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HomeMy WebLinkAboutBuilding Permit 14. 1090 a 1- CJ Q3oo -k W U144 1 Z iiiF ) O $ W W . 0 0Vtili �a9 ' Z Q '� • .� 0000 ❑ ❑ t W Z U ii. cc J /� a » --1 a k(.. i w Z O G v YY �J / m c 0 14 0 z ° W X11J gU) t) ��'c O cr z_ =gzZ 0 V W a U d mre 2W � ti I 0. a� G O (N) 000000 : I I O \at 10 ;a � Z o� CI ~ W Wle 0 in 4 Z .J1 R' g F- Oz Z U 0 r41 u. }F- U O YO Z 116 z C y vao,O zW HOZ OEr- zg� ZowZ gZ v v cl W HW W ~ J Y L J O W �Og ° Q COOO z U VN 0 O i iz yv 3 v U a a. \v ? Q O ❑ ❑ ❑ ❑ o of VPRIPRI() CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'do F ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 10 ' 1,4 AND UTILITY CONNECTION PERMIT Irn 40iNESOo* I. White File 2. Pink City PERMIT NO. ` 4. /676 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) SS 23 CroSSG-nira ST. s - — LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) 0 -f ti C heti l/tr cs 0/1 (Phone) to/07 - a c/.. a /01 y (Address) 5 S?3 C.-b&&441,--c, ST. G.E_ BUILDER (Company Name) C/" o t,...)11 P rt J (Phone) 4 (Contact Name) Znice FeCudCe1 (Phone) C fa- 42. -/* a/01V (Address) CS e2-3 CroSE.Gadru, ST_ S . TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ['Re-Siding ['Lower Level Finish ❑Fireplace ['Addition ['Alteration ❑Utility Connection r / / CODE: .R.C. ❑LB.C. [2g Misc. R00-f i'1'lOf rR lei SO/o✓ Pc,00/S' Type of Construction: I II III IV V A B PROJECT COST/VALUE $ IC) 0,90 Occupancy Group: ABE F HI MR SU O / (excluding land) Division: 1 2 3 4 5 l 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 ca• ••ke this permit . just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspec ions. X i _41,.. p/ 4 10- c - /y Signature Contractor's License No. Date Permit Valuation -Loco, „_ Park Support Fee # $ Permit Fee $ .7-3 -Z, SAC # $ Plan Check Fee $ 41 .14 Water Meter Size 5/8"; 1"; $ State Surcharge $ t w — f 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 $ Z 2. • '° i ,117C--/ O(10 i t. . This Applytion :ecomes Your Building Permit Whe• Appr t'ed ,�' Receipt No. Q �i_ 1L�� 16- (a j . b.te co . to, By :_ t-ate _ 4 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 n.quested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued Planning Director Date Special Conditions,if any 24 hour notice for all inspections(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 c3CF- -yietA/0 TYPE OF WORK /eep rfr USE OF BUILDING 1? PERMIT NO. Pete WO DATE ISSUED t©/4 BUILDER ckPvm-5014 PHONE # NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING - Ez � 51 0 i Li (IV= Pet-A-r^f -66171-( - /94'10!r IFINAL I �-'-c,- 101300f-1 FOR ALL INSPECTIONS (952) 447-9850