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HomeMy WebLinkAboutBuilding Permit 14. 0956 0 J 111 Z 1N ,, 7 J a' u. S V E r-- • ` *Z004( 7 0 _ O�W W N I ct.....7 z � W s �, W Z 1 N U. C Q 4. a. J m C Z w Ui Ci 4 o ~ x OYLLa a j _ 2C ce ? _ x = ZZ 1 w co W y V a gxwwsS 0 G Z z O Jwi JW w w a, W �L 000000 IU.Z H O a Z y v v J w �O co O z0- 5 Z W Y UJ Ul c a q U. w - ILI Z Am .304W O O O V V pa o w z0 $��Nzy 3 v v im vSi Q c z a o' a ❑ ❑❑ O ❑ V Xo ❑ OF PR�O� CITY OF PRIOR LAKE BUILDING PERMIT; Date Recd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9., �r ��.AND UTILITY CONNECTION PERMIT 44HNE sO�� 1. White File 2. Pial. Appl PERMIT NO. !4Z-77-j) i Yellow Applicant (Please type or print and sign at bottom) ADD SS I ' 54-f fv,)OP.7. 0,.., ry v1/4.) ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) Fp ' l l 1(,( P-5/ (-- (Phone) (Address) 1L.46.°-2j v1O017 ei4t% N k r N©- 1A-K- , Pt NJ 1 BUILDER it/ tt ,! (Company Name) ;r(11/1 1% (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction Lleek ❑Porch ❑Re-Roofing Re-Siding g ❑ g ❑Lower Level Finish ID Fireplace ['Addition ❑Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc. Type of Construction: 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 I hereby certify that I 'ave 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 pro.erty an• hat all constri tion 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 thi permi .11just cause. 'irthermore,I hereb • - .. pe city official or a designee may enter upon the property to perform needed inspe ions. Signa Contractor's License No. Date Permit Valuation 3U U a- 0 O Park Support Fee # $ Permit Fee $ O b ---7 SAC # $ Plan Check Fee 7.3 , Water Meter Size 5/8"; 1"; $ State Surcharge $ // �'r- 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�i�J / $ /#7' / / This App tio� Becomes Your Building Permit Wh Ap roved Paid /7 /- ( ` Re pt No. �Z�) �� Date q. cf,l,( B kW/ 14 Bu°. „Official at \This is to certi., hat the 'quest in the a.. ...' non and accompanying documents i in a cordance with the City Zoning Ordinance and may proceed as requested. This document when Signe. / , Cj�lanner constitutes a temporary Certificate of Zoning complian .an allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. 41t�i ¶4' .4r •a 1' - ate Special Conditions,if any Iltel-inr notice for all inspection (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 /(0 (102_ n Way D P'4Jf TYPE OF WORK Pee,— USE e --USE OF BUILDING /de-3 alp PERMIT NO. t` a- _ Qs DATE ISSUED 9' , / 4— BU I LD E R —BUILDER F(/ PHONE # _ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR ATE I FOOTING I /� 2/a l� PLACE NO CONCRETE UNpL ABOVE HAS BEEN IGNED I FRAMING P6 ' J )9 i I FINAL FOR ALL INSPECTIONS (952) 447-9850