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HomeMy WebLinkAboutBuilding Permit 13. 1310 0 JQ IIJ Z _ ZNidi, ) , , ° 555 = o cc _N0 tr. d' O 0000 ❑ ❑ p f 1 ► A c.) W = M O N 1 u.w Z sq c W O > > z o p W 0 te H 0O � J 0 y W j R ,; 0 W Z d' = _ SSZ � .9 a 8 g Z c 0 W m am v co a zuJw . x (is1 W0 W0 Z X co 0 a a23vna2 l.' W v z 0 0000 ❑ ❑ 4a a a LL x J 3 o}c Z a • w ,_ < u. 0 42 Z0 z U c W H �.� 0 I i Wu. V O \\ ap t:, 01 0 Z �f ZO ZO W H < I- F- 103 oWG O Z F- 4 Z H 0 0 Ill J O a0 co O ZG=~ 2 ILL Y w S o Q LLF- V1 Z HZ ��� < W O 0 O V V OCW pW 0 U-U. U. iti VN o0 c) 1. EilO v ? a 0 a ❑ V `�, ❑ 0❑ ❑ ❑ 0'; o* PRJO� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� • TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT U trj 44N,NEsot' I While File PERMIT NO. U City f4 • Yellow ,/3 // 3 ow Applicant / (Please type or print and sign at bottom) ADDRESS ZONING(office use) Y�.e �: Lam;BOO� S r 1\% ric c 1..474_c__ i)m1 s 3 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) Cd-e— ,/'CL}:)�-J' (Phone) l7 ` %j 3�f`( (Address) BUILDER (Company Name) 'S ,4i D 6 (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing Xte-Siding ❑Lower Level Finish 0 Fireplace ❑Addition DAlteration 0 Utility Connection CODE: I.R.C. ❑I.B.C. Misc. e' 1/ -S,�' Type of o coon: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (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 of authorized agent for the above-mentioned property and that all consauction will conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building official ca evoke this petmit for rust cause Futtheimore,I hereby agree that the city official or a designee may enter upon the property to petform needed inspections X - - 4 ----- Signature Contractor's License No Date Permit Valuation 'we. ' Park Support Fee # $ Permit Fee $ 10.5- - SAC # $ Plan Check Fee $ fe; Water Meter Size 5/8"; 1", $ State Surcharge $ Z, - 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 $ e7 f, fc. This A/ ic. i,n Becomes Your Building Permit en Ap, oved Paid �, l �'� Receipt No.r )¢* I Z • DateI f fz I r3 By a _ A ..� "'' ' a 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 pioceed as requested This document when signed by the City flannel constitutes a temporary Certificate of Zoning compliance and allows constiucnon 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 DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS > s Sr �4 TYPE OF WORK Sia fp t, 4 O&c_tAlPor +�P - USE OF BUILDING ?Lc-s PERMIT NO. 3 DATE ISSUED BUILDER J©6-- Kizgu S PHONE # Ts-2- z_45 . 7351_ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING IPA ttoi5 PLACE NO CONCRETE UNTIL ABE HAS BEEN SIGNED I FRAMING I I FINAL FOR ALL INSPECTIONS (952) 447-9850