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Building Permit 13. 0316 (2)
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R 2 I- Z I I o § 2 Q / \ k k § § § k §§ 2 S§ f O O o� 7 0 a 0 OO2eO 0 � 0 }§ § / ] 2�■ 0 =�ww� z & \ § $ aW ao o 0 qi a $§qq z @ 2 « w0� 'Xo w O0000O \ \ § A \ L. w z w z § §a z 0 0 / 0 w — j e 0 000/ P i 0 Z• : i Z ce 2_zI2? 0 7 _( S 0 w 2$Iw$ n w IX } u �§ } o � 0 0 z 000000 $ § § E re / 0 < 0 2 \ tiJ w 0 0 2 q \ z 0 k \1- CO k VI b z g 0 w 1 .< R e #\ 2 w CL CL � k W W la / D .c < j 0 § 0 / 0 o y _ Q o� § / ° � � ® b oo 0. § ? 2 0 a '00000 U o0 f o , t f PRJ OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT Irj ��ANESO�� I White File z pink City PERMIT NO. 1 3 3 �b 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 91/i idot,e , d 7 t I LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER 5 A , / P L e c 4 1‘2.- • `- 'i • e i - (Name) / Vh l � C. e. 4 r d ( Phone) ` 1S • (Address) / 1 iGGC,e -✓1 'Yt 7ie BUILDER (Company Name) S A- L- (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction Deck ❑Porch 0Re-Roofing DRe-Siding ❑Lower Level Finish ❑ Fireplace DAddition DAlteration ❑Utility Connection CODE: ' I.R.C. ❑I.B.C. ❑ Misc. Type of Colnstruction: I II III IV V A B PROJECT COST/ VALUE $ 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 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 revolee'fiir rmit f just cause,- urthermore, I reby agree that the city official or a designee may enter upon the property to perform needed inspections. X X t(. C O Signature Contractor's License No. Date Permit Valuation D 00 , — Park Support Fee # $ Permit Fee $ 3 1 5 SAC # $ Plan Check Fee $ Z 2 •7 1 Water Meter Size 5/8 "; 1 "; $ State Surcharge $ '90 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 $`j-'1 . S f This Ai. . lica r Becomes Your Building Permit n Ap , oved Paid 51,- 0. f Receipt No. 4. SC, 39' /,/ ' r - ! 3 Date 4-,l / / B y 6 I Btddino _ - is Date This is to certi , that the r quest in the above application and accompanying docum nts is in ccordance with the City Zoning Ordinance and may proceed as requested. This document ! when signed i t Cit i 'lann r constitutes a teynporary Certificate of Zoning corn dliance d allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued t f- r - r3 Planning Director - Da e 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 RECOFD SITE ADDRESS 3 Gi 4 4 c (.5 k> �°" - ' 6 ��'��L - TYPE OF WORK b�� USE OF BUILDING F A- • 3 (C DATE ISSUED ‘V t i, 11 S PERMIT NO. � D BUILDER Vtt 'pl-ri R. PHONE # NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE FOOTING ,P l / �' J c /y,/ `_ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING 1 K. 1 4 FINAL • FOR ALL INSPECTIONS (952) 447 -9850 • • • • _ ., .. , _ . . '.:::.::-":1•Ii.:7,•;•f•...:••,. . ....... i...;:::.N.:t! • ••••• • ::;:.k::. . . 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