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HomeMy WebLinkAboutBuilding Permit 13. 0980 o J W Z _ _1w a J ', F: J Z V. RRI E C1C1 < Pw aL CL CE.Jo t9TewWy c7 �Q M! 4 .\-_. ❑ ❑ ❑ ❑ ❑ > IA it 00 \ M W ID Z YYg. m c 0 5 W 1- 2 0 oo 0 <' X Z ce hU fil 0 a zpl er a 0 :% � W � �jj � W O O Z F- p a � 3v1 I w w w �� wrt 0000 ❑ ❑ 0 : h- } O J OC IQ LU W hi .Z H O Z W 1- < ?� r. 01 a p O 0 < OP N Z < o o Zit 14 U.0 w w o0a0< Iu Y Wa' a L , A re re re O <( Po- 0 CC g S u.LLU.ZV. H 0 t°.1 C°1 1 C1 C1 ? < O a. 000000 0 00 c 401/°4, CITY OF PRIOR LAKE BUILDING PERMIT, Dal:e Rec'd A, r* TEMPORARY CERTIFICATE OF ZONING COMPLIANCE fewAND UTILITY CONNECTION PERMIT 7.) Aj ♦•ivfveso't� I. White File PERMIT NO. g � 2. pink City /3� I��C.! I 3 Yellow Applicant I .•{{ff (Please type or print and sign at bottom) ADDRESS ZONING(office use) /6 4=h/ Elr>,-I .4 vrz S'. IA). SF D Sp to GA e_.. ebYt d0 LEGAL DESCRIPTION(office use only) DAir [..C)C O©c° g.,,Y)CK O �'�'r4 I N X 6/ i j"-CIMMD `> 9 C2i- LOT ADDITION —� OWNER I J ['(� (Name) Doo CAS :- A 0✓z-t A �re k C! 5 (Phone) 952- 41 9 4 Y 6 40 (Address) /L q$-, ).:,/,,,f-► .4tAe... c BUILDER ` I (Company Name) I _ a i.,,`i lio4 ,(Phone) 4e3 — - 96`9 `-1 (Contact Name) 'Trc'6..) G r e. _ + c (Phone) (Address) 676 Ii' -/ ,D✓i os , P C alai. .'�t S' Tc 5 Alp `� TYPE OF WORK 0 New Construction jgbeck ❑Porch ❑Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ['Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V AB PROJECT COST/VALUE $ 6.00 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 construction 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 permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Oagedt,4e, !D—a -- Si ature Contractor's License No. Date Permit Valuation (/Da Park Support Fee # $ Permit Fee $ Ads 0 SAC # $ Plan Check Fee $ 2_6, / 3 Water Meter Size 5/8"; 1"; $ State Surcharge $ e 5--- Pressure Reducer $ Penalty $ J 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 9u,c-z; g, j0.0 $ 7?. 447g 4 D This Applica',n B "i mes Your Building Permit Wh Ap,'•i ved Paid �� ReCe NO. ��q eDate IQ By. ii ' Ilr .. .midi Official -_ V to This is to certify th c r'.'est in a above application and accompanying doe ents'.in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by t All net c/stitutes a temporary Certificate of Zoning c mplia,cc and allows construction to commence. Before occupancy,a Certificate of Occuparcy must be issued. `/J a A. tL."�_�__._ / Planning Dime s Da e Special Conditions,if any --14111!"*' r._.ce for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 DE TMENT F PRIOR LAKE BUILDING A DOINSPECTION INSPECTION SITE ADDRESS RECORD � - TYPE OF WORKUSE OF BUILDING (� �� / _ PERMIT NO. 13 - ”o DATE ISSUE `I 9 �3 _ BUILDER 1-7°4c-E4-64. (:12-6-KR6� PHONE # 27Z- W¢ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING ���i0.fP�� /ATE PLACE NO CONCRETE UNT OVE HAS BEE D ( FRAMING I FINAL FOR ALL INSPECTIONS (952) 447-9850