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HomeMy WebLinkAboutbuilding Permit 13. 0924 E o Odc n osp0000 U o a En n n g 0 0 0 . K� 00 m 73 Psi 5 § r o ■ ■ ■ § rc ■ § ) m ZP § q2 % � § § 2 2 - _1 P z k 10 Q . o z - ,Z z ■ �AK• 4.0 ml � 72 \ '• z Q n > o m o r z q C ■RI r 0 - §• m 2 0 o � 00 ❑ 0DO _ § mm 4 m .13 u) * ate E § o o ■ os -ins 7 2A �� -n § ■ § 73 § m 0 0 • m § § I § X § § X Z m n 06 o r). m° el o o z zcc z rc z n m rT1 -a P m 2 k I X 73 . 13 0 i 000000 H k k � � § o f li 19Mm � =1 ; m 00 - xi. II 73Er _ . . -1r o of PR% CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec' d TEMPORARY CERTIFICATE OF ZONING COMPLIANCE „ex AND UTILITY CONNECTION PERMIT 4/4,NESolr I. White File 2. Pink City PERMIT NO. (3 ._y Z7 3 Yellow Applicant (Please type or print and sign at bottom) r...)...... ADDRESS ZONING(office use) �70� 044.k C $T: S- -2- 1 LEGALS DESCRIPTION(office only) g 1__� , _I T eJ:•�� ' �dt Yr S n- LOT BLOCK ADDITION PID OWNER ,,\..... (Name) DM tlti) 1 II .•-'re KC.r (Phone) G I7 Sergi-7/454. (Address) -1-1-70 J f 04k..✓ima, Cir. St BUILDER 1 (Company Name) ^�e. t/ 1--c^-LA-3 r e. cr (Phone) 6l o2"5-q7 7110- (Contact Name) t L% ) Lam...,rr 4.e (Phone) I I (Address) 1+70+- Oet kW OD e) e- r. j'''t TYPE OF WORK '0-New Construction ❑Deck ❑Porch ❑Re-Roofing 012e-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Alteration DUtility Connection CODE: gLR.C. DLB.C. Misc. t r 7 S4 Type of Construction: I II III IV V A B PROJECT COST/VALUE $ AA 43°° Occupancy Group: A B E F H I M R SU (excluding land) Division: 1 2 3 4 5 I hereby certify t I hay- furnished inf mation o is 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-menno• d property end that all o ucti will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building ,.....V. official can r oke this per, it for just us ermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X 4111b' — ass/g3/�CD)3 Signature Contractor's License No. Date Permit Valuation 'j6®2 Park Support Fee # $ Permit Fee $ p ' cn. SAC # $ Plan Check Fee $ 5-7- 3 , Water Meter Size 5/8"; I"; $ State Surcharge $ ( , SC° 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 $ (47_ I I This A !l ica t n : o e,Your Building Permit Wh Approv: Paid 14 r, • Receipt /No� Zi::!� vR , Date 7..: , (5 By " 9 Build *lie This is to cern. , at the re.a :t in the above applioition and accompanying documents is accords ce with the City Zoning Ordinance and may proceed as requested. This document when signed e•ty P r Institutes a temporary Certificate of Zoning compliance nd allow construction to commence. Before occupancy,a Certificate of Occupancy must be issued. _"--- PI• iltlissirector D to Special Conditions,if any 24 hour notice or all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 i PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS �.-1- C tQ. S. - TYPE OF WORK i© '�C �L-, USE OF BUILDING A- p PERMIT NO. O -ft 61 DATE ISSUED /1-S/:3 _ BUILDER DA-J,a PHONE # (4z-'S'W-7/(9 ' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FObTI ISG I ) 9- 9- )3 ] PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Minn- I ] I FINAL ' te i//5"-- ] ft LI ii FOR At.pi EC 'IONS (952) 447-9850 ir, 4117 , . sx ! ,i., : Z ei, .f -,Op a ,t, t,,,.o :43,-.;, . ,i.tz . , nsq; it -,.. �4i.' 410 A S 71" , a :i ri 41t • h..- t';j s 'w.. Y � F ' 41:,7 1:,7661. ,