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HomeMy WebLinkAboutBuilding Permit 12. 0500 - 0 0 0 n 000000 "a. 0 a E0 ig © © 0 2 ppp 43.710 Lrl Pa k � § r \ \ $ 2 q �Q7Q P 2m / ' f 0 § . § f z §2 \ \ s k \ B Z i m \ 2 § z 2 & 0 ilk --1 F. 7 \ U'I m p300 . CD 000000 > z Jrnm m.u.0 �*c -2 1 2 ® § ° o - \ Q§mz & n . - @ K \ k E m • -nm =---- 727p3 § m 0 . 0 , ::•1 m § d . > 000 0 ■ -I m / 0o \ 07CO �kkk z ƒ m 0 -n r � � o 71 \ \ Ct." .1"Fmni +Vf>71 0 _ 2 � � �' 000000 1' \ 2 $ $] §q % o z ' Cmm30 z IT., 0 q § � k§§S § m . � � ■ 1;.- rn -le z1- m . —I r- 0 Q...., of reroR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT 5lil/ / tslj ~&NNESOi t. I. White File 2. Pink City 11�I PERMIT NO. / g-00 0 0 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) a3oc- SJov ccs 4-- &ill A/ti ,Pr; >r 1- .e, ilN 5$37? LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) 4I,(01e 2 ii (Phone) �,52 .- 233 -).743 - / 53372_ (Address) 7.300 SiOAPC—re5J /94-4444 41' /. Pi icy L"AP1 , BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New ConstructionDeck ❑Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Altera n ['Utility Connection CODE: [ J.R.C. ❑I.B.C. 0 Misc. • Type of Construction: I II III IV V A BPROJECT COST/VALUE $ Occupancy 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/fcause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.� / X . 70/ `�"`!-��"� 4, 5 Date Signature Contractor's License No. Permit Valuation -?,occag.— Park Support Fee # $ Permit Fee $ (g$.•7� SAC # $ Plan Check Fee $ S'1 ? Water Meter Size 5/8"; 1"; $ State Surcharge $ (_ +gyp 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 (i jj) kilt L $ 1 +7 -/ i This ica Becomes Your Building Permit en A proved Paid j // Date .s.3/.. 12,_.-....._ I Re Ipt No.fps�7 /i/z � Building U Dat This is to ce ify that the request in the abasic application and accompanying d ument is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign th ity Planner constitutes a temporary Certificate of Zonin compli ce and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Planning • for },/ Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 D P R I O R LAKE BElul PLDRNG A D 01 NF SPECTION INSPECTION RECORD SITE ADDRESS 2300 6"ZiJE(%NZ-ST- PHS TYPE OF WORK USE OF BUILDING I2.e.S f1/K- PERMIT NO. l Z . 506 DATE ISSUED 5. Z9-/2 BUILDER / Ve.y PHONE # 95Z Z33 ±.5763 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPE R DATE I FOOTING Luc- 10k 6 /'/ _- PLACE NO CONCRETE UNTIL ABO E HAS BEEN SIGNED WPM. FINAL FOR ALL INSPECTIONS (952) 447-9850