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HomeMy WebLinkAboutBuilding Permit 12.0873 w 0 o40 0 000000 = 0 > E0 N 14 n 0 a o ! • 3 qzu) 00 m m m m0 b > o X „ „rte 3 mrrEzr N A-0 tvi F 0 , o m z 5 -zgz o CO c� 01 $ - C Z v o - � z- '�ti �`�o 21 N o z a s ,1 �► - z ... = nA, m m i 4u m ,�L O ❑ ❑ ❑ ❑ 00 1ki Z m m A "c 3 m m * 3 l, 0 -4 v G Q n_ C2 -40C 1 2 ? \ ; R1m 3 m O r N e u, m m , 73z2L0 m y uC 13, m m 0 I.' > T 0 0 3 -1 m NI n $ G z ' m � � � 00 , o o �, - ( k_ A m 1 , = m c 00 t�ii 0 m • 000000 z z � � ommo 61 o a > F1Y) o�' v 0x. o rmm � o hi 0 > mmz _ 4 m mmm '� � ; VI5 - z m r g 0•it 0 . n OrSk0 000 1 2 6. z _ n 0 k 000 E Pkg� -11 2k 0 m mx m § r R 2 2 X \ m �r "2k2 0 0 --0 hi t q q 2 ��2Q & © ' z§ 2 » a �� L -I n Z 0 § v q 0 To §1.4 S 7 2 9 6 1 z Q1 0x 0 R - § Ili ^ § ■ 0 73 ,3 .1S . , 'I 2 § § 000000 Z xi m rn m m . ■ * m \ ? & § § � � me 23 mix m 0 1 in % 2 K 2 § . t§ ■ § 2Z q Z , m ■ 0 r -20 NI / > cc r z m r � � p 0 AI LQ< 000000 mti 12. 0 ts, § �§I- Z � • 5 0 0 0 n 000000 13 0 > $n n n 0 ■ i ■ nnn o $ o �q �c� m m n § / 7 2 7 § A 22�z g 0 �7 tn r n n ■ Z "O ,o§ © ' z■ / t a 0 k cn © z 2 z ro n % IS 7 § k 0z mm t 0 r § xi § xi ra 11 "0 mZ 2 00 a OOOCOO 41 m q mm � ' E� ® tE -a c c O 2 00 OS �CO 7 § � � K E o 0 o r - § 0 \ § r- m Oj ttl § § 77 § m z # m I\ 0 / I m % o n W 0li 4100000 i \ i� 11§ C To>0 z V $ � k. 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Pink City /1.. 0-73 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 6 /63 3' r,. 01;(lex, ✓rte), (L, n 5 5-7 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER ,(-)., (Name) 1.Jhvc�) 1 G'(,,'1 (Phone) C1 t) 1 0-01&`Al ti S (Address) -5Y, 45 4 1-x.tfc e',t2(,- /5 Z . Z/ . 1/7& BUILDER /� (Company Name) nig<t e'l J c N1 (Phone) (Contact Name)c..-2, (Phone) (Address) A y 4 kti TYPE OF WORK 0 New Construction Deck ❑Porch ORe-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace ['Addition ❑Alteratio ❑Utility Connection CODE: InI.R.C. ❑I.B.C. ❑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 $a CO 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 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 e-1,A___ Signature Contractor's License No. Date Permit Valuation 5 0 O', - Park Support Fee # $ Permit Fee $ 111 SAC # $ Plan Check Fee $ , f, 5-4 Water Meter Size 5/8";1"; $ State Surcharge $ Z- S2' Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other ` i $ Gas Fireplace Permit Fee $ TOTAL DUE ika t Z(i z... $ ( a 6.-t k ck C...4 tiet� 8/i, . This . ,, •tad,., ;'-.,,, • ,urBui\dingPermit When A ved Paid /e/C,. .7q Ree pt No. (a 677/0 lDate ,,r. 3 /L, B . . S Z (Z Build. :Officiali to„Wi is to certify that the• •uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed. e City• , . ••.nstitutes a temporary Certificate of Zoning omp nee and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Date Special Conditions,if any 2a'hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 oe-A . 10'6 . !Kill,ma TOM:id MM i .4';'),„.... ....,...t -...., 1 . t - : li = 2\ ç .) ‘-kt -.' ‘ .,: • --., CA CI ... 1.4 0 ..... .....„ ,,, ..., , ,.... ti , ' • i ,, **-1,- 1 j CA lib CID t-• 1" .4... . -4-- 41154114,,t ' 4 ' \ , c''' -I, ,...i .... • - 1 , N.._ Lb ..... ii „,,, Ct ...1. 0 i ..., , , m - , ....., ---- 40 4 ---, A ' • i d•- 1'4 - . ) -‘,..1 4 ' Nei. i .-Z) 11.A i, 0 -4 iiir iv , \ . 1 '19 , ' P VI ) 1 0 ‘fto) ' \al .... ( [ i ' ,—,.... , tag , L4...... 6 joz 16- t ";,---01 LLI Z :- -:,. --- e'l > s ,..„ ......e,.... 3 Li CD Ce. el 1 4 1 Z - . . 1 , v . k g 5 , it ii . I i a illi 1 • . A . tt CEI II/ IMMO I 17 ell° 41i, T/ CO i I lg 1 somon . TMENT PRIOR LAKE BUILDING A DONSPECTION INSPECTION RECORD SITE ADDRESS /5332. eASLFAS Raeig TYPE OF WORK Deedem USE OF BUILDING / r PERMIT NO. �Z . dATE ISSUED 0. Z.IL BUILDER PHONE # ___ZZA.021551' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTORATE 1. 1 FOOTING 11.6051.11,1c, F;�S - vi = oe,� e i � n, * ui /Z A�� PLACE NO CONCRETE UNTIL ABOVE HAS BEE SIGNED laarift FINAL FOR ALL INSPECTIONS (952) 447-9850