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HomeMy WebLinkAboutBuilding Permit 13. 0459 = OO7 0 /7000 7 0 / -j r n k 0 0 . j Kkkk k z k M 2 r 0 2 2 7 C r ■z_ z m � � mm m � z r n z o � m -D § t -4 -4 % Z ®- I 0 Z k c w 0 §■ ¢ � 2 2 2 \ \ z \ mm / 0 f r o § $ ] 7 2 o 0 z 0 000000 q - m rn . m2 ® >m 6" 2 -I z o o 0 . E -I§E 7§ K? m %§X2$§ m 0 '� 0 :i. E m § > c o o § _ 2 - m - / 0 r -n c § k § Co Aik P o x m — I c 0 2 . 000000 ' m o } > z kk§ 3§ r c § Col 2 E ���� 0 §�� § t'l m Au -n 7 w- w - § -Ii § rn of PRia CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 AND UTILITY CONNECTION PERMIT y'NNesott' I White File C PERMIT NO. (? �e� — 2. Pink it 3 Yellow Applicant S (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 L9 O\ TU 1,G, e(.'VIJ. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) , �v c.A l rOJ n p (Phone) - 1,Sd- 3 O3— (Address) • 16g-0 ( ' T1 L-, .. KA. el, , / v "` ,. 1 BUILDER (Company Name) i k az C 45 ( t L (Phone) 6P a — 3- ? i' (Contact Name) � jo,.. T ''- p (Phone) 6 ( a' c)-1-U ( 9 (Address) CQ �� tQ.„) 1-.: e , t RA S , ( y / 's' f 1 TYPE OF WORK ❑ New Construction ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑ Addition ❑Alteration 0 Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. �+-� �� p o Type of Construction: I II III IV V A B PROJECT COST /VALUE $ �V v Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 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 propeny 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 rust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Signature Contractor's License No. Date Permit Valuation z t t I -� ©� Park Support Fee # $ rez Permit Fee �� $ 2S-- SAC # $ Plan Check Fee $ 57. 310 Water Meter Size 5/8 "; 1 "; $ State Surcharge $ / ,� J Pressure Reducer $ Penalty $ t Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ I Gas Fireplace Permit Fee $ TOTAL DUE $ (47 // This Appl i t 'comes Your Building Permit When Ap . ov • , Paid C f j f � � Receipt No. p/ Date 7 7-(3 By A Buil ine O . Date This is to ce that request in the shove application and accompanying documents is in cordance ith the City Zoning Ordinance and may proceed as requested. This document when sign ,• �. ' he i Planner constitutes a temporary Certificate of Zoning compliance d allows nstruction to commence. Before occupancy, a Certificate of Occupancy must be issued. A. %4 z/ /.. _ —• _' Crate Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 DEPARTMENT OF ,..;,..;`:., 1 :F BUILDING AND INSPECTION ,,„ RECORD ,,,,,, ,:,,,._,,,,,.:,._....„_.,T.,_:,.,,,..„..:..„..„ „• SITE ADDRESS ((,-zo 1 ( �( ,� l �, '- TYPE OF WORK i»� USE OF BUILDING - /i PERMIT NO. (. - 451 DATE ISSUED . 7z f3 ,.1., t r. BUILDER ` - C Z � - -�4. S L L C- PHONE #loft - Z - '7 ( `(7 1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR ....... .. . .. FOOTING I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ! 1 - 4 r4 IgfilPft, __________E.........________J I : [ I FINAL 1 . ,. , FOR ALL INSPECTIONS (952) 447 -9850