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HomeMy WebLinkAboutBuilding Permit 15. 0814 is ! 2 0 i x M m m x C) c. co a -i 0 0 �O0 0 _ M Z bi 3 cp2Z IIiI Ztn il0„ y 0 O y m m m z z pI-Loyi ko cmi R ”'m 13 0 ��� 2 ; , fl7 0 N m S -to c = o �n02AA=3 • Z 0� r- 1 $0 i 3 Z �� n , Z 11 \+ O . xoo, woo / 11111 riiLt' g -am j ©�_ J— m y /sx%3.5^a.�Q/ S l3 l/<56 2. s m OF PRiO� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7`� X AND UTILITY CONNECTION PERMIT U Irj C �. 1 White File PERMIT NO. NNESO 2. Pink City I 1 1 3 Yellow Applicant ��/J (Please type or print and sign at bottom) ADDRESS _'� ZONING(office use) 1 g1 13 G thoci- ov& L 1e \ Pop LEGAL DESCRIPTION(office use only) • 2 LOT! `/ BLOCK 2 - ADDITION ,� jb A/�74, cJ ,4d PID Q5 21 V 0 R/-d OWNER02� 9L -d/13V(Name) � A A-,al L 2_0 of 144.VZ (Phone) (Address) / //Z3 e Af 2I-J( )fl 6 l L. /LA-_ BUILDER fj @.1--2. y�D - i7S)) (Company Name) ie)477-114362e..... 5o r�0�S �6• (Phone) �-�P (Contact Name) „„,17-04 �A) 14- (Phone) Gt" - .292—6Z35 (Address) 93/1 40().-7774t-02-le--. 2_!(> 2,fU42._1 n '1 A ., 3')`Z TYPE OF WORK ❑New Construction Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace DAddition ❑Alteration EUtility Connection t ❑Mi CODE: I.R.C. ❑I.B.C. sc. ;a 2-oakk-GC /V V-30 _ /Z`6 Type of Construction: I II III IV V A BPROJECT COST/VALUE $ �j O Occupancy Group: A B E F H I M R SU (excluding land) Division: 1 2 3 4 5 I 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 constru ion 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 p it for just cause. irthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed t�ectt ns. 1 ,,17;-/i4 23 Cui0� 3-7 9 Z. 7 d/ X Contractor's License No. Date Si� lure Permit Valuation Z,®A2 0••••••••••=, Park Support Fee # $ Permit Fee $ �/ SAC # $ Plan Check Fee $ 47 ��� ��/ Water Meter Size 5/8"; 1"; $ - State Surcharge $ / , i1Pressure 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 I $ TOTAL DUE $ I AQj, //01 This Application Becomes Your Building Permit When Approved I Paid /2-Z, 6 q Re OPt No. Z2-I Date J.S,/� ; ' - 1 6 #,,EaZ---/ Building Official Date This is to certi at the request in the dove application and accompanying docu nts is i accordance with the City Zoning Ordinance and may proceed as requested. This document when signed- Cit -.nner constitutes a temporary Certificate of Zoning co .liance.nd allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. .."--- it f Planning Di tor <te Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 t646 Dakota Street Prior Lake,MN 55372 ENT OF PRIOR LAKE AND B ILID NG INS ECITIO SING - INSPECTION RECORD SITE ADDRESS I4/23 CEMLWOOb Sar TYPE OF WORK ede USE OF BUILDING Z. PERMIT NO. DATE I UED 7. AS". IS' BUILDER O!/nmae. „sow-news PHONE # V SZ. 44-0,471 INSPECTOR DATE FOOTING I Gril �!, PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED OM* FINAL I / � /40/9�i� FOR ALL INSPECTIONS (952) 447-9850