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HomeMy WebLinkAboutBuilding Permit 15. 0255 Er 0 0 iiin 000000 0 ) ■2 511 2 n k 0 k 2 . . E mkkckk m § 72 0\ b r R � � M Erb § § z z § � � § t §® § Q p 2§ q § § q z 2 §■ » 6 � C % 0 § § ' M m hi o r> z q _1 ` 1- 0 1 I -n -a k y 71 k k il' Oc ❑ OCO o \ Z C7 0 �i1tIc� § C ? 7C § ■ rnx § m cl a . § 2 CA m G § kBz§ � § % m .. NI \ r� § § ■ . o z , r 2 § m r §-a P m / k 2 z m k E_ 8 ' < • 0000 as > B s22o § 9� K as 0 © � � � � ® ).mmz \ 9 in 5-i 2 ? - te "Z' JO � r Q O4 PRio�P CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z /5 AND UTILITY CONNECTION PERMIT 3 U lrj ���N63��P I. White File PERMIT NO. /fie' 2,. 2. Pink City f 3 Yellow Applicant I (Please type or print and sign at bottom) ADDRESS /&&6--/ �r�Y�� �cfs.s ZONING(oFlFiceuse)6 /e/`>10 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID Z . c%/ Q OWNER -per' (Name) C 1'44 -7'7 ft_ (Phone) (Address) BUILDER mpany lw V - C3Y 6- #9 GUf 7-T1 06,51r- (Contact 6os - (Company Name) 1 �'�� -� (Phone) (Contact Name) - CJltwl 1ine,4.- (Phone) (Address) 33 Z-Z Lt4 /ft-e...- /VLw / 45L- /VW b(cd7 l TYPE OF WORK ❑New Construction iitfeck ❑Porch [Me-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ['Addition ❑Alteration ['Utility Connection CODE: ` I R.C. ❑LB.C. ❑Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: A B E F H I M R 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 er r just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X &37 2�G 3—i,6—tt. Signature Contractor's License No. Date Permit Valuation 4 O©C) 0 0 Park Support Fee # $ Permit Fee $ /03_ 00 SAC # $ Plan Check Fee $ G( _.'75 Water Meter Size 5/8"; 1"; $ State Surcharge $ .Z y e v 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 l4z,402 ,3 2,1-6--_ $ /7 /,, This Ap! tion1�corn: Ycnir Building Permit n Appr,ved0 44 Paid /7. �� ReC t No.? / �r- Date . C BY/,, .wilding fticiai Date This is to certify that trequ :t in the a•ove plication and accompanying documen is in ac rdance with the City Zoning Ordinance and may proceed as requested. This document when signed by the r •1a' tcs a temporary Certificate of Zoning comp nce an llows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. / A L s/27/f ning r -- Date Special Condition if s, any -G'notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 DEPARTMENT F PRIOR LAKE BUILDING A D�INSPECTION INSPECTION RECORD� SITE ADDRESS I�I ai��i �QQD _ TYPE OF WORK USE OF BUILDING "Vig• PERMIT NO. IS. ZSS DATE� ISSUED `E #�• �. �4. AU_ BUILDER ~/ /aPHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT S;2.eS DATE I FOOTING �vT rte` "'Mc-7't 1 W�- '' /l PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED � I I FINAL �'yJ�---- b 9 '!f FOR ALL INSPECTIONS (952) 447-9850