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HomeMy WebLinkAboutBuilding Permit 14. 0755 3 ❑ ❑ C) ❑❑ ❑❑ ❑❑ O a 5E 11 n A � Ao I 0 3 N �y 'no 'n z zo 7X0 F 3 ra- c3Z -� Z I y 1� �f r cc) cmi y m z � zc � y g t -4 -4 ai z 00 � O Z - a -1 m o O� A 0 z e co °i > Z o k7:1 n z o z m54 -4 r t�1 z nm X A A ❑ ❑ ❑ ❑ ❑ ❑ ': x m m m '/ '1IfNgE31, z -4 N o v rn E O r IZ -Incm I/ 0 ,V ,� cn c y 7 0 ,�Z73X/ X = m 0 ,� 0 o z zcc z c C%t 4iz ` I. O + 0 X X n C A L 1 ti p � 04)y = A0000 � �oZ' U1 4- F. SZ 4C y 41 n IP Pr a m m Z f11 Xmx � r i ai z . Z- -1r A 4 04 PRio CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1 t 2q, izi ., Z.> x / +rNHesotr I. White File ?. Pink City PERMIT NO. /4t r 175 51 3 Yellow Applicant d (Please type or print and sign at bottom) ADDRESS ZON) G(office use) /77/Ill-s ccxitr560- LEGAL DESCRIPTION(office use only) /� LOT BLOCK ADDITION PID CZ ' L-142°03C. OWNER (Name) £ -2- I G Ff04eLO 444415✓W,eaZ (Phone) 4/2-c��+1--.3Z.2. (Address) /7 4/1 e 37'67017' (544.7. BUILDER n (Company Name) e.'�2.-,D�Uti-� -l"�k (Phone) J^J,- � -4/79/ (Contact Name) ...77,1, wti4- (Phone) 737-029 Z-42.gee) (Address) /Pc3i/ . 4!/l51.1,C40e•C 411101_ . filial ,(tt , /i,Q. L37Z TYPE OF WORK 0 New Construction heck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B ,.Z,. 4V' PROJECT COST/VALUE $ /�/CI, — 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 or authorized agent for the above-mentioned property and that all onstruction 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 revoke this• it for just•,use. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspe tions. � X 3 zoZ337 rz i Signature Contractor's License No. Date Permit Valuation —©o _ Park Support Fee # $ Permit Fee $ A.7 C SAC # $ Plan Check Fee $ 3;.04c Water Meter Size 5/8"; 1"; $ State Surcharge $ ,(0® 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 $ 71 3 This Applicati•< Be omes Your Building Permit .en Ap. .ved Paid " Receipt Noon.1 + 855 ( 1 Date 1 r2/,f •1- By 1�Y W O Buildine ' - l Date This is to certify th, the r'• est in the above application and accompanying documen is in acc.•.ance with the City Zoning Ordinance and may proceed as requested. This document when signed by th, ity' ner coo titutes a temporary Certificate of Zoning compl'nce and ows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. �/ `I / "Planning Di —• Date Special Conditions,if any -'r notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 PRIOR LAKEDEPARTMENT UILDG A D 01 NF SPECTIONI INSPECTION RECORDLM' SITE ADDRESS 17`/T 4gJ7t ,��v� TYPE OF WORK USE OF BUILDIN w � •�� �t PERMIT NO. 14 , / DA E SUED Z�• / BUILDER I UlD �i NO .�O� � � PHONE # 44417 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOO � PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED OWN I FINAL FOR ALL INSPECTIONS (952) 447-9850