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HomeMy WebLinkAboutBuilding Permit 14. 0307 n [2)343 000 0 E i 0 0 0 -7KBk8 m oo 2 r n k k X rn z� �I§z § of k\ 01 r 0 0 ■ 2 0 -4© � © ' Z- *I .41111 hi q q -I 0 0 2 2 §2 � .� t § � � \ �2Et z 0 � % 73 r - El 0 k k I OOOOOO Z rn m m m tri mmc » mr k � o c �§ � c � m O ' � _ � - X co 7 § / n > § Q § § Z Z • § . § m -1 - r - § § XI k C n B 0 zcc z r *to 2 f z IIII f_ -0 -0 P 0 / 0 C. § m $ 0 . 000000 o ■ m o � � 0 § » E. k � � ��$ k zkk� g 41 z .- mm .� § A a z ■ -4r § o -7j�r't CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,,,,07- .(\‘ swir„)\\\� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5 14— m AND UTILITY CONNECTION PERMIT 47:1 ,t�" 'NES O I t.white Ci 2Pink City f � PERMIT NO. / 3 . 3.Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS � cL/1/ ikeakL ; SC LEGAL DESCRIPTION(office use only) , LOT BLOCK ADDITION PID OWNER i,, 7 t 5 (Phone) Z ' 2/40— 7-3 (Name) /`��'Yl�r� Ci p ) f (Address) ,-"7, tg /✓, t l Q &1L Le e J ��1 1_4`t! , ._.. ....5-- J 3 7;2_ (Company l 1 6 (Phone) 1fJ -3 ] ! / (Company Name) I. f j (Phone) to I Z' 3 -1,1.9 Li (Contact Name) 3Gt la S-'�--1 k.k' � -' (Address) /0100 i 51 Si•`ST- l 14,t''tri'.._ (C)Q 1 p p tt \i!� I m _tsi FIJI TYPE OF WORK D New Construction ►a'IP eck ❑Porch ❑Re-Roofing [Me-Siding DLower Level Finish 0 Fireplace DAddition DAltera on DUtility Connection CODE:a R.C. DLB.C- 0 Misc: Type of onstruction: I II III IV V A B PROJECT COST/VALUE $ �/ `� Occupancy Group: ABE F HI M R SU (excluding land) Division: 1 2 3 4 5 T abovecertify-mentioned ahand furnished all construction will conform application to all which existing state and local laws knowledge nd willtproceed ncorrect. acco rdancecertify wi h that plans. I am aware that the building bove property official can revoke ;-.ermit for just cause.Furthermore,Ieby agree that the city official or a designee may enter upon the property to perform needed inspections /r£ 05'/5 /2/2O/ ate Signaturer Contractor's License No. Permit Valuation Park Support Fee # $ L.k t pt,c7 # $ Permit Fee $ \ `o3.pc SAC Plan Check Fee $ -46-Ss Water Meter Size 5/8";1"; $ $ State Surcharge $ Z-60 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_,142-1 `i -51 6-/ $ ill • q S — This Application Becomes Your Building Permit When Approved ll 1 Paid Date //-7 /..tiS,� R eipt No. 716e) 7 I Building Official Date This is to certify that the -,nest the above application and accompanying docu ent is ink accorws dance with he eC to Zoning Ordinance and may occupancy,aceed CertificateasreuestedThis Occupancy must document be when signed• the ity constitutes a temporary Certificate of Zoning co p li issued. i 7 ��`� �, ' .'�` -- Special Conditions,if any ----- Date Planning irectot 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 DEPARTMENT PRIOR LAKE BUILD NG A DOF INSPECTION INSPECTION RECORD� 011) �, SITE ADDRESS TYPE OF WORK DeCle' USE OF BUIL.DINGjIr.6s�lC PERMIT NO.De.: yDATE ISSUED a:. S. 14-BUILDER i'CX. . DOOK. CD. PHONE it ‘/L. 3S8. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE IFOOI1NG I Rca�civt-o21 Tt'-er PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FINAL � p 2K /e FOR ALL INSPECTIONS (952) 447-9850