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HomeMy WebLinkAboutBuilding Permit 14. 0819 W j11' I°iiIIJ ! -. 7—t —' ")3 '4 zw ..._ II iu re re 1 1 O 41 1 W O W = W N. F ` ,` 0.4 03 1 \t\I '' J MIQ1 �1 :IIi< oi= co1`co w W ►=?� g � z �� v v 4 ac 1/)-) I W z 00e0Z E Y ce ce L -I W v= _ � aLa =� 0 al 3 v v < 0 a 0000 ❑ 0 g x❑ ❑ c N is h h `a 7 3►o)s' , 04 pRI0�P CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE p� AND UTILITY CONNECTION PERMIT F. / 1 /Lf i.white File 2. Pink City PERMIT NO. /4 0 (� -- r. 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) • /1I NS- S-,kdy e)cKA(1. I rok % I R 6 LEGAL DESCRIPTION(office use only) / ,�- LOT 2BLOCK / ADDITION A/� / ;� A&)4 PID,;?"5-Ae 17- Lie), - O ' �-f� Phone) ) (Name � ('a. y (Address) I yo../s sh ct s erAc Tra.11 BUILDER / 1 (Company Name) -.3 CAS' om Ca Ce (Phone) 6�► 5-5- g 5 o (Contact Name) -)Cv\ "�lor box (Phone) 6 Si 75 g 71 1 (Address) 6 J I oa L-4,i1- t" Ave- J Co t- ( -Q)Vt- i(") cb1c. TYPE OF WORK 0 New Construction )eck ['Porch ORe-Roofing ORe-Siding ❑Lower Level Finish ❑Fireplace ['Addition ['Alteration ['Utility Connection /01 CODE: V.'.'.C. QI.B.C. 0 Misc: L Type of C I 1 truction: I II III IV V AB as �p' Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) i 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 o er or authorized ai,ent fondle above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plan. I am aware that the buildin ., official can revoke di permit for just c us . Furth more,I hereby agree that the city official or a designee may enter upon the property to perform need inspections. Signature Contractor's License No. Date Permit Valuation A000 . -- Park Support Fee # $ Permit Fee $ t ©°3< - SAC # $ Plan Check Fee $ 63(D.4V1 Water Meter Size 5/8"; 1"; $ State Surcharge $ 2.. — 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 ehttoi yt6 (4— $ t 1 1 l S '7 Receipt No. �;' This Appli.: 'o co.. s Your Building Permit Whe Ap oved Paid �, q� P ��y l /� Date . j `-� By -�-✓ �. ` b7 �4 Buil ing Official 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 proceed as requested. This document when signed by the C. Planner constitu;•a temporary Certificate of Zoning compliance and allows construction to qommence. Before cup cy,a Ce`rtificate of Occupancy must be issued. // Jtp�ttde' ,,e 7C ev/LTN% /( e- 7.-/f s` ytr� - "-`mac•. P anmm director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 1 1 • PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD = �� SITE ADDRESS � Qz 1 5 �`� _ TYPE OF WORK 1 • USE OF BUILDING c, Iz�SF- _ PERMIT NO. . - �1 DATE ISSUED e (4 _ BUILDER Gv91-13*ftp. PHONE # 6c(- 7.5's 1� NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THEPERMIT IS BY SEPARATE DOCUMENT \E-0 Z S e ,4 D(, c, DATE I FOOTING WC_ IaNSPECTOR 8 ael PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ' MOW. I FINAL (11�. s-e.) S\�'z'\\L\ -id -10,01'ri/tV FOR ALL INSPECTIONS (952) 447-9850 9/