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HomeMy WebLinkAboutBuilding Permit 15. 0932 uiE z z12 0 ran Z QZVVW Z�55g — W cou WN Vu.LLzt V o F 2 C.1O r Z W c G z IQ o i- J ` 0 U W pC c W d Z YYZ /0 0 0 pi a V % u) R i Q O. 0W c) 0 W m=Wce03�= IIW W Ce Z pG CO �v 0 a �W < jjJW We, W a23v� a� ��. aoac a , 0000 ❑❑ w Z a a C O Vq' 0.1 aN 0vacYV 'Fs 1-j- V W0 `- t1 J 0 ;ea ci o Z Z aF' N a W ongtuuizW z 0 ❑ CW Wee, W Z Pi- Pi" LLZLLN vZt za 0000 ❑ v Date Recd CITY OF PRIOR LAKE OF ZONING CERM OMPLIANCE of ?Rio* TEMPORARY CERTIFIC F ,e, AND UTILITY CONNECTION PERMIT U en I. White File PERMIT NO. /5 3 Z 2. Pink cry . 3 Yellow Applicant 4! NESO� ZONING(office use) Please • or .riot and si at bottom) ADDRESS fell 0 l h .. .5t-76r J LEGAL DESCRIPTION(office use only) pID LOT BLOCK ADDITION (Phone) 1OWNER A 6-(Name) /� , JJ_- 8,i1 4 r (Address) 3��1G' � , BUILD (CompanRy ` R.' "� �' 1 JAI' (Phone) (Company Name) t / (Phone) (Contact Name) "` • 4+ "' ` `�� l�f l a _, 4. 4''A i f'/ (Address) / �X ��t TYPE OF WORKLower Level Finish ❑Fireplace New Construction l:Deck ❑Porch []Re-Roofing ❑Re-Siding ❑ 0Addition ❑Alteration ❑Utility Connection ..\ 0 Misc. `LL CODE: R.C. ❑LB.C. II BI IV V A B PROJECT COST/VALUE $ J0 I M R S U (excluding land) Type of y(instruction: A B E F H I Occupancy Group: 1 2 3 4 5 Division: information on this application which is to the best of my knowledge true and cortect. I also certify that I am the owner or authorized agent fort e I hereby noon dtpt 1 have and that ed enter upon thecproperty toh submittedum needed. yam aw. construction wil onform to all existing state and local or a designee and will maytoceed P accordance with plans. I am aware that the building above-mentioned c nuoned prop ry and thJ t all agree that the city official �7 / ' r official can revo e this permit for a cause r° cher• .re,I hereby Date I Signature s Contractor's License No. X � Signature Park Support Fee # Permit Valuation 11111111111111111111111 ©� Permit Feeq 4_ Water Meter Size 5/8"; 1"; gINIIIIIIIII Plan Check Fee UIIIIIIIIIIII Pressure Reducer Sewer/Water Connection Fee # Penalty 11111111111111 Water Tower Fee Plumbing Permit Fee Builder's Deposit Mechanical Permit Fee Other $ $ P2Z . l� � 1111111111111111 - Sewer&Water Permit Fee TOTAL DUE RR Gas Fireplace Permit Fee Recei.t No. •'1� Paid ZZ Permit When A! roved R o. . if Becomes Your Building Date MIIIIIIIIII 1 .Fddine• - proceed as requested. This document accompanying documents is accordance 'ith the City Zoning Ordinance and may p' must be DIM. 1 This is to certify that 'iglu bane and allows nstruction to commence. Before occupancy,a Certificate of Occupancy when signed by the' Pla constitutes a temporal/Certificate of Zoning comp issued. 1 5 Special Conditions,if any t e1l�— D at + Vi]*!nt g Director . ,our notice for all inspections(952)447-9850 �i� 4646 :.kota Street Prior Lake,MN 55372 PRIORLAKEDEPARTMENTAND BIDING INS ECITIONSNG INSPECTION RECORD SITE ADDRESS 37ea t-' Po(07- C/7 TYPE OF WORK DECK:. USE OF BUILDING /?..&s 13 PERMITN0. is-, 13 Z DATE ISSUED HON� 452 • ��$ - L(¢/ BUILDER J/� �� ��- i v ron E FOOTING I I I PLACE NO CONCRETE UNTIL ABOVE HAS BiE�N IGNED I 01111111, I FINAL I p le FOR ALL INSPECTIONS (952) 447-9850