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HomeMy WebLinkAboutBuilding Permit 16. 0267 5 5 000 n 000000 -0 0 > En / a o O O 2 2 g2B � oo © & $4 -, r n m m A ms m» c �C0 l m OM.4o Iti • -1D 1 Z � �%k%k Cn O 73 CI 7 U . \ ok z % o a >o n i § xir z 3 m m r o % O k -ti 3 mm 2 ooOOCO Xi K 13 a g2 �tm2 k k ƒ 0 II §2� I § ■ TR A § zzz■ � z xl 0 n % . r2u0 xj ti A 2 z ' m . >cc z r st 0 � � � a m o z- ,...)1(0 C1000 67 10 3) R. 0 r z lir >22§§ > a �§ -0 -0 ® m ® 0 m; ; o q m > . t §$%r V/ >, § m r o G PRoCITY OF PRIOR LAKE BUILDING PERMIT,TEMPORRY CERTIFICATE OF ZONING COMPLIANCE Date Recd 4 AND UTILITY CONNECTION PERMIT 40, z. pink 1. mite F'car f+it PERMIT NO./6 . I /(P (Please type or print and sign at bottom)I 3 Yellow Applicant ADDRESS 1i�� ZONING(office use) 1 uLer\ec Dr. LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER —, r^ (Name) -e-CC Cm f`O 1'1(1 e,, .e r (Address) (Phone) C� - 2-(0 l—Zq 4 s �Ck 3 1 to( f l�� 7r C u,C Le,\cam M ;k) s S`s-7 BUILD R (Company -: .. - (Contact Name) (Address). --- (Phone) _. TYPE OF WORK 0 New Construction Albeck DPorch e-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace DAddition DAlteration DUtility Connection CODE: C, DI.B.C. 0 Misc. Type of onstruction: I II III IV V A B Occupancy Group: A B E F R I M R SU PROJECT COST/VALUE S 00 0 Division: 1 2 3 4 5 (excluding land) II hereby certify that I have banished 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 IX can re a 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. I X / Signature -5-f Contractor's License No. Date Permit Valuation O ,3 000. C) Park Support Fee # $ Permit Fee $ G SAC # PIan Check Fee r,, ' 25 $ $ 57,, 3(, Water Meter Size 5/8"; I"; State Surcharge $ �l $ /, 5JV 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 DUEI $ 9-7. `/ / This plica. , Becomes Your Building Permit ' , Approved Paid /1.7 // Recei a t No. 4777 A /t-am._ f w (" Date /� f� i B / _�— Di le This.s to certify that e request in the above application and accompanying doe ens is' accordance with the City Zoning Ordinance and may proceed as requested. This document when sign . . th i�O ty Planner constitutes a temporary Certificate of Zonin c issued .1i// g pliant and allows construction to commence. Before occupancy,a Certificate o cupancy must be /it �� tanning Director '� kAiAdVtr l�C o� �� Anti` 6 24 hour notice for all inspections(952)447-9850 Special Condin ns,if any 4646 Dakota Street Prior Lake,MN 55372 64 :11 OUT PRIOR LAKE DEPARTMENT OF ENGINEERING AND BUILDING INSPECTIONS r - INSPECTION RECORD SITE ADDRESS 3.5C3 IA/C TYPE OF � � v� WORK 014 USE OF BUILDI PERMIT NO. 4. DATE ISSUED • • BUILDER � Air: 17_ 'Al f1a PH / / 7f445I FOOTING INSPECTOR DATE 1111111111111111 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL FOR ALL INSPECTIONS (952) 447-9850