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HomeMy WebLinkAboutBuilding Permit 11. 1314 Wensco )§ j �_i_ 2 §�q ® 0 § _ � ��$ < 0 2 WWU c 0 2 1 2 § /ct2 w o��o 2 ? / $ 000000 / g ■ , . j 0 ƒ '444 § N \ § k \§) ■ § L. § § E 2 §§_� z 0 § ° : 1 ` Z & $ ?27 U c , 0 0 w Ea MEt Ca� a f 2 2 § q 0 a. t §D 1 0 o g w) a�7 w w E w © 0 20 eE0 § j § \ Q a a u. ) (r7 \ }- z \ \ / § Id < to 04 LI r4 2 § z§ g . $ g. k 0.� 0 z k k2 \ _jui � ` �W j - \ o w w CC w o < � w a x ] 0 a /� k k$ EoU.27 0 0 SU R 5 ? < 0 a_ O=O0'c 0 le a a / § = -� 1 _J �� w §Kdq� 0 LQ g 555 z z \ 0 W UJ o ° -a < ESQ §A ƒ z 2 / 0 00000 > Cl e 0 § m / S 0 0 W { 0 2 § 2 22 z / w § E c o Li --I ° 0 ■ o 000ƒ 1 § @ O 0 w §cl3 w / 2 / 0 ® §§i-§ §3 00 } 1 o a27 a2 § § b $ ® c=OCOe re cc o u $ a a u- 1 0 < \ k nq ( z of � § n§ . z 0 i, � � @ $7 R ) Z a / 1. / 0 § § IX w 0 D < < W m ) f < } z ti k S 0 & B 0 0 E ° §_�� 0? 2 0 1 0 00 0 0 U *0 0 { o� PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd T EMPORARY CERTIFICATE OF ZONING COMPLIANCE l L �-! l — X AND UTILITY CONNECTION PERMIT U t„ /NNESOAt" I. White File 2 Pink City PERMIT NO. / ( r h 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) /415y Wile? ` tee 5 /IOC_ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER e , / ` c� J , � (Name) l� � !✓v S (Phone) (Address) BUILDER (Company Name) / 1 Q " 11 (Phone) 9,0 ` y Y G MG Go (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ['Addition ['Alteration ❑Utility Connection CODE: DI.R.C. DI.B.C. ❑ Misc. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 hereby certify tha have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or autho ized agent for the above - mentioned , o.city and 11 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I a - aw. a that the building official can revo ',- r it r st ause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins. Lion . x % ! 12. u 1 Signature Contractor's License No. ate Permit Valuation 56;e2 Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 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 $ 4 / 7 ) This App tion B - o e o ilding Permit When pro d Paid / 1 e lpt No. ‘‘,7/7/ / i / � Date / 2 , q (I Building Official D. to 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 occupy`�', a Certificate of Occupancy must be issued. E 1 r i e r J6hye 5. ! r elfjp /Z / - f — 1 / seituottc ^ perm rt. Pla P ng 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 RECORD SITE ADDRESS /" 5 - i1*, TYPE OF WORK 4 rd - 0^ - l5n0 USE OF BUILDING /1 A z PERMIT NO. (1- /3/4- DATE ISSUED /1; BUILDER LdE.vS -c' %c PHONE # D -(,jco NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE E ms ,r /Z f 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING f // / / ?, /, 1 1 FINAL 1 FOR ALL INSPECTIONS (952) 447 -9850