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HomeMy WebLinkAboutBuilding Permit 13.0442 O Q N N. 1 = _ W. al F ...1 F- a u ~ _ 0 E V LL Z w w a < —UU < � a.SgJY < tJ c70 rtre v� z w o < Z O W c.) CL LL U' W co 4) 000006k ....:. o lt Cf o U O J N ll. Nt �' { W L.: Z W i p da -1 ` � z o 0 W V n D P 4 E c H 0 O 0 -- �`•_' "� O y w � c W O OQ< i U c N p vi Z _22z_ ( \_ w • Z X �� 0 w m Iv a 6 Z to `' 0 0. g2W =0 w W z X 0 `l JWQ JW W W a 2 3cn a 2e z 0000❑❑ a • CC W O W x k/ >: Z J CC W DC < < ° 44 ry Y V {� Z Q 0 O rn 34 O u. U co 0Z O A O W E— Q < 3 _ < O a Z N U u 'i A Z Z < z W Y W W O a � V) z ►= ° zrg g -'? a CL a < v " W W w O> < w O O O Oa 0 w z 00 WZt i i n d 'S U U N cn ❑ ❑ C3 U 0 O a ❑❑❑❑❑❑ 0 J z I 1 J d'4.p[ W - t..WWQ 0 W Z . g U U 0 . j gggZ '7" (9 W W ai 0 a w I-. (, / - W 0t. ti 4U' w Z cc 1 TVN 0 o W = o N o w z : i z » Z CO o O 0 ') a H F2 Y Y LL - O 0 0 III t 00 Z ..rj Z w z_xx 0 c o 0 0 0. m s w � m s vi 6 z a _iWQ _iW W W W X a � 3 vod 2 W W W ❑ ❑ ❑ ❑ ❑❑ O CC C4 O O W � � CL d LL F. W 0 Z U O W {" +C z 44 0 LL 0 O a 0 z ( -1C2 0 w 1-- - ~ 3 4 w Z dz a z Q U 0 W a 0 Z zo Jz W Y W W o q CO O W W Z 00[CNZIW- 0 O 0 'PT.) 0 V a o 0 LLLL =tLM U 0 a U= a 0 a 00000 O 0 ❑ of Pxo CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd A. e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � ' m AND UTILITY CONNECTION PERMIT 1763 4.0f. 1- 1. white File PERMIT NO . 2 3 Pint City /- �¢ �j Yellow City Applicant ( T [- (Please type or print and sign at bottom) ADDRESS ZONING (office use) ? G� C �V se Fret, .1 /V /- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ...._ (Name) Ce V (Phone) (Address) . e,e. BUILDER /� /� (Company Name) F � ' hc'.zYp>rer �GPX (Phone) 7 —1 -- - fl & '" (Contact Name) —‘ 1-- ,I (Phone) (Address) 33 Z 2 L 1 ,, /fir./ 77 i 114-1W 5 TYPE OF WORK ❑ New Construction [teck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ❑ Addition ❑Alteration ❑Utility Connection CODE: OgI.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II in IV V A B PROJECT COST /VALUE $ -V C`CC> 'i Occupancy Group: A B E F HI MR S U c Division: 1 2 3 4 5 (excluding land) 1 1 hereby certify that I have famished 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 Vera/5;42i 2..c.) 3 7 2,56 5---/2-13 Signature Contractors License No. Date Permit Valuation 4000, — Park Support Fee # $ Permit Fee $ (® IS` — SAC # $ Plan Check Fee $ O� Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 'Z. [ � 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 $ (7 (, f This A plica i n Becomes Your Building Permit en A proved Paid / 7 , 9 Receipt No ( ar©"tr - ) Date Cr. 7 f 3 By 1 ^ -- s (3 Building Official D to This is to certify that he request in the above application and accompanying docu cots '. in accordance with the City Zoning Ordinance and may proceed as requested. This document when signe t e ity Planner constitutes a temporary Certificate of Zoning c pha, e and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. 5 f / PlanningDiifeetcr 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 A DO INSPECTION RECORD SITE ADDRESS 5 `(q C.eAf41z 7,.2, TYPE OF WORK - USE OF BUILDING 1 /t�/� PERMIT NO. (� � ��Z DATE IS UED 5/73 BUILDER F PHONE # , 977 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE JFOOTING 1 I � PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL 1 !�; . I ( ire FOR ALL INSPECTIONS (952) 447 - 9850 •