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HomeMy WebLinkAboutBuilding Permit 13. 0532 w F- Z Z ti r- J 22 a- cc ` ui ww U W Z a aa0 * c �o�a tn z 0 w U u u c ? \, \' ❑OOOOO ■, > re 0 -.A \ d LL N O w ' O ��d m G O G i 2 OOH O V V Q W LI O w m w N 4 1 N U 0. g2W N2 N ? U E . ' C J us *IC 1 U W �� W W w k �. a�3wa� w w 000000 ) 2 Q0 W ka W u \ \ i O \`O i NC (.) ‘ Z ■ 1 G O \ . . - \ i I 0 : t 0) oz �_ O 02 w H 1 a .1441\ 1/4 a 0 O z N Z H U v E Lij OW Q w Z OO d N Z t- 2 0 0 t5 �U o. 0 O u. u. U. ? N v v li 0Z < C) a 000000 V 0 0 5 of PR-i CITY OF PRIOR LAKE BUILDING PERMIT, Daty Re 'd f , > TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (l3/ v ril AND UTILITY CONNECTION PERMIT 4'nxe so't� I. White File PERMIT NO . ^ 2 Pe Pity 3,� / /� 3 yellow Applicant (e ✓ II�� Please or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) / . LOT 7 BLOCK / ADDITION /1ILkoR S/ S 0,4.6 3 Ah / PID c;75 l ig5 - ©Q 7--0 (Name) f 1 1 e f ti L, (Phone) (Address) BUILDER (Company Name) F.-raft/4 VPICOr pafu ri (Phone) ‘G7 2-W 0( (Contact Name) 3C)14 Pr4/(L&' (Phone) (Address) 33 L 2 4 41,40_ ke.t„/ j y /tl J TYPE OF WORK 0 New Construction kl, •ck ❑Porch DRe- Roofing DRe- Siding DLower Level Finish 0 Fireplace DAddition DAltera ion ❑Utility Connection CODE: DLR.C. DI.B.C. 0 Misc. Type of Comitruction: I II III IV V AB /,� C 9-0)445 t . PROJECT COST /VALUE $ t ( Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 I hereby certify that I have furnished information on 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 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 th it for just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X 206 3 . 2z56 ( -3 -- t Signature Contractor's License No Date Permit Valuation Park Support Fee # $ 30 . or, . Permit Fee $ gle. Zc i SAC # $ Plan Check Fee $ - Water Meter Size 5/8 "; I"; $ State Surcharge $ 1. co 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 $ / < r /r a T ■ "'pp 'ca i n Becomes Your Building Permit When Approved \t4 1 r ( ( Receipt No. (pt� / 1 9 ' ate By _673 F ticiai 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 constriction 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 BUILDING A D1N SPECTION INSPECTION RECORD SITE ADDRESS 3676 B/LE1GcEts1 TYPE OF WORK USE OF BUILDING C TI5 M,`I PERMIT NO. 13. 532 DATE ISSUED 4. 3. 13 BUILDER f1Z/tl +ae-- Nee. PHONE # 507, L�1� . GGB$ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE IFOOnNC 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL FOR ALL INSPECTIONS (952) 447 -9850 , t w ! : f z > •