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HomeMy WebLinkAboutBuilding Permit 13. 1145 J 0 O \ 0 000000 1 0 a En i 8 n . 0 q -n $�o 0 V � m o o ■ ■ c m m n �� � m m 0) / m ( 1) 0 ® O q q » � , 2 -41 �®]® �k Kb - . § ^ '\ • • o ■N\= 2 0m -0 N . > o \ % . ¥ � � . � % = «, • ` o OoOC ❑O m ' m2 \ . ) ■12 m ® ■■-a x m \ r »mr 1 \ \ c o ` , . k ilfl B a tm k § -0 -0 o 0 m \ \ r o 0 § m : x K c ;'' \ 2 . 000000 E s�� § tn ` / � / � , I \ . §©© �� q ��� r 2 0t Z m -I 1- 0 f: ., �' u O "N CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ti ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE " /9 --As AND UTILITY CONNECTION PERMIT //i45 .4►tNtvesot• I. white File PERMIT NO 2. Pink City / 3 3 Yellow Applicant / (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3G07 7 6d__, LA.c-'- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID Z rj - 414 . C.)0'3 -O OWNER (Name) L v ) e i.4(-4/..4 . JD 4.,A -J (Phone) ‘../ 2- Sal ` 513// (Address) e3 G G 9 'TU ,, 4_ . 40 2 1 ae- ..,43 BUILDER (Company Name) e x . / OP & 0 W " _ 7 7 0 4 . 4 . 4 — ' ' ' A / C_ (Phone) 9-5 V / A V (Contact Name) .-.✓ 7 4 4 F < (Phone) nr ,�2 • .792- G 2.3.4 (Address) / 93// 30477-0, e.C.... 4k/sc./ 2 - PQ « e 6,4,C2... TYPE OF WORK ❑ New Construction (k ❑Porch DRe- Roofing DRe- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ['Alteration ['Utility Connection CODE: DI.R.C. DI.B.C. 0 Misc. Type of Construction: I II H I W V AB 440 Z2-47 Occupancy Group: A B E F HI M R S U PROJECT COST /VALUE $ /9j Division: 1 2 3 4 5 (excluding land) 1 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 1 am the owner or authorized agent for the above - mentioned props and that 1 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 re7rnitfor,case Furthe rmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections Contractors License No. Date Permit Va ®..-- Park Support Fee # $ Permit Fee $ 1 1 7 7 S SAC # $ Plan Check Fee $ 7. s¢ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 2 . 5-4, 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 $ 17 6 - 71 This A lica n Becomes Your Building Permit Wh • . Appro ed Paid - : .1WIW — Recei it N.. 401 &J e 1 Date �/1Z �� B —47,4 uilding Official Date This is to certify that the req in the above application and accompanying documents is in a. ordance ith the City Zoning Ordinance and may proceed as requested. This document when signed by t PI, r constitutes a temporary Certificate of Zoning compliance an allows construction to commence. Before occupancy, a Cotitcate of Occupancy must be issued. (, If () arming Director Dal- Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 . 1 = A 0 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 3 66cl ru •- - " TYPE OF WORK USE OF BUILDING PERMIT NO. <3 - ittlf DATE ISSUED (o /( / 3 BUILDER bu 7 ..7i -- PHONE #15 Z- 2v. - !02 - 38 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT JNSPECTOR DAT FOOTING r7fiil M l��' PLACE NO CONCRETE UN ' °'L AB • VE HAS BEEN SIGNED *MIN I FINAL 1 C i fp-, s 1 JY/ . . 1 FOR ALL INSPECTIONS (952) 447 -9850