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HomeMy WebLinkAboutBuilding Permit 15. 0838 e O 2 n n n O ocOO o z2 o o O © 0 o O ■ k k k x F1' \ 2>C C 0 A 2 2 0 % t q a z � �■§� z 0 �9 10 ® * a 2 . Z § -I§› 0 p ■ 71 k k k \ Z Z ° ■ % 7 / J ' m 0 51. 2 ro ° mm k m o 2 , f m 2 m n m g,' : 000000 0 $ . E ? -17 ! �� �Im� o ¢ m nc -1nc ` E m « 0111) 7�� 2 �§ n ■ en 2 0 ) ^ ¢§ zz �§ 2 § �� z , . _■ -4 ic m 2 m I -�2 _ • . . t o A §§ o r x m �0/II ƒ 000000m22§§mg') fn § m /i5Km ^ �qmq� Iv., kid k k of PiT CITY OF PRIOR LAKE BUILDING PERMIT, �• ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd ....") AND UTILITY CONNECTION PERMIT / �S 4/NNFs01� I. White File I PERMIT NO. I 2. Pink City /� /130 (Please type or print and sign at bottom) 3 Yellow Applicant `/J` jv� ADDRESS 41 ) geaciN S , f ZONING(office use) 5 7P5A LEGAL DESCRIPTION(office use only)on LOT���i;LQ"CK I NPID 2� 924 —OC OWNER C (Name) v (Phone) (Address) BUILDER , (Company Name) 1 _ ; . _11+ A f 0AtI 1—Vigo (Contact Name) f ', '�' w A (Phone) /c-t-,2— � (Address) 5-6'"? 714x (Phone) TYPE OF WORK 0 New Construction igpeck ❑Porch ['Alteration ORe-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ❑Addition ❑Utility Connection CODE: ,R.C, DLB.C. 0 Misc. Type of Construction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 1 k Division: 1 2 3 4 5 (excluding land) I hereby certify AU 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-mention. = • - tion 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 rev ,p -mit for jus .Furthermore,I hereby agree that the city official or a designee may enter upon the property X /L ��=` („ �P P P ny to perform needed inspections. Signature � o� I— Contractor's License No. Date Permit Valuation 4 0 o o — Park Support Fee # $ Permit Fee $ r IO3. SAC # $ Plan Check Fee $ Co C * 1 e7."- Water Meter Size 5/8"; I"; $ State Surcharge $ ` 2. 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 This Appl; do• :econtes Your Building Permit n Appr ed rt ate '1�_�� 1 I Receipt No. 2'� q.,,r 7 I Ail/ ByeD Building Official ( ZZ ' -- `�� �� Date This is to cent that the request in the above application and accompanying doer ents is in ordance with the City Zoning Ordinance and may proceed as requested. This document when signed the a'y Planner constitutes a temporary Certificate of Zoning c pliance d allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued 7 Z . ( 5 •• • •• director Late Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 cSI• PRIORLAKE DEPARAND BUILfDING INSPECTIONS ING INSPECTION RECORD SITE ADDRESS � � P.r er` TYPE OF WORK f USE OF BUILDING 40 ,' PERMIT NOS %r i DATE ISSUED BUILDER :Ar • Z• PHONE # j,01,¢4er FOOTING 1J(/ 11111111u+arecroni�� DATE i PLACE NO CONCRETE UNTILB ABOVE mm IGN'� FINAL k Ell Illiamm FOR ALL INSPECTIONS (952) 447.9850