Approved Paid `4-7 // R eipt No. 1-1Z ) ' � 1 Date q /(,. /f a�= ..� / ( / : uilding Ufticia Date This is to certify that the request in the above application and accompanying docu • ents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signe• by the ity Planner constitutes a temporary Certificate of Zoning c plinn and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued _' A . . ,_ ■ i Planning T 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 1565 QLZ iz/kir f rVe TYPE OF WORK DE% te- Ix/.' P /a->s/ USE OF BUILDING /2,6J X9/2 PERMIT NO. /1. 9ZC' DATE ISSUED q./.5.11 BUILDER l/t7ft AJ6 WOOD PHONE # 2 7.52& NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING 1 7.1 1 ° ► /av/ i' PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED lOvasta 1 I FINAL 1 P4 1 /1/22 I FOR ALL INSPECTIONS (952) 447 - 9850