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Home My WebLink AboutBuilding Permit 13. 0349 o -Je ' k Z® u ce Ice ±z < § 2 555§ •,, aa a-, \ 1 (` 2 §$q2 0 2 o w0��o z 000000 ` $ R -- . q \ o . i _ o - Z \ § k ` - { / \ Z z 2 E a < l o / 4. w k ■ e 000< U 1 A z a 3z333. R m w S o a i `§? k % Ziwg2I w a j z® 2 } 7 `■/-\ /§) § 7 OOOOOO - ou X z w § § § \ 0 j C uj 0 5 P 0 .. \. 0 ) k Fe o o 0 w z # o4 �P 2 z g 2 o W w w. w / % uj f3 0 oc k 0 111 I C; 3 UUL _�k 0 ./ 0\ \ 5 Z < o a OOOO O 0 . 0 o in of PR/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 4 ' , /vNESOl''' I. while i City PERMIT NO 13.3 4 ' ?. Pink C Please 3 Yellow Applicant ( type or print and sign at bottom) ADDRESS _._.---' ZONING (office use) o k ,5 r 1 S — r -" LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER A_ (Name) 1 a\ 1'N } -- 1 r 2 rYt'6 i) r Al /75 cArN (Phone) (Address) 3 a - 0 KtS - ir4l j71 BUILDER X79 (Company Name) 'b 't ) , ff y lit v l c , (Phone) l � l ( 1 1 ) � ) � (Contact Name) f Cm-1 tm-1 rktY S (Phone) C S r Sr) ) ` 6 (Address) Ts 7 Li W (� s S / l --o, (Ay- � TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition XAlteration ❑Utility Connection CODE: I.R.C. ❑I.B.C. 0 Misc. GO Type of onsttuetion: • I II III IV V A B PROJECT COST /VALUE $ S) D1)0 Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 I hereby certify that I have fu 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 official can revoke this permit for bus Pause- u thermore. 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Cr _ ` 41 1 1 1 1 . C c ✓ J, v`I? :7 I l l Signature Contractor's License No. Date Permit Valuation `©©©,, Park Support Fee # $ Permit Fee $ 4 j..--2.:* SAC # $ Plan Check Fee $ Z OO $ t Water Meter Size 5/8 "; 1 "; $ State Surcharge $ -S Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ QQ Gas Fireplace Permit Fee $ TOTAL DUE $ 4,533 —/ O This App 'cat' i Becomes Your Building Permit en A' proved Paid 643 , 5 i Receipt No. 6 j [ 73 ` Date - „ B th 4 Buildtnt . Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued Planning Director 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 RECRD SITE ADDRESS 3 ). ' 6s -1. re. L TYPE OF WORK AL --mot- c i USE OF BUILDING F-- ! R_ PERMIT NO. l3 - 41 DATE ISSUED 4 /3e ,(3 BUILDER 13 - 2- Ds to PHONE # NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE TG I 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING 1 9 1 S -c -r 3 ft IFINAL I 1 1 1 1 13 I Li FOR ALL INSPECTIONS (952) 447 -9850 1