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HomeMy WebLinkAboutBuilding Permit 14. 0686 5 0cri>‹ § n k © K 0 2 0ooO z 0 > En .. % r ° f § xi s �e� �� � © 3 g �� rz m » c �c� m ■ m J � � k 2 E �\ �k� § �m PC' ■� - -n -I m § ®J � 2■ % o# iii\ 11110 k% / 41 o Re \ m IT p �� 000000 7 7 2 \■ . , 0t§ , c " \ (ft 2 m \§■ �_M � n \ @ q m 0 z I§ o§ �K 73 } 2 n 4 Q ' ■ r 0 ■ Q . / A / illb i•ov P m z m o 7 -.,2 ` m J E ■ 000000 / 0 I1i°i ' illm tq � -1- ■ k§ 0 : OF PRl0�P CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd F ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7, `te: /�. x AND UTILITY CONNECTION PERMIT U (srj )11'. ��NNESO 2. Pink File PERMIT NO. ¢_ 3 Yellow Applicant �� (Please type or print and sign at bottom) ADDRESSZONING(office use) ik/t ' ggbrnriA/01) 7(.)(. -kc:S LEGAL DESCRIPTION(office use only) A06,1 J -r LOT Z BLOCK 7 ADDITION ' .\/' .:/ /l "/�� tk i A06, PID OWNER ` (Name) f o ,),6.•4 Nrd:.r� (Phone) (Address) 1 (Companyy Name) CP C L P-1\ r DER `J�! z.7 (Phone) 9,:ca - `?-'sO (Contact Name) "1� 4� dga- (Phone) (Address) S .Fxv . --7.7-‘ \°----h/ /", , ic,,ClSr)r is-7/4A -ICS-DS- TYPE OF WORK ❑New Construction (Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition ['Alterat ion ['Utility Connection CODE: ❑I.R.C. ❑I.B.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 I hereby certify that I have punished 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 c se Furthermore hereby agree that the city official or a designee may enter upon the property to perform needed inspec ons. X �/ 06 Z 4/3/® 7 i��r / ' Signature Contractor's License No. ate Permit Valuation 3 o 00 . U 0 Park Support Fee # $ I Permit Fee $ 0 e s 2 s SAC # $ Plan Check Fee $ S 7 36 Water Meter Size 5/8"; 1"; $ State Surcharge $ /f 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 &die ,r a../ $ /4-7-// T plic, in Bel Bees Your Building Permit When Approved Paid O . l \ Receipt No. // ' f,■/�.. DateBy -"' Prif'.. 7//S (V /1 ..-2S.. )r Builg Official 1Date , .T/ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. Thu;document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Ccr ate of Occupancy must be issued. Planning Director 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 TMENT F PRIOR LAKE BUP DRNG D�NSPECTION INSPECTION RECORDI� S + � mtcrSITE ADDRESS p _ TYPE OF WORK ,�. I�,�N /G. USE OF BUILDI _ PERMIT NO. � �I6 DATE ISSUED 7 I rI BUILDER OWEAM CI�IJ�,. PHONE # L'L. ' a NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING S ¢- c le I .17a,awk244: PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED *Mk FINAL � c1/4/6 FOR ALL INSPECTIONS (952) 447-9850