HomeMy WebLinkAboutBuilding Permit 13. 0388 J
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0 ?R jop CITE OF PRIOR LAKE BUILDING P IMIT, Date Recd
ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5. 7. �3
v AND UTILITY CONNECTION PERMIT
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l 2 Fmk rs White PERMIT NO. /3 3 C g
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3. Ydlow Applicant 1
(please type or Out and sign at bottom)
ADDRESS 0.04 0 6 c brua Jr ( rcIe. 4,51A) • ZONING (office use)
;-� WtM57 f' vr�
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LEGAL DESCRIPTION (office use only)
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LOT BLOCK ADDITION pID 2 C. 4r 00 I_ O
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(N aame) V►�t #'Je l'ipSC Q.. (Phone) bra" 719$19'77
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1
110
1 40 Zfnrte.'a+� iti‘ue 0rcle.SW
(Address) a• lor -tale. M1 558
BUILDER
(Company Name) NfA • (Phone) 1
(Contact Name) J/A (Phone) i
(Address)
TYPE OF WORK ❑ New Construction Week [Porch ❑Re- Rooting ❑Re-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ['Alteration ['Utility Connection
CODE: ` 2 .R.C. DLB.C. ❑ •
Type of onstruction: I 11 DI-IV V AB
Occupancy Group: A B E F II 1 M B S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (minding land)
I hereby emit that I have flunished information on this application which is to the best of my knowledge taste and correct. I also cetdty that I am the owner or authorized agent for the
above -m - .• .: „ , , -and that all consttuction will conform to all existing state and look laws and will proceed in accordance with submitted plans. I am aware flat the building i
o;; ' Furthermore, I hereby » that the dryo18da1ara designee may enter the propeRyto perform needed I .11, ' WA- 6=6 1.3
X �....
Signature Contractors License No. Date I
Permit Valuation 3 000 o 0 P S Fee # $ I
Permit Fee $ C SAC ## • $
Plan Check Fee $ 57 • 3 (.,__ Water Meter Size 5/8"; 1";
State Surcharge $ Pressure Reducer $
- Penslty
$ Sewer/Water Connection Fa # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechnnirr Permit Fee $ Builder's Deposit $ •
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE , 1 . t No. $ / / L- 7 / f _
This App, YourBuiidiug Permit Ap wed Paid / 4" . ' �'� r (a6� 7
y ak AP G � � D , / � I
. '' ilding Official —ter
This whe ' is to ' , that „ requests er in the above a application and accompan i g a is is accordance with the City Zoning ordinance and may proce a ed as requeted- f s This occapan must be
document
Plann oonshTobes temporary t sdfiate � 7 mad allows mnsasition to commence B efore omipaat y txaifia o
issued. ,{ ,i 1
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Pig Director S �� Dato Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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PRIOR LAKE BUP DRNG D
INSPECTION
SITE ADDRESS 17,
RECIM �
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TYPE OF WORK
USE OF BUILDING ��
PERMIT NO. r - DATE ISSUED �7 ; i�r /.�
BUILDER ��i� PHONE #4/PLIMff
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING �s� �
INSPECTOR
/on � z! /[7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1011.11 1 1 1
IFINAL
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• FOR ALL INSPECTIONS (952) 447 -9850