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HomeMy WebLinkAboutBuilding Permit 14. 0505 / 2 1 � 2 �` 2 E w « P. i222� \ \'' -D� az « m _ �. §� � k i ■ b § . Ul � o 000000 0 % U 2 74 § ■ o 'e w 6 § § « q O Uc: to LAI IQ � z oe z kk\ z ° c 25 k = z ■ arezZ � � 3 0 0 2 § IWW §= o o z 04 E3U ' � � w 2 E x 2222 � � Q U z a ■ co o. ' t 000000 § § � k rie0ft < 0 1 \ w1 z 43 k / - % � U g � U c a 5 r-o z U) -z R rz © 0 0 3 \ n.§ ■ z 3 a 3 5 z y & & q E b� r re § \k�z _ - & S g & 0 $ 2 �� �■ � ■ p O O £ a < 0 a 0000 O C.) J z 1 1 <bitiq �' z w '�.. 0 W C72W W � --� 0 p,..` iLLil7 0 u. u. 1 a _ [�. Zs C . ❑ ❑ D ❑ ❑ (A 2 N " , O O S it: _ '11 O N -1 Z - 2 2 z -ri • J C 0 gqgq C 11 C a OOrEJ '' ...' z 0 4 T J z g z _ OOc E a pts NV d m = lmZ t vi W HX ac W •• , WWz C aW3vaa1 yv � W W W tyC,O CZ z0000 ❑ ❑ % .- � O a. GC =1 '1 — } a A 0j Ce X W .--9 z o = 0 try 5p g N ,N a cc ago Oz ° Oz WW. H E y a 3 4 OI a0 p (7a01-- vo Z f.,� < F- , N Fr. N z = 0 = g z W x W W J W OIL V W Cg W ~Oz2O4W 2 rt g lig a O u. u. u. 3 LT. cs) 0 0 4 a3 a O a 00000 ❑ o a I 0ve .....s. of P141% CITY OF PRIOR LAKE BUILDING PERMIT, Q/ Date Rec'd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ��— AND UTILITY CONNECTION PERMIT 5 -5e' 1 1I4/NesOgD I. White File 2. Pint; City PERMIT NO. /4... 565- 3 Yellow Applicant 6 (Please type or print and sign at bottom) ADDRESSZONING(office use) S&(4 BrOcke. ( * •a. Prior Lake J-' Al 5S37 Prssd LEGAL /D DESCRIPTION(office use only) . LOT 0FBLOCK / ADDITION 12 ��,e ,k Kil PID . 45-461 Q OWNER ajai'Nr1 k -T©Sfe- 1--ck. ka•-- (Phone) 952' - 3? 19 (Address) Y\1L' (R _Iz)CJ'V BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction eck ❑Porch ['Re-RoofingRe-Siding❑ g ❑Lower Level Finish [i Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: R.C. ❑I.B.C. ❑Misc. Type of onstruction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI M R S U (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 Signature Contractor's License No. Date Permit Valuation 4 />® /1 00 Park Support Fee # $ Permit Fee $ L d S e o SAC # $ Plan Check Fee $ Cil/it 5 Water Meter Size 5/8"; 1"; $ State Surcharge $ Z o 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 D UFeAtt-ev lv. 10.1 4-- $ /7/.."0.5— / This Applicati t n Bec• es Y ur Building Permit en • t proved Paid /7(._11 Rec No. 7` 6 'j / Date & c� ( , ' By l� IL► �► a (D ' . .ut nne I :coal D, e This is to certifythat the re.rest in he above application and accompanying docu ents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City P;• er nsut res a t poraty Certificate of Zoning c phi cc and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. ��6 ' 6 Plan • g Director Date Special Conditions,if any 24 hour notice for all inspections(9.52)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 F PRIOR LAKEDEPARTMENT UDNG A DONSPECTION INSPECTIQN RICOM SITE ADDRESS V ar TYPE OF WORK USE OF BUILD' ,� `�PERMIT NO. . SOS DATEDir ISSUED 6. I���T' BUILDER VW/ PHONE # �. Z'lt►• 3211 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL • FOR ALL INSPECTIONS (952) 447-9850