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HomeMy WebLinkAboutBuilding Permit 13. 1085 J w Z _ N F- \ LL Z W W Q 0 w t) , -a555z - Z `10 ` 03 ca O° a � a do Z z 0 U u. u. 0 re z E. '�'^ 0 000000 ,� > v � CO ) 1 CO M A W ,.., � � _ �, a S O N D ) u. C UJ C5 > > a m L Z 04 _ Z 0 w G -'�" FZ, a' 0poiiJ O U V 4' W OD F- 'M (7 O O (7 Q ... F d LLS... QC mU 0 W ppaQi W 0 o a. .9R Z04 Cl) %0 a jSW ! S 0.Z X ala Q0 n. WZ� 3v � v© ` ,- v ❑ ❑ ❑ ❑ ❑ ❑ 2 0 re 0ce c4 O W `C a a u = C ~ 3 Z ace w W W '- g 0 C) u. O =O Le 0 , A LL t.�„. rg z W r22 0 pO Z1O < . az ga = ? W I- f- f- 3 UW W w HW p = J u.0OWav ? HZ2 _ W � M < W W Z OONZC 0 0 LL. u. u. Z . V❑ ❑ ❑❑19;a Z VC O O OU 1. )6. ❑ ❑ 5. r (4.- PRiO� CITY OF PRIOR LAKE BUILDING PERMIT, \./ Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Z.") en/ ''IHNESp,t) I white File f PERMIT NO. 2 Pink City 1 3 '104. 5 .- 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 44(5cL-6-4113S �`.1- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER 13,..-,- r.�EUS �' (Phone) cf �'2 " Z1 5 - 1 3 b4-- (Address) � BUILDER S4:1(Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK D New Construction ❑Deck DPorch ORe-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace DAddition ❑Alteration ❑Utility Connection g� '� :-� r�—S I- to•01 .14 Ell CODE: Ii .R.C. ❑LB.C. Mtsc Type of Construction: I II HI IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 1 I heieby certify that I have furnished information on this application which is to the best of my knowledge true and correct I also ceitify that I am the owner of authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accoidance with submitted plans I am aware that the building official can revoke this permit foi Just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections iX Signature Contractor's License No Date Permit Valuation 5-0-01- --- Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8", I", $ 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 I $ TOTAL DUE citueV `Q///3 $ 4 k 1 c " This Ap- at i Becomes Your Buildin�P�rntit When Ap.roved Paid 47. I r R etpt No. .761( Date /40 . But iing$ - . Date This is to cert, that e request in the above application and accompanying docum nus is i accoidance with the City Zoning Ordinance and may proceed as iequested This document when signed , the fit Planner constitut8sa temporary Certificate of Zoning con fiance d allows construction to commence Before occupancy,a Certificate of Occupancy must be issued r-a_ X 13 • .t t . - Dat Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 DEPA TMENT OF PRIOR LAKE BUILDINGANDAND INSPECTION INSPECTION RECORD SITE ADDRESS `�4��' Lx14,8S N\� TYPE OF WORK (2-5 USE OF BUILDING A2 PERMIT NO. ( �- ���5 DATE ISSUED `� �45 BUILDER 3IIe- PHONE #YSz • z(>-cL3� � NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 'PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL FOR ALL INSPECTIONS (952) 447-9850