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HomeMy WebLinkAboutBuilding Permit 13.1130 I O 0 0 00000 " 0 > E 0 n 2 0 M . g �ZB�oo Z§ k 4 o.- 73 73 73 s D C CO m 5j§ R 0 % m m m $ ) 0 z 0 0) §W i \ �\ q q G ', z§ % > g . _ z 2 § ■ rzi o \ ^ ) .4 z m % a .a o . m 2 x k § 7 `� ' s �� % z 2 00 cOCOO , m 'm m � -00)*Z 2 0 o o . nc -IO s \ \ * N \ k - ƒ \ � � / % k cri Xi \ 0 Z X222 z � ` / 1.23 § § A�� P § \\\ • k o . ' \ ■ % § ` \. ■ } �cOOQOO 1 0 L., >a 0 comma§ m o \ E -o -o -o m 0 < > NI IA q m .^ 55 -n � r -I ° § t - § m r © 1 >'[tp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd - TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /O 9. / 3 ' AND U'T'ILITY CONNECTION PERMIT f tr n : r.ie PERMIT NO. /3 //30 3. Yellow Applicant .: (Please type or print and sign at bottom) ADDRESS ZOI'Goffxce use) MO 1115 4 Cart; p t' r i?L.m' LEGAL, DESCRIPTION (office use only) LOT BLOCK 2•ADDIT ON eillemo& 1/M4 2** 413 4 pm 2S. 2 il. o4 OWNER 'IG r (Name) it IT e (Phone) (Address) (Com pany O t tt, (Phone) . 6 1 L 7-C (O q q (Company N1Irl @) �� � 0(111;011 (Contact Name) Er 't C Pfc. t ( (Phone) (Adams) 1A/ taw/ (3 5 IA TYPE OF WORK ❑ New Construction 0_ ©Porch DRe- Roofing ORe Siding DLower Level Finish 9 Fireplace OAdditioa D Alteration ❑Utility Connection CODE. R.C. DLB.C. ❑ Mist: Type of onstzncton: I II III IV V AB Occupancy Group: A B E F II 1 M R S U PROJECT COST/VALUE $ j e>(! u. Divyision 1 2 3 4 $ (excluding land) 1 hereby certify that l have in •. n this : • • location which is to the best of my knowledge true and carnet. I also certify that t am the owner or authorized agent for the above -mentioned property and corstru will .1 , ■ . .... , . • all existing state and local laws and will in at ordance with submitted plans. I am aware that the building official can revoke tins' permit tor (:suit. L - }� i � s it f t . , � that the city official a ' may enter upon the to perf A i needed inspections. ' . , or Signature Con ractor's License No. Date Permit' Valuation -,Z-.a ."0,- ° Park Support Fee # $ Permit Fee $ Z 3.7c SAC # $ Plan Check Fee $ 4 Water Meter Size 5/8"; 1" $ State Surcharge $ 1 _ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # Piutubing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ - TOTAL DUE $ (Z-Z. C,7 ribs A %,, ( .,, Becomes Your Building Permit i t Paid 2 (�, C( Receipt No, ` / ®/ r) / / � Date hi �, 1 By ( -4 t._ //I ..fir..... (. �- This is w i ... • crrttfy •i .. in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when meted by .. • ° - ° rim constitute!' a temporary Certificate of Zoning compliance and allows to commence. Before o upancy. a Certificate of Occupancy must be issued. A —amar , ,, v °r recta late Special Conditions, if any 24 . , Mice for all inspections (952) 447-9850, fax (952) 4474245 Dakota Street S.R., Prior Lake, Minnesota 55372 4 • At • A *vat‘ixott PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /4592 CAW/9 Fi 44. TYPE OF WORK DE USE OF BUILDING lei /R. PERMIT NO. /3. /130 DATE ISSUED 14. to. /3 BUILDER 351.4#1 geN00641A4 PHONE # G /Z. 'AO. eV? NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR a, DATE FOOTING tie),/ f C elr(0„r r r .sr 1111 WAIN PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED *NNW FINAL �` ��NW FOR ALL INSPECTIONS (952) 447 -9850