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HomeMy WebLinkAboutBuilding Permit 15. 1079 5 0D 0 000000 m 0 > E0 i n n 0 ■ mE -n - ,i § § g coo k r k 0 0 s - rr3Z _k z 0 _im \ \ g § kBk0 0 0xi tO § K © 0 0 © z 0 z k \ § 7 § n o 0 o g ° mm ■ r § 7 2 -a X k 3 000000 r 73 o \ 2 0 c Mrlt� r kt ■ nE2 � nE § 2 K ? gFRp3 § n ■ § m , X § m G > ° o - 2E mq oO 3 qU2 r � § § _ c% z a co § z n m 1- 111 0 / A 0 z m 2 0 _ 9— a m � c ❑ Occ L q .2 § Viin§ 0mm o �� % 1 m � � P' § O V -J.. § i mo § § x � ) - . 0t E m -Ir Q of pRto�, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� t TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9, Z.1 9g AND UTILITY CONNECTION PERMIT (a. v/,It 'VJ ktivivesot' i. white File PERMIT NO. 3 pelf City / lj� 3 Yellow Applicant ��' L //// (Please type or print and sign at bottom) ADDRESS ZONING(office use) 3611 TUC.w ed' Dr, LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER —I— (Name) �n a5 ` S O to (Phone) ' (Address) ✓ 6( 1 7 tn,rh,el` t'/,, Pi,,t 2j r LS c, BUILDER Lo.,t.Arc,(, �vdi id, (� (Company Name) r i (Phone) "I SC�' ._ (Contact Name) _Mt`"/L �—embr�l f (Phone) (Address)I^]5 8 C1sc. t-rc . Ave, S Lt/�oPer / AA/ -C 5 3 7 9 TYPE OF WORK 0 New Construction keck ❑Porch ❑Re-Roofing Re-Siding g ❑ g ❑Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: %t1' .C. DLB.C. 0 Misc. Type oft coon: I II III IV V A B PROJECT COST/VALUE $ t 1 j 000 Occupan 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 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 officia n 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. Signature Contractor's License No. Date Permit Valuation G \ (c_) Park Support Fee # $ Permit Fee $ •) 03; ' '''DSAC # $ Plan Check Fee $ G(... Q S— Water Meter Size 5/8"; 1"; $ State Surcharge $ C:DC.. 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 ilze..Jv 9,44-",(..5-- $ '1 O ,9'5 This Application Becomes Your Building Permit When Approved Paid 17a , J I Receipt No. 74567 a. 42-,-4J3 ,-- Date 9 (5 is-- By aVv �\ Building Official \Dakl h This is to certify that i requ•tin the above application and accompanying documents is in acco ance w' the City Zoning Ordinance and may proceed as requested. This document when signed by th x i 'la er constitutes a temporary Certificate of Zoning compliance and a iws con action to commence. Before occupancy,a Certificate of Occupancy must be I iuucd. _ I1 ¶/ic/ c annuig DirectorDate Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 DEP RT ENT OF PRIOR LAKE ANDAB ILID NG INS ECITIO SING INSPECTION RECORD SITE ADDRESS 3b « (C.),./1)62- TYPE OF WORK ISS R//2- USE OF BUILDING r7fC(4- PERMIT NO. /51 f�7 DATE ISSUED Q///BUILDER 101,11.64- �A� PHONE # �52 (° '3`r1¢ INSPECTOR DATE I FOOTING I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL I I ��� ' 1 �� FOR ALL INSPECTIONS (952) 447-9850