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HomeMy WebLinkAboutBuilding Permit 13. 0941 o a § n J ❑ c � n cOCOo n n a § § § . 0 § 2"� °§ 0 m om2 » c c m x m n� 4 kl 0 .4.› . A 0 k-u ' n Z Q- z - 1 ..I § /A § § §73 bik \ z ek 0x% TI N 2 q IIIII° § ii -n ■ t m k k "CI " � `, 000000 Z m m m ° ` ; 13cn * E -o am 0 -i2 � o Q M � � � S_ � rn o n % k % -, j �■ > B8873 3 q m rn ■ t / cc § % UI 0. 000000 1 o rX § § �§ \ 22kil § E: � � � �_ a m o j 0 › mm1_ 22 � ■ -Ir Q o* PRJO� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �..7. 13 x AND UTILITY CONNECTION PERMIT ♦—NEso I. White File 2. Pint: City PERMIT NO. 43. 9 _- 3 Yellow Applicant ,(Blease-type-auCpnut and sign at bottom) C__,ADDRES�1ZONING(office use) 33 4-Z /v -ciocr 6.i , �-/ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITIONPID 2-S f . 615 • 0 OR (NLame voft— 54-tr-, s Qt.-) (Phone) Co(7--- 2 q-o- sago (Address) BUILDER _ ompany Name hon c 3rtt3 (Phone)-eA dres TYPE OF WORK 0 New Construction �L?eck ❑Porch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace ['Addition ['Altera on ['Utility Connection ] CODE: ❑LR.C. DI.B.C. 0 Misc.C/ f7S . ©A/2_7 Type of Construction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE S (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 th• 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 revok. • . rarcause- Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. 66 7/3 Signature�; Contractor's License No. Z Date ) Permit Valuation (ifi�' / Park Support Fee # $ Permit Fee $ 41 Z SAC # $ Plan Check Fee $ StO.5( Water Meter Size 5/8"; 1"; $ State Surcharge $ ,_/0 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/ it t. -�J�, 13 $ �� L��j - t�,yy // /'/j !G� This j ,plic ti$ e •s Your Building Permit Wit Approv d Paid Receipt o ((�'/ � /� i�/ A Date By f A.:ailigitagailk- s_ Z 13 / Z `e� Building is --••• "I'leo ite This is to c/'ify that h request in the above application and accompanying docume s is in acco dance with the City Zoning Ordinance and may proceed as requested. This document when sig. b, the i, f anner constitutes a temporary Certificate of Zoning comp ncc and a ows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. / A \ �-., .4107 n Z� h3 . 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 4 M R ' OR � �E BUILDRN(3 ANDOINSPECTION P INSPECTION ����1 � COIDG SITE ADDRESS c3J`f'� ��1' � TYPE OF WORK Ij�i���- �ODTJ/V+rI.S USE OF BUILDINGjfI�K. PERMIT NO. /3 . f�� DATE ISSUED B. Z7. /3 BUILDER S�N�N PHONE # G/t• Z. S�iBO NOTES THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT • TE I FOOTING ���,p..� /��0�,f/GI �� `��s�lJl,/� PLACE NO CO ETE UNTIL = y HAS BEEN �IGr(eo • FINAL FOR ALL INSPECTIONS (952) 447-9850