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HomeMy WebLinkAboutBuilding Permit 13. 0823 0 / / § ce � Q =zLugL 0 ( , A �) j 2 k \ k o 4 §0 2 < \ } OOCee§ / 0 / o o _ ƒ I E \ O D D a< § L.: 0 k - / Z 2 2 §_ 0 o c2 E e ooti� c 3 uj �z I- ■ 0 oo _� e « o - � w / 2 2 ( O 0 §j \ § \j ` ww- Isw k. a■S a■ QQ � 2 { cOOEOO D 0 w / rt a a LL ` \ \ } h \ 0 �§ k - ƒ k w u. o 01 e @ ° w a $ 2 ° § < I- R ■ % W0 d o�2 2 0 ww . . 2 � � 0 w z \\ 2 0 0 § C) Q • B 0? u. = ® 0 0 o 0 5 ? < 0 a 0 0 10 0 0 U . 0 0 — Z 4C N t LU 2gg= i o U' m W W u I i\ ' z Z `23 w o _re _re .< \ z ce cc o o 0 N wr � o R W Y Z .4 Z YY— ' k 0 ' F - 2 OO F s o o oo< t� U w i 0 Z W z _ S x z? a Z O o u U O W . m = W 61 � O 0 Z X O J W 1� W W ;L W u• a 2 3a -� W v�a 2 Z ce z . o w o z R o Y ` o \ ` o o � � z \ � �Z Q Z w \+ � a 3 w © dz Q 0 N Z T ~, vim. N W W W (7 0 1- ° N Z z ° z g J ? W c cc r a Q � w cc z oo ma o 13 v O O v �W W z oo �a H Z� g 3 N a o 0 tLu.0 ilLN 0 5 < 0 a l�❑❑❑❑❑ t. lit.. 0 ,` ❑ o PR,to CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd O r . TEMPORARY CERTIFICATE OF ZONING COMPLIANCE . AND UTILITY CONNECTION PERMIT 7_ /e./3 v t=7 4r/HNESatt. t. White File 13 L �f J � 2 Pink City PERMIT NO. 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS - ZONING (office use) 1 L I ( 3 S7 Al eA4ou Q-. F_ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWN n �' (Name) ER J+OA � e {� OS 1-I L- (Phone) (Address) 1 LI ct$ e& ✓1 i ✓ (L N V ,\Oe 6 1 2_G' 11 Z- 7 7 1 / BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction .,®Deck . ❑Re- Roofing NtRe- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: Li I.R.C. ❑LB.C. ❑ Misc. Type of Construction: I II III IV V A B 0e, Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ Z--(7) / 000 f 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 taws and will proceed in accordance with submitted plans. I am aware that the building official can V rev �V 1 revoke this permit � for Just cause. Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections. (l' —Ct (b-a Signature • Contractor's License No. Date Permit Valuation Park Support Fee # $ 30 0Q, - Permit Fee $ - SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; I"; $ Ci .3G State Surcharge $ ( 5 - 0 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 $ q - i This Application Becomes Your Building Permit When Approved Paid 7#7, 7 / ,, ceipt No. ��� -� C 7z .. Date 7 jU , ' B uildin Official D , e This is to certify th. the request in the above application and accompanying do uments in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign e* t • ity Plmner constitutes a temporary Certificate of Zoning omplian e and allows construction to commence. Before occupancy, a - •rtdicate of Occupancy must be issued / N o 2 Planntn : nTalW ate Special Conditions, i any -• , „' er 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 -Iz,.. ,�- 4646 Dakota Street Prior Lake, MN 55372 t'�"C�' 0 71-- , DEPARTMENT OF ' PRI R LAKE BUILDING AND INSPECTION , IN P I N ,.- RE RD SITE ADDRESS (4 c t2t/acc]1 - rot- , . b ri TYPE OIF WORK RG� �—c- USE OF BUILDING � A- M-- I PERMIT NO. DATE ISSUED 1 icv I 1 3 BUILDER v A�1 FR.c - PHONE # 306- 6lz- lick- z -1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSP CTDR DATE I F00G C' 1 47; 1 , ' PLACE NO CO UNTIL, B C/E HAS BEEN SIGNED I I FRAMING 1 I) 1 `i 5 1 k t 1 FINAL 1 L 1 -1-13 I i FOR ALL INSPECTIONS (952) 447 - 9850