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HomeMy WebLinkAboutBuilding Permit 13. 0566 0 �w k - 1- 2 a = cc w ' L z��� Q % 00 z c\ \ § O�� z _ k \ L ' ,\ . 0 2WWc 0 0 m A . �. N w 0ƒƒ0 , § ? EOCeeg > & 0 1 ■ ` \ w R © § \ 0 k §§< : . � / 0 § D p m §§ƒ� \\\\ o ? § \ w > ƒ z 7 , 0 § ® O 0 w � � , ƒ j 0 2 0 ( a j § \ §j§ ..\ ) w z x a■ ' . w w ƒ w ® 020000 00 § • u $ N Q a. IL e LJJ < 0 k \ • P 0 0 0 ƒ k§ L § o Oi Q OW § z z ° ® < � � a O z 0 Ili z < e e q � R 2 k \ �k § § § U. r4 b Z 0 2k � n 0 t °§ 1-§ 0 0 oo ==§ E �o0 & 0? < 0 a 000000 0 0,0 0 f J 0 W z _ 1u) . .. - 00 Q 0 W WI j o — w g L' > W / v 0 2 l (W 0. uj 0 Q °ti 0 re re _ Z o LP W 0ir.ii0 2 Z 0000❑❑ w CL �/ 0 ! = O ce w x -7 0 N 0 W z c W z » Z CO o 0 b Q QQ lLJ 0 0 0 4, La `� Q F- N w t X Z o Z -x.Z 0 C (n h a ( N � 0 a 0° a 8 z D W Q ? W W W Z x a2 w w W Z �` ( 0 0 0 0 00 0 0 o w CI. LL x O. F- re zz J 0 w �. 0 < � _.*; _ g� • _ o LLa co Ly ow z t � o z W a 3 a O z i= O a Q 1.- i.- a C 0 0 0 w x W 0 n a O Q W U W Ce WW Z S z 00 - 0 0 0 w U C % 0 0 u.U. U .,=u u 0 0 N �? a 0 a ❑ ❑❑❑❑ 0 w❑❑ E. CESO CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT C e 'I' I White File 2 Pink City PERMIT NO. /j && 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) y q &el vyI ors f .e /i ■Ni 131 c c Log 5 r3 , 7 ` ie7S/0 y LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 2-5 44-7. 0 /0.0 OWNER ri N V J GO sTDV i C, t1 1 (DIZe W a (Phone) X01 2- qi y - 7 (Address) 16 t0t l e ) eft OA Pi i dl` 1-- 'j( Jt4 .N SS37 9 BUILDER �^� L (Company Name) 7 (Phone) (Contact Name) `` (Phone) (Address) .� TYPE OF WORK ❑ New Construction Xeck ❑Porch ❑Re- Roofing ❑Re- Siding DLower Level Finish ❑ Fireplace Addition ❑Alteration DUtility Connection CODE: 1T.R.C. DI.B.C. CI Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 200 Division: 1 2 3 4 5 (excluding land) I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 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 t 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 01°45%tr/(4. /14 CO (Q 2 C ) / 3 Signature Contractor's License No Date Permit Valuation 4_ 6 c o . c o Park Support Fee # $ Permit Fee $ /4 3 _c G SAC # $ Plan Check Fee $ 6 ys Water Meter Size 5/8 "; 1"; $ State Surcharge $ a , O Pressure Reducer $ Penalty $ 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 dfi � 6 10 , I 1 $ 77 �• GJ� This Applil'o i comes Your Building Permit Wh Appr. ved Paid / 1/ 9S R ipt No. 6c l i Date 6. /d. /3 i_i w ( ' wi F og (Alicia Date - This is to certify that c re. ie.; in the aboVI. application and accompanying docu nts is i accordance with the City Zoning Ordinance and may proceed as requested. This document 1 when signed by th PI, r constitutes a temporary Certificate of Zoning co pliance nd allows construction to commence- Before occupancy, a Certificate of Occupancy must be issued : t .d CC) P anning .r hate Special Conditions, if any • our notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD ` � SITE ADDRESS I�Or7 Bez-friaNT RAE TYPE OF WORK Dt USE OF BUILDING ,e5fAyte.# PERMIT NO. 13 .SGG DATE ISSUED 6. 7 /3 BUILDER C70S� PHONE # G <Z1554. B 7.78 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED IWPAPP FINAL FOR ALL INSPECTIONS (952) 447 -9850