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HomeMy WebLinkAboutBuilding Permit 13. 0203 C7 ❑ 000 _.. 0 0 E0 0�, ❑ O 0, _ =„ -n -^ o 0 m5 m 0 0 * 1 `� 3 mDc� co m m c)On 0 3 r z v 0 0 (� 3z � vi c y o xi p x m N �-z> z o u' oo , ti tel r 71 gi t. 4 0 0 0 il -1 m o00 z0 — N d0 Z z Lo O a M a z II m m 0 NI 73 r v 1 2 0 XI M X' 000000 `. Z p 0 0 . mrNDmr .� * m x z o o '�� m3 m =3 -a 0 n °, -1 cn v1 „ CO �o 73 7o W m 0 = g '< y m DI= p Gzi 3 Z 1 m O O -0 (D _4 X rnOO -� p 0 ti �o ,� 0 0 0 a DCC ZO m 01 •• = z v r v r� o 0 za. m1�*r o m 0 , W riic o % 0000 ❑ ❑ I x N m � 000 ° RN 7.1 v!,- 4 i yz Z ' N \ m z mmE0 c r � � -a 01 m ,' COD73 •ri 71 m r 04 PR_el CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 4. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3, 13, /3 v AND UTILITY CONNECTION PERMIT ft 4.I&ESO t. White File 2. Pink City PERMIT NO. 4„ ,�(f02) 3 Yellow Applicant "� (Please type or print and sign at bottom) ADDRESSZONING(office use) i)��'` r '' t ., / t wy s b. ' L/1 LEGAL DESCRIPTION(office use only) i LOT 1 BLOCK I ADDITION'ti--.;.14 ;,': :-.U. ',1 '1.) r% :.L PID :7 .t<:��r/- &c3—0 OWNER "12, -I ..r. .(4, kik' -:, Phone (Name) / d, / ( ) ��— © �� -.. t ,y (Address) /5 -- :r. `. „4„--z:...../.) . -4 --' .I . BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition piklteration ['Utility Connection CODE: R.C. ❑LB.C. 0 Misc. Type of onstruction: I H III IV V AB PROJECT COST/VALUE $ Occupan Group: ABE F HI MR SU (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 official can 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. X Signature Contractor's License No. Date Permit Valuation - 0,e2 % Park Support Fee # . $ Permit Fee $ '14-.77 5� SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ (-"52 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ c4.K nD Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE //7, 17 $ !r 5c ,P15 This,,p 'at # Becomes Your Building Permit en Apr oved Paid s`: • Re/eipt No. (,y e %(, �� Date _1,_ 1',..:, Bit Vii' C Iii me Official Date / moi' This is to certfy that t request in the move application and accompanying dumen is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign .y th 'C'y Planner constitutes a temporary Certificate of Zoni -compl, nee and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. ) 3 ir 3 nning Dire 'ate Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 PRI RLAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS I S4-0 f / ,c-s NATURE OF WORK3 ,,r r USE OF BUILDING i s ' - PERMIT NO. / 3 2-4,4 DATE ISSUED r n CONTRACTOR P4-r tve ,2i c PHON7947 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 14VOT414 EiNAMMOSIWM to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING yac ELECTRICAL PLUMBING C.1A. (,I7-0 /3 HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS dding) BUILDING o 7 11/94I i ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850