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HomeMy WebLinkAboutBuilding Permit 14. 0249 5 c A n 1: 1:k0 000 -0 0 > § 0 n n 0 0 0 . ' c § mK$ oo z m X �/ C5 r ti m m § �� m � m § k � m k � � % t -1 -4 > . Z § 2ogQ P �k xi tz c ) 1 0 10 -1 moZz ik § \ o i § k I4 mm q r o 3 P , m k k o ONOCOOCO m mmm - ■ m ■ ■ m k -I § � o I� 9` 0 a -10 c10 2 ? z § m ■ ■ m n @ § 2 § > 000 0 k n A 0 0 rm § o z ri 0 C § 2 ' m I } r -o m o m _ o { / C ► k § 000000 Q.._ P z 7 o " mn % [ © Cmmmmxizo m 41 § m § nn - § rn z � xmm � F 2 � $ - E m _4r o ����9 CITY OF PRIOR LAKE BUILDING PERMIT, ate Rec'd U TEMPORARY CERTIFICATE OF ZONING COMPLIANCE tz AND UTILITY CONNECTION PERMIT . Z Z 4lNN E S(5C7r l.2.White File PERMIT NO. 3.Yellow Applicant /4_ 2_44 (Please type or print and sign at bottom) ADDRESS ZONING(office use) /Z er 3 p,-1 Ywoo S4- S' �: P,'b L LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (a 'r`o ( UJ o O&sv 2)4$zt ^ E I I d (Name) ,/ r-� (J (Phone) (Address) 4 2 g 3 !�'rt�r-t4J d a G� S--( . S L. BUILDER �� Lth€11S fir- t� L, L (Company Name) `� P'y (Phone) 1v 64 5 'U 7 a (Contact Name) --r--(5662 t-ehP i--9 (Phone) 0 7) 64 q ' 7-2-1 ( (Address) 30 3 ( v,+'vt.d S'7C K€._ t 9—0 -t ,14_41,jet S/ /(%IV 5 Q/ q TYPE OF WORK 0 New Construction ,)eck ❑Porch [Me-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ❑Addition ['Alteration ['Utility Connection CODE: II).R.C. I.B.C. 0 Misc: Type of o. traction: I II IIIIV V AB 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-m p petty and that 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 revoke it.for'u ause. urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed in ons. X / Z 33 4"7Q ? /lloYl•, 204 Signature Contractor's License No. Date Permit Valuation -200 t- Park Support Fee # $ Permit Fee $ J M Z 5- SAC # $ Plan Check Fee $ Cir 30 Water Meter Size 5/8"; 1"; $ State Surcharge $ I 5-0 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 7 $ r 47,, 4L This Applica:,. B- omes Your Building Perini en pproved Paid 17 -/// Rec ' t No. //elf) Date .4(-, Z 2 / B / AAs ZZ '1 :uildmg Official „„,. Date / This is to certifythat e request in the above application and accompanying d• ents is n accordance with the City Zoning Ordinance and may proceed as requested. This document when signed th tyPI et constitutes a temporary Certificate of Zonis:compli.. and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. ,. 7 Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 I PRIOR LAKEDEPARTMENT OF INSPECTION RECORD SITE ADDRESS 4�PrLleIel✓OAD ST. TYPE OF WORK USE OF BUILDING RerVe.- PERMIT NO. L L. Zig DATE ISSUED # . 13., 1�" BUILDER TWO a�►i /IPHONE # ,�f�IT,MS NOTE: THIS IS NOT A PERMIT F R ANY F THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE IFOO11NG 1 De L 5(4k1 ic PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S4G;NED FRAMING FINAL I�L�I �� � 2� ( i /o FOR ALL INSPECTIONS (952) 447-9850