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HomeMy WebLinkAboutBuilding Permit 15. 1184 n ❑t❑❑ 00 1 O D 9 y 0 0 0 rn -nZmom 0 2 a m5 n 0 a O O O 3 m � c ;z$ m N -nim b D o 73 ; m z SzvZ o N c� t17 r ri 0 0 0 Z cn -10 > 0-_I _ Z O Z73 � D N co z O � O D 0 ✓ v i m0 X 7 ' 000000 m 73 0 n ► 3 � y * 3 � o -1 z m m � , oc -Di0c ICS x3 mx3 -v 0 r . �+ z _. ( "n 0737373M m 0 0 O y p n �• y 0 xpp p 0 3 .1 _� m k, m -, -i �� rm00 =1 M -I 0 2 > cC Z m r p r O 0 col 0 = 71 m 0 A ,, 0 73 0 _ rii0 000000 Cl)73 m 0mmn 2 f ?4. Z cl z ymm3 © m R. D 0 r_ v -o � < m � 55v M T. Dmmq� t7 70mx r m y _ Z m -+ r 0 f Pit Jo ©°' 4' , CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,r ° \ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE _ Q AND UTILITY CONNECTION PERMIT l - Z� `� r`YNES° 1 White' CPERMIT NO. 3.3 Pink k it Cty `s--� `!L7 T typeor�t andYellow Applicantt sign(Please at bottom) ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) i?JV' c (Phone) 2—2.---9`k — 1 303 (Address) 1 � 0 Pass 1\)t ; + �./c.. i .7 l BUILDER _ rr (Company Name)P ',( (Phone) S 1_ 2 `i - t 0 t( (Contact Name) I R`),. c---. 'I t t (Phone) I g`s (- -2 r'—CY``I (Address) ) 5 t v s•i- ( ) f ) 1 i�v' i(c_ , 1 ) S. 1 t TYPE OF WORK 0 New Constriction deck DPorch ORe-Roofing ORe-Siding OLower Level Finish Q Fireplace C3Addition OAiteratian utility Connection AO CODE: 4! R.C. ❑LB.C. Q Misc: Type of C+ . . r. .on; I II III IV Y A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ ) C)0 f-.) 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 of authonzed 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 budding official can revoke this permit for just.- 8 se Furthermore,I hereby agree that the city o ' or a designee may enter upon the- po property to performneeded inspections.- i'2,-7-S' 12 tgnature Contractor's License No. Date Permit Valuation 2_1 0 0 0_ 0 0 Park Support Fee # $ Permit Fee $ 73. 75 SAC # Plan Check Fee $ Water Meter Size 5/8"; I"; S State Surcharge $ i U v 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 $ /2 Z.,(o q � J/ Receipt This r,ti+<.it :- .,.r ..'.Your Building Permit '< ,t r Approy Paid 1 -az_ r.0 9 Receipt No. // /rfiL -,- Date �qi!►f 730f„, �0-1`/ By . Built g I1 sate This is to«a E . , the request in the above application and accompanying•+ ,.. in accordance with the City Zoning Ordinance and may proceed as requested. This document when s R:':. ./(//1 try Planner constitutes a tethporrary Certificate of Zonin cozup`.. and allowsconstruction to commence. Before occupancy,a Certificate of Occupancy must be a551aed. lialialaop if r ` s •^ a Special Conditions,if any 24 hour notice(sr ail-. pections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 DEPARTMENT OF PRIOR LAKE AND BUILDINGINSPECTIO SNG INSPECTION RECORD SITE ADDRESS /6415, igeilin440610 PASS TYPE OF WORK USE OF BUILDINGQ/194" A PERMIT NO. I�. �rpDATE S�D f. 30 . 15 BUILDER PoieTf0-0 PHONE # 63/. 2s 6Q/ zv" 2e I zs'i D D O V24evix�roR reI FOOTING siie.o( �r -�orjo« I A/R PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL ' FOR ALL INSPECTIONS (952) 447-9850