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HomeMy WebLinkAboutBuilding Permit 14. 0276 W zJ F- x _ h \ 4 020 Vz •r N 11111 4J 1 000000z 44 qt 44. T 0 0 W Q o w ? Z a = aa -+ o y 0 l�N Z O p iz.c �\ us _ rr 0 7 ti w U a mCCirLemL m i r ffa� M= w a fi ��aX3ya , UIg. O :10000 _ w ` a 0 o o 0 z �° I Y W ` W W W i- , 11141 tb. 0 0 sr 0 0 Az us Lt. ix •O `Oz O axO ti wNpO o _ O J a \ z �4. � H p C ►=0W O et et e U < ra .- 2 O „y F- y cw zoZX5-' Z w I �� h c;z o 1 O p4i� a b o° zFQ O a . ~ �\ • Os a• h ��oV .X x 0 -a L 52 w U U I� U V AQ 0 -ave PittoR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd { TEMPORARY CERTIFICATE OF ZONING COMPLIANCE . AND UTILITY CONNECTION PERMIT U m .1, l 1.White File PERMIT NO. ( .2.762 HNESD 2. rink City - 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS - ZONING(office use) '9844© Kn.jlr; tint Or;ve 1N`^1 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) .3c e.I 4 et J Te 0•' 6 re.'n" (Phone) (o/ 2-7 y 3 -.7 0 7 (Address) ae iA 0 le-00I r;t.e ele',e. WV/ • BUILDER (Company Name) NU4t.11 a ilS-Iry x (Phone) (Contact Name) Tod I-ILA4th.•-tco.- (Phone) b7*-" 2o9-3/Sv (Address) 6.3 S S vv- lit w z,u cf . 4.d, 0t 5S r- ,.,,,n/ IDS AO4 k moi~,c-.-,,It,,.x,. to-.• TYPE OF WORK D New Construction ,Deck DPorch ORe-Roofing DRe-Siding ❑Lower Level Finish D Fireplace DAddition DAlteratibn DUtility Connection CODE: OI.R.C. DI.B.C. D Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 3-",o o 1 >z M j Occupancy Group: A BE 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 wiser or authorized agent for the above-mentioned rtyattd that all ct ill conform to ail existing state and local laws and will proceed in accordance with submitted pta . I am aware that the building official ca ie thiy crm{{i for fust can 4! �agree that the city official or a designee may enter upon the property to perform needed inspections. X 8C 4 39bz`7/ Y- fr--/y Signature Contractor's License No. Date Permit Valuation 'd.20C2,. Park Support Fee # $ Permit Fee $ Se 2-C- SAC # $ Plan Check Fee $ 5 7 3p Water Meter Size 5/8";1"; $ State Surcharge $ 1. .j—,> 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 $ (41 ,1 ( This App/ti. B , es Your Building Permit N en App d Paid r/ 11 .-'( Receipt N 1`G I / / • Date L�''e�kBy ei) ♦,I:_.AN -4- z� /4' •' Building Oihcia Date This is to certify ` th;• •uest in the above application and accompanying docu nts is in a ,.rdance with the City Zoning Ordinance and may proceed as requested. This document when signed. i"/ /anner constitutes a temporary Certificate of Zoning co tante an allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued 4 Pt:. "71.'""! , t. Special Conditions,if any 24 hour notice for all inspections(952)447-98511,fax(952)447-4245 ' 4646 Dakota Street Prior Lake,MN 55372 • DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECOID SITE ADDRESS -2- /.34),-,-- z_\ U� TYPE OF WORK USE OF BUILDING A PERMIT NO. k 4 -2'Zw DATE ISSUED `- z r i` BUILDER 4"s1 PHONE # 2 -2-c,g -3/5-0 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I L-�,-- /�7Jdy PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FINAL fir .//)/`J FOR ALL INSPECTIONS (952) 447-9850