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HomeMy WebLinkAboutBuilding Permit 13. 0858 U w Z _aN' cc u.c v Er '' f'ww — Z w N'\ 01ww ` z 0 I Oa a .Q Z ? 1 _, t . \a W ULL LL W N 0000018. w , 0 0 (I' _ v O N • ^� W 1. Z m w J Z Y Y? O W H 2 hPJI \ �� \ O U U w 45 w O y _ Z 2 \:, , 0 00 p w o Z O W O Q � \ F. .` YU Z Q O O t O \-:* g� Z � Ni a3 a Wz O 0 W I- a a O Z 1 a z N V t) ` W Fe' O Z'� w W l Y co O LL W 5 W 0 2 O O O V U O W ce W NZ I- _ 0 . 3 0 0 fl a O § Z 0 OO LL Z LLN I a J ❑ 0 5 U? Q 0 a 0 000❑❑ 0 w ? )§ ■ re- ) � 0Wo< - 0 \ ill -1 2 n \\ $ > \ j oiled 0 2 ESƒƒ� \ n 000000 § Cr, o 0 & § A / w aa-I § & Z k w k 22/ z 0 k o e' 00CC � 0 0 o w 1■ o 000< p mƒ a; z o c 2 2 0 0 0 w §§23§ w f z R 2 a. 0 0 �LU §§ j X k, 000000 0 0 X w $ ƒ I E § re 2 g 0 O 0 < C 0 % LU SC P. v o a R $§ P. 1- % 0 0 f r4 z 0 z o Cl) v) « z 1.... / � � �o \ 2 ° ° -I w � 2 z / § .g _ _j - 2 cc w B < 0 Lu C4 z oo 2 0 0 0 ] (),, $ 0 § 2 ���■� D o u a tn o� < 0 a. � OOOOO 0 00 E �. � 1 PR/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE e 3 2 AND UTILITY CONNECTION PERMIT 6 • r kNES °� I. white Fite PERMIT NO. z. Pink city 0614) 3. Yellow Applicant /� • (Please type or print and sign at bottom) ADDRESS ZONING (office use) / 7 7 96 C Le e t 17e-a ;1.- Si„. a. t02 Lam, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION ND t5,454. . dW .V OWNER • (Name) / I�AOn L IPS if (Phone) 763 2Z7- g/ 'S3 (Address) / 7790 eLf A - lift /L SL 7c41 fJ -- /.- ^g£1 ierl n S:5 2._ BUILDER ./ (Company Name) �l n 14-5 a-- ..1 ST,2erLTiO..� "►4 r?AtsG�BI'i+' (Phone) 95 — 97 Z 7'/ 9 (Contact Name) J M 4 GL£m,Ar✓ __ U (Phone) Cl / Z — 2 . 7 —i 2 . 7 —i / — .S�j 9D (Address) ' 1 S 1 N LL T ti e-t Pt L S r • 5 .L . yy K IDS M A pt..g PLA , a, A'1 , ..1 -5 TYPE OF WORK ❑ New Construction Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ['Addition ❑Alters on ['Utility Connection CODE: .R.C. ❑I.B.C. ❑ Mist: Type of Construction: I II III IV V AB Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ /310‘..-, .- Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information 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 prop- .ley / s «fin will conform to all existing state and local laws and will proceed m accoance with submitted plans. I am aware then the building of£ici an revok , ermore, I h ereby agree that the city official or a designee may enter upon the rd property [o perform needed inspections. �6,— / : SG Cv 3i 575 7 -Z-9 Za) Signature Contractor's License No. Date Permit Valuation 5 G ( (, - C) U Park Support Fee # $ Permit Fee $ j ./7 7 SAC # $ Plan Check Fee $ 76 ` 54— Water Meter Size 5/8 "; I "; $ State Surcharge $ Z Z' 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 $ I TOTAL DUE 14111/4)M9 , 1 1 / �`/ 1 $ / / (G'/ 7L' 1 !r cf C/ J � This z i, 'ca Becomes Your Building Permit When pprov d Paid / %6 Ceipt No. L �� 0 Date /J 4. � `� Bu le Da This is to • - 1 that : request in the above application and accompanying documents is in . • ordance r'th the City Zoning Ordinance and may proceed as requested. This document when ail, ;$ . the t i r, Planner constitutes a temporary Certificate of Zoning compliance . • t allows • struction to commence. Before occupancy, a Certificate of Occupancy must be issued. a _ y v / , ' plann .." -- - 1 : e Special Conditions, if any 24 -lruur notice for an inspect ons (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 Ir • 44 .■ •••• • p •-.1 • .0..4 • 4 • 1). %, • PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS I 77g0 aiE/they TA•fiG' TYPE OF WORK 0EP.tt USE OF BUILDING tees AA. PERMIT NO. /3. 65t DATE ISSUED 0, S . /3 BUILDER /rJ'/iLST/JZ EQlVlay, PHONE # 9412, 74'54' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECfOq ORiE FOOTING IA NC 1 1'1 13 I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 'FINAL FOR ALL INSPECTIONS (952) 447 - 9850