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HomeMy WebLinkAboutBuilding Permit 15. 0799 n i § / * 0 011/40 - 22� I g 0 § n § 4 § , -, m x 2 E r" �®.-c§ m m m omo tri rnm Cli m ■ r 2222 z 0 2� / -Iq _ § -Q� Q P Z- » m o C -I@ ( q � z 0g% o0 o qS.t » © _ . m m§ 7J MI -13f 0 0 % 000000 o DQ @ mr � * ; r ■ ■ nc2 � oc % 2 ƒ m0 ill / q § ■ § q § m 0 o ~ nK §B § § 3 -1 m 1,1 = o 0 rmoo - q p o z ' m r-k-c o m / xi 0m pi ' o gi0 . N. q z_ cb m 000000 | % ommom R. o mmmE0 ki?" t z ri g -,,(\ s 73 § x / COt § ■ -4r 0 eirRICITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT , ( ?j NESoit* I. White File 1 z. Fink city PERMIT NO. / " 7� 3 Yellow Applicant I (Please type or print and sign at bottom) ADDRESS ZONING(office use) 114 7D410 51 Di M IA Pasp LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID aS, 147 6!v4.o Oame) LJC j_ A 1�1 vSiC"-I) � (Phone) (Address) BUILDER (Company Name), C.-tfl&fUC (">(-) i L L6 (Phone) (Contact Name) e) (Phone) °'j2—2.12--- 1,�. (Address) {`�Z�I - Y V :vs ItO/ Q1 1�bC OW 5 v , Je.. .;- J TYPE OF WORK ❑New Construction _.0eck ❑Porch ❑Re-Roofing GRe-Siding ['Lower Level Finish ❑Fireplace DAddition ['Alter, ion ❑Utility Connection CODE: O.R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished info an on this application which is to the best of my knowledge true an correct. I also certify that I am the owner or authorized agent for the above-menno operty and that all cu nstruct on will conform to all existing state and local laws and will procee accordance with submitted plans. I am aware that the building off an r. • i is.ermit for just cau e Ft hermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspection . Sign lire Contractor's License No. Date Permit Valuation Z, 600,06 Park Support Fee # $ Permit Fee $ 13 7g• SAC # $ Plan Check Fee $ 4;7Water Meter Size 5/8"; 1"; $ State Surcharge $ i, v 6 Pressure Reducer $ Penalty $ 6 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`S(].,i ijy c7�iq is- $ IZ-- This App'1 on .' comes Your Building Permit en Appt ved �Kii.� C�� �i Paid /ZZ,G9 R eipt No. u96 ir/� ; Date -? /t,:tr. . Build'i fficial Date This is to certify th, he re•s .st in the above-application and accompanying documents in accorda' e with the City Zoning Ordinance and may proceed as requested. This document when signed by th ty `a ner constitutes a temporary Certificate of Zoning complia,cc and allo . construction to commence. Before occupancy,a Certificate of Occupancy must be issued. _ Ii1 ' 1) '1. •• Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 DEPAR ENT OF PRIOR LAKE AND U�D NG INSPECTIONS INSPECTION RECORD SITE ADDRESS �4-3Q���rtQE' dorTYPE OF WORK pe-4‹. USE OF BUILDING PERMIT NO. _ DA E ISSUED 7 /¢. /S' BUILDER I PHONE #__TS'2,2jZ .nit3 INSPECTOR DATE FOOTING °\c ��- � *(1(% I we Qb 7PLACE NO CONCRE UNTIL ABOVE HAS B EN SIGNED*MO I FINAL I (FX I �J��� FOR ALL INSPECTIONS (952) 447-9850 r