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HomeMy WebLinkAboutBuilding Permit 12. 0667 2 7k eECC SS « 0 \ 222\ k k 1.u.---=---- t X2222 0 J 0 2 < k ► 0 �« ozre'� 2 q OQOQOO . . al , 0 • W Z Q i _ + 0 tr a..4 k $$z tit O. L Z £ o k la / / 0O < 0 0 2 z _ ==a@ �� ' P m & % •• c 0 a. df§2m% § / k 2 k }2ku) a.2 2 Ecn ® a% . OOOOQO § 0 b z / 1114 _48 § 0 `§ ta * § a % ®m re < o W 5� 0 § k / lt. ¢2 0 2 v . . $ U $ d LU w re q 7 <22 2 � � g 7 �� 111 Le ILI k\ I- a) s. . 47 k - 0 < p 0 0 u.u. �@u. ■ 0 • 7 SJ \ © Q F.5 4 o a OO0000 U . 0 0 0 co of PRio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE - " AND UTILITY CONNECTION PERMIT , i / L--" rn 5�'t '- 4192 ,,I,� lt. I. White File PERMIT NO. / NN830 2 Pink City l z (01 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESSZONING(office use) 1 b (---, (i. 1 t,. .-_, ' .--kA3e -\ c, .. .,• .../ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID O(Name)WR R ht(c2.r`►�'1 C �j () �.Jo r) Y (Phone) Gi @`9(1 I` 1 lU l.DJ (Address) I r ( t..� for,ri (-d t q, V.,.) c)3 , 11 1 BUILDER `J (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction DDeck orch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace DAddition DAlteration ❑Ut ity Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certify tha V ininished informal'o on his 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-mention property in that all const`ictio 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 re ke this per for just cause ' rmore,I hereby a a:: Signa •re he city official or a designee may enter upon the property to perform needed inspections. X Jj\ `r� __ illo Contractor's License No. Date Permit Valuation Q( 0900 .e— Park Support Fee # $ Permit Fee $ l v�� SAC # $ Plan Check Fee $ ►6.5 -30 Water Meter Size 5/8"; 1"; $ State Surcharge $ / 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 (Avid ) (12,21a....... $ 27 (.3 e ' /,, This icat'� Becomes Your Building Permit n App t ved Paid CY Ga- )-4. _ Receipt No.S '�' �O '/ Date By 1 . Buildln,.'-'' Date This is to ce.//` th t e request in the above application and accompanying doe ents is accordance with the City Zoning Ordinance and may proceed as requested. his document when sign•,/ r h ity Planner constitutes a temporary Certificate of Zoning mplianc and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued 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 PRIOR LAKE 'DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS kkS B 4 k c).‹-- go66-1-ti TYPE OF WORK Fv � USE OF BUILDING 5 AitZ- PERMIT NO. (Z <oro 7 DATE ISSUED49/z-21/2-- BUILDER Z21/v BUILDER 1Z/ t4 rNA ,jt,:jGc®nl PHONE # NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE OCUMENT Z ��ri�V�/ SG7 / ,nt3��' INS E OR l C/ �DATE *arm t:51-6C-ra _,?5//a PLACE NO CONCRETE UNTIL ABOVE HAS BE N SIGNED I FRAMING 6' I FINAL FOR ALL INSPECTIONS (952) 447-9850