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HomeMy WebLinkAboutBuilding Permit 15. 0840 n 000000 1 0 > 20 O O O ■ m ■mm -n o $ 2 $q n n o k q Si` E $I-\3X§ 2 73 co 0 \it it k r n0 Z 130 - Z k Cl) - 0 10 cz Co § q > 0 n C Co 7 $ \ z m m m .1 0 © z x / \ 0 § § .o m F. -7, 000000 Z 111 , � ■ mm g -ou, > m ' § 2 § i. < xcrnms -0 0 ■ \ en -� ii S2 rm k m 7 2 G q ri O 0 ■ X4 ) E ~ % 0 IT R. $ > kc P . % 2 R. m tz ® 0 X § $ 2 m 440 ❑ 000 0 z qa 0II § � § @ al2 k ® sx \ z 01rnnn $ nr hi 0 tgrna 2 -1r k m r O� pR j0� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE F �' AND UTILITY CONNECTION PERMIT T Z Z• 1 U ,', il' I. White File pERMIT NO. . QOJ�O NNES� 2. Pink City AT a L7I' 3 Yellow Applicant (Please type or print and sign at bottom) • ADDRESSM ) Lk€- L)- ZONING(office use) i t s-` R 1 sb LEGAL DESCRIPTION(office use only) // ss�� LOT LOCK 2—ADDITION E7L.��. � �S PID O7�✓ c -64%'0 OWNER A (Phone) / — .i ^ - (Name) .► � .i � LL�-�� r '2- (Address) I /� q? 4 L,,k....4 fkl 5.G Pr,. r' .. �' l4 6 p' BUILDER — 13-0`j33 (Company Name) Il..• .. _ v �_ ._ Litehone) Q•$Z (Contact Name) (Phone) to 2'39 7-` 0- (Address) 9413Z`fer—Glu Spaile, i MiJ S5-378 TYPE OF WORK 0 New Construction Deck ['Porch DRe-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ['Addition ['Alteration ❑Utility Connection CODE: I.R.C. ❑I.B.C. El Misc. Type of ction: I II III IV V A BPROJECT COST/VALUE $ l S I epee Occupancy Group: A B E F H I 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 hat 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 thi just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed ins 'coons. X 35Ct7 $ 7 2z tS Signature Contractor's License No. D e Permit Valuation 4000.— Park Support Fee # $ Permit Fee $ SAC # $ \03 - •-••• Plan Check Fee $ (o(4,-cAc Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ L. 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 7 ZZf l.(I $ ‘ C\ c This 4/ a i,n Becomes Your Building Perm(I/ed Paid `�l �� ReC t No. y� Date �, Z �.,65 Bil 50 B ilding'Vibilk.� Dat This is to cer• that the request in the ave application and accompanying documen.is in actor. rice with the City Zoning Ordinance and may proceed as requested. This document when Signe th I ity Planner constitutes a temporary Certificate of Zoning compli.ncc and all s construction to commence. Before occupancy,a Certificate of Occupancy must be issued. i zZ r i', Planning Director Date 1 Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 ' ' PRIORLAKE ANDABIIIILD NG INSP C'TIONSNG INSPECTION RECORD SITE ADDRESS /61qZ. M.4ttZt3( L10 Ke Lam... TYPE OF WORK Leee.. USE OF BUILDING` jear Ape. PERMIT NO. I✓ . BfO DTE ISSUED 7 LL, IS BUILDER �14SehN•AW/Qk4 PHONE # '�52 41.3. 153 INSPECTOR DATE FOOTING I 5")/1'I ti PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED IMMO* I I I FINAL (t--edAd.V I Y I t‘ FOR ALL INSPECTIONS (952) 447-9850