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HomeMy WebLinkAboutBuilding Permit 13. 0938 u, 2 1 § § ■ u• ■ id zww < U m \r) � 55 \ � « eA Pkrecel z k 4111 | u � ■ � a ■ ❑ OOc ❑ c > - 2 N § J .. re z 0 6 O. w t z 2 0 c2 ■ k8EC� �k k d o " 4 § % C 0 0 w a = IZJk § w ` $ § § e Q a % 3 � MX IP 0 ac a 1.... a § § § a.2 w § z w i - 000000 s0 0 o ■ z a a 2 / 2 4 > o ni ■ Y 0 z § 0 T % • : §Z 0 §_ k z a « ag ■ 6 2 � 2. 2 W © UJ w . W p§ § - w n § .en <Q . re ce ° « § i-& § 0 u.u. azZen D k § § \ ° u « 0 0. DOoo' 0 Oo _ • E4.1 PR 1p� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE xAND UTILITY CONNECTION PERMIT tliNES��� 1. white File PERMIT NO. Pint: Airy 1 3 --.i 3 Yellow Applicant llll.. (Please type or print and sign at bottom) ADDRESS ZONING(office use) I/07(0 1 ocowco it.)ti, SE , �cWoc\_A L c. ss-3-7 . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER C lC��KGIJ -C s\)N(� (Phone) (O\ ..—L7v-f � (Name) J (Address) BUILDER (Company Name) (Phone) (Contact Name). (Phone) (Address) TYPE OF WORK 0 New Construction ®Deck ['Porch ORe-Roofing ORe-Siding ['Lower Level Finish ❑Fireplace ['Addition DAlteration ['Utility Connection CODE: L.R.C. DLB.C. 0 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 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 can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Se' 73"—*"'"— 41A3/261/111--- Signature Contractor's License No. Date Permit Valuation .So610t. Park Support Fee # $ Permit Fee $ rOg•Zr. SAC # $ Plan Check Fee $ 5.7 .3,,,, Water Meter Size 5/8"; 1"; $ State Surcharge $ 1 . cj 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 $ /4,:.// This A' ica r n Beco`es Your Building Permit Wh Appro ed Paid Receipt No. id,1 el O t3 Date t f z 7 (3 By (O� Bu"dine• ate This is to cc fy th, t e request in the dove application and accompanying docum is is in a ordance with the City Zoning Ordinance and may proceed as requested. Tins document when signe the C Planner constitutes a temporary Certificate of Zoning co liance an allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued g .Z't 13 an 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 1-7 - - 4 s` — TYPE OF WORK USE OF BUILDING g -s A /10-- PERMIT NO. (3- 13® DATE ISSUEDz7 itS _ BUILDER 47rv<--r4J 7 PHONE # 4(z-7.7o --(491 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING � 13), � / - PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FINAL FOR ALL INSPECTIONS (952) 447-9850