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HomeMy WebLinkAboutBuilding Permit 13. 0096 \' \\ \\ tit F \ Nx O Z p g� �g� W� °��a� u0 �vvv �c6 at331 ill z a YI o ..t. ° p Z $ pS 0Z W 41% d0Z pu.4r0SS%- 7p z WzdoSS a w w NSW � v o W 4vii 0 J NS a Y - 5 o vvv of I u.04 a ob. a -( zD 1 'r rJ a WN % o v U `v O 11 , vCr V vY vv gi- r0i- 4,0 IA \ i z oci o zcsz.g<� 2 0 0 r W W u- v tN Q -0 cu --- () .PR Lop ��/ y CITY OF PRIOR LAKE BUILDING PERMIT '/ \. TE1VIPORARY CERT' , 11+1CATDate _ _o ,/ E O ZONING COMPLIANCE Rec'd 'fir/ N- '4,00. AND UTILITY CONNECTION PER1VIIT ���//3 Please t I. what rile 5 � /Z''' e�J or rint and sin at bottom Pink City PERMIT NO, / 3. Yellow llow aN ADDRESS 3. Nu,,,,t r / t4-� / ZONING aro!use) LEGAL DESCRIPTION(office use only) �USD LOT, 3 BLOCK ADDITION CcJ 0 FS ©' oWtVOR s. PID ZS-. /�-(�L. (�13 0 (Name) ,� 2 LL - (Address) 'l (Phone) ��L j 3 LI <I BUILDERS U.4 L(�t� R, (Company Name) ' ct/ L a f (Contact Name) I — N C--- (Phone) 6 7 6 3 ( Ct (Address) v / (Phone) �L Z ci L Q ' circ-tl N 1'0 ,�/ (� TYPE OF WORK �^S!� �" 0 New Construction '�Deck []Porch [Me-Roofing —"'— - ❑Addition ['Alter.tion ['Utility Connection CODE: []Re-Siding []Lower Levet Fsh 0 Fireplace❑LR.C. DLE,C, Type of Construction: I II III IV V A If 0 Mise: Occupancy Group: ABE F III M it ____— Occup n: S U PROJECT COST/VALUE I 2_ 3 ¢ Sx0a I hereby certify that I have fitmi,3hed' _ "�" (�� ��) I ecartify t pnuperly and rthat all .0 oration on this application w astmetion will c(yrtform to all whi to the best of my 6alowlt dgc true and correctI also Gerdy Utat! oniei;d eau revoke dais permitd that t c<ltasn, r+ existing state and 1with aar tpl owner or a wlarTitcd dlerw^re,Ihereb a Deal laws and will atxut fsu the y agree that the city or}icial or a designee way eruct in law. idiom submitted plans, I am aware X di / / '� upon du:property to perform needed ins it We buiWill� �.v..� f� inspections. Sigtxatur.' _`.. L✓_G Z _____L-:_ q ^f'3 ��----- Contractor's License No. ____J ir Permit ValuationIMMIIIMI Date Permit Fee Park Support Fee o # # =I' Plan Check Fee 73 75' SAC State Surcharge 4 7- 4- Water Meter Size 5/8"; 1"; PenaltyE1211 Pressure Reducer Plumbing Permit Fee 1E1111111 ...r■ Sewer/Water Connection Fee Mechanical Permit Fee Water Tower Fee Sewer&Water Permit Fee © Builder's Deposit Gas Fireplac e Permit Fee Other liMi._ TOTAI,DUE This APP ucat.," : RD Z . , (3 Becomes Your Building Permit When A t pr ed Paid /2Z;CU '' R-y•i t No. °' , /4%i Date / ' IIIIIIINIIIIIIIIIIIIIIIII uildin_Official ' Date This is to certify tL�e requ.:t in the above application signed co, and accompanying;. issued. %'` / /� ares a tempor�y Certificate of Zo cnts is in accordance with the City Zoning ptduia,rce and 'glance and allows construction to commence. Before occupaany ,,a Cee ir,,r / tyuestrd This document �it� I P ey,a Certificate of occupancy must be • — Planning Director Data_ ---- 24_our notice for all inspections(9S2)447-9850,fur(952)447-4245 Spial Conditions,ifauy — — 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RcORD SITE ADDRESS q 100/0“-1240$E TYPE OF WORK D SCK- USE OF BUILDING e. c 4t L' PERMIT NO. ATE ISSUED BUILDER PHO E &MO NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR t DATE FOOTING I 67? n/'' �- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL Ih3i FOR ALL INSPECTIONS (952) 447-9850