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HomeMy WebLinkAboutBuilding Permit 15. 0815 I ❑ ❑ ,N C') 013 .11:1 1:1„, = o C NA 0 0 0 3 v' zy '� oo z i F m0 n c� 0 yci- co m m p0 O r o - - z 3 r 3z _ z 0 � -n hi r m m N ITI m > zyz •O co 0.0 rA t --1 4 m o000 �. z0 C 4 _, m N z z _C 0� a _ O D O N 0x o z -- z l " mm Ir1 O > Z X . dkA\ m -n mz 73 0 8 S '83 00000171 CO 41 x m m m da I1�\=m ,TN > m � 2 -4 N o o 1_ 0 x ; rmic �v 0 to 0 0) m .n ti z z W m 0 �. c) C 0 0 g- 1 z000 Gz) 3 -zi ' m .,e 0 6 o rm000 xi . FP c e° 0 z zxx z r z4 m 11111° r 'v - 0 0 i. I 1 M 0, c 0 (Tl m < oo0o0 m 0M o ymm3 ) m il 1. z555t l en 0 > mmz,� m z " z I s "1Z - m --1 r G) of PRlJ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE rs AND UTILITY CONNECTION PERMIT 7. /5 'S 4sNNESDlP I. White File PERMIT NO. 2. pelf City r 3 Yellow g1 Applicant `C/1 (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1g20 A649 ,,gea'c..A DK- - 15,6 LEGAL DESCRIPTION(office use only) LOT BLOCK 2—ADDITION,Zit–r4 19 G (.3-41_474 C6 PID -5 ?- 6/41-o OWNER a (Name) 62 i� il Li (Phone) 6/2 ‘76 -3;z77___7 (Address) BUILDER (Company Name) , / (Phone) (Contact Name) VIA iki1 O.(j/,n (Phone)(f - —' 0(Address) TYPE OF WORK 0 New Construction ck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ['Addition ❑Alteration DUtility Connection CODE: .C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) 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 official can ce t us p it 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 -3©/» / Park Support Fee # $ Permit Fee $ �/�- SAC # $ Plan Check Fee $ 55,,... . j..5.... Z l /7.=xC7 Water Meter Size 5/8"; I"; $ State Surcharge $ ( Pressure Reducer $ Penalty $ / • �O 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 $ f[(� / 1, ! I This Ap ,,ti n Becomes Your Building Permit en App,t ved •♦� � f�v t � " W � � Receipt No. i5 1ft. a i— / late .{... By ,� , �, I Gj it n-=U Date This is to cerath t the request in the above application and accompanying docume s is in ac..rdance with the City Zoning Ordinance and may proceed as requested. This document when signed i, h C ty Planner constitutes a temporary Certificate of Zoning comp ance and,Mows construction to commence. Before occupancy,a Certificate of Occupancy must be issued I4f _ 1 M ' ••• .! Director Date Special Conditions,if any 24 hour notice for all' spections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 ;;;14,i'li.1 ,:'•;;-:::::i':•.,,.:•:•:.:':',:i 1;:,''="117..i' -''-" '''-'' '',::::ii 1.•: ',,'',' r'::.',_,%,..''.‹,,;:1' : ':-•:;', Li::;11:i.....::oT',:r:;:r i �t �a a :ii E..-24k.-r.,;.:,.. .i...,..c.-3-.:,..:7-.. ..:.„.„, 0 :.;.„.. '''...'',, .•: .ti- k.Vi:��� xa' ' � 'i' ' `` se ..:.,.. _,....:=_,. :;,....;;..tc:,:. - iii. ,..0.0:1_1:.,,, :::„....,i,.4--_.,ei,,I.,:..i:::::.,=,...,..,;,,,..., :..„:.„--::-...„,_•..,-:::,_,-_,=,.,... .,: = _ -, , -, . ., ,,,,- . ,,:.,.:.. ,.. ,,,, , ,. _ iftp, -,..-,-.,...-,. .;2..,..-ii-44itfi.:7!,,w4",-;.- NO 4 �' DATi..os-7-- ' 012_ E ISSUED 14.141ift'jWii:I ;j1,.iR v ', , - ,, , , PHO E # '-� ."fir' `� �. � � s k��� ,� ' "` mss °; , 9th i .. .: .. INSPEC OR DkTE j Ati- t � �`` PLACE IfO CONCI ETT UNTIL ABOVE HAS BEEN SIGNED v - . ' ' '' ''' ' - ' ' 4 . I ''' 7-7 / ' '' ' ' ' ' I .� �` +� a �" :,',e,,:,,,j,:;-f,,,,,rc,,,,p,,,p:.It;!_,....:-zsN ik � � L?l. "INP TIO_-,-it-ikit.c.,„ig::.c.::.:„,:-.„-:,,,-::i::;7i,,,,;':,,.:;;:,.:.,,i,r:,:.:'.,...:,::,,,'...,.(i.;::.:„.::,-::::,- N (9 ) 447-9850 a 3 %