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HomeMy WebLinkAboutBuilding Permit 11. 0496 J 0 J Z 1- H LL Z W W Q U W - UU W z Lc ‘---) ..3----- q � o. gO.z > aaa� 0 t U' N z Q tx 1 U O W x v U. N O 0 -J W Z J Z » 2 Z co p 0 W 0 F_ 2 ppu.J 0 0 W Q tu La 1- 2 0 0 0 0 .4S, 41; I= ` c/) w mxwamx a O z -I W d (j -I W • W W Z w X O a 2 3 cna 2 I w w cz ` D❑❑ ❑D❑ r o o m Z m O x Q. a LL > z D a III < U O LL Y Q U p 0 0 x Loa (�' LL � -• 0? Oz O z W F- ►' f a ` a a: 0 O O a z ~ N Z Lli N w w -J W ac CO w Zm - - 2 x a: rt ° '¢ o .qq J Ow a: W Z O O OG 0 Z h- 2 D O O ai U V a 0 O a u- u- ' ' 0 3 U U y U? Q 0 a 0 004( O 0 -C<❑ ❑ S J w z _Z LLl .1-.. LL z W W Q Z 6. g > „_ c72WW z Q °d w a a W o LL LL U' 2 w V l ► ►�VVV 0 000000 0 0 ❑❑ > `WC (� - { o o L W s w O z Tr O J U W L Z o W a z 0 kI o F_ a' o otLLJ 0 0 W - w a P. a) a � o W • `� Z z -22Z Z w 3 fn O y O .1 0 a m =wp o N Z 0 (( �WQ >DW ■ W W W W 1 aM3v)a 1 o V z t ❑ ❑ ❑ ❑ : 0 a a E`e' j rt a a o w Y o a 3 0 °- .,,,%14 � a 0 LA- ��- ow o o w 1 1 — Q Q 4 z � a Z N v w a� � Z ?oZg J z W ^ 1- M M ` a A o • t ow re co W z 0 00zNzt 2 3 0 o a a a. t-cn 0 Z 0 LLLLLL 0 N az a 0 a 000000 U 0X0 c O PRl�+P CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT lrj �. I. white File 2 Pink City PERMIT NO ��A'NES�� . 3 Yellow Applicant 1 I r4 y �" (Please type or print and sign at bottom) ADDRESS -.14 e_bcy Ch u -cJ- ZONING (office use) 6 g Q s -Ft ,-,,,,b e.r- 1 /th..1_, , n 6Y- L c LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER . \ _ L i C L 1b r (Phone) 763 x bt "7 1 2 q ,�J (Name) Y Phone J\ (Address) 5'; Dct 2 -tith Ave -. rc k / rW ?car k SON' 63'44 3 BUILDER (Company Name) » Lrrn (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ['Addition ZAlteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E 1 2 3 4 5 S U (excluding land) Division: I hereby certify that 1 have furnished 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 r yoke 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 _ Sigt Contractor's License No. Date t�t ure Permit Valuation 5 © — Park Support Fee # $ Permit Fee $ 2 — SAC # $ Plan Check Fee $ j fo�Z-- Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 5-,i Pressure Reducer $ Penalty $ r 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 $ 4 j 1-7s -- This A li a n Becomes Your Building Permit en A roved Paid Receipt N 111 A il..........ii fl II Date ( ca , t Z t ` By Bt 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 7 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 51q< ToAc ta- T"- TYPE OF WORK- `�' USE OF BUILDING • c PERMIT NO. 1 rill ■ DATE ISSUED IV PHONE # Z� f / 1 BUILDER l�lz ► ' — N e��_ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE *MOW w1 1 1Z- Wu PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FRAMING Loc. 1 ?flog 7/A fit A L //ll IFINAL 41C I `1' i/7 FOR ALL INSPECTIONS (952) 447 -9850 0 41k It 11 P I a &j w •