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HomeMy WebLinkAboutBuilding Permit 15. 1490 n 000000 7 0 > E0 0 0 0 cnm - -n " " 0 0 � � / 0 © «0 0 0 . klk � cR m m § q § > © m m Z � b. E � k z CA - - I 0 0 C m U) -A ® § ® Z - III k \ • — Z 0 2 ■ 2 - a Z rn m m o n m 7 \ / i XI j2 02 2 000000 0 0 s -13 0 o \ z o o = 3 m25 -0 0 q k K E 0 > 000 - \ a 0 - m m § q r- 2RR @ -I � � ' E tll q \ 2 § k § P 2 F m \ s." m c 0 00000 Q \ z < GI 71 cl rn ) Emm � C) m R. k K � � ; c D , � nnz > Z mmw � -,® 0 1 22xi E ■ " •2 2 ` qr 0 (--.A. APR-If CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd H. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ( � AND UTILITY CONNECTION PERMIT �` U 12 kiNNEscicP I. White File PERMIT NO. ---- 3 3 Yellow nt ( �l G/ (Please type or print and sign at bottom) ADDRESS ZONING(office use) No(0900-er5 . ! �`Ck /3-20 LEGAL DESCRIPTION(office use only) }-� r LOT BLOCK ADDITION f Cl`�-%/� �( T--AC/W/LiPID ikz- "7�/�4/-1;0,60 i , OWNER 1/2-----7 6A0—i'5— Un- war (Phone) (Address) 91/1/445 BUILDERkrixe•-•:) (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK CINew ConstructionZk ❑Porch ❑Re-Roofing Erne-Siding ['Lower Level Finish ❑Fireplace ['Addition ['Alteration ['Utility Connection CODE:d.B.C. ❑I.B.C. El Misc. U! Type of Construction: I II III IV V A B PROJECT COST/VALUE $ A,7V M 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 co iction w I c. ,orm to all existing state and local laws and will proceed in accordance with submitted plans. I aaware that the building official can rev, e this permit for just ca e. Further. -by agree that the city official or a designee may enter upon the property to perform need•d)nsp tions. Signature Contractor's License No. D to Pe • F. ation5 O , Park Support Fee # $ cii ,Permit Fee $ ( (1.1 ,5- SAC # $ Plan Check Fee $ cAr- Water Meter Size 5/8"; 1"; $ State Surcharge $ Z, ,>J 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 $ (C ,—i This Appdo •'mes Thar-Building Permit en prov d Paid 1tOs Receipt No. .3(0 4' 14 . Date r By G •.ui . isv(Alicia Date This is to certi th t the •quest in the abo0e application and accompanying.ocu ents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed b t ' ity fanner constitutes a temporary Certificate of Zoni,g co pliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. ll ning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 PRIOR LAKE DEPARTMENT OF ENGINEERING AND BUILDING INSPECTIONS INSPECTION RECORD SITE ADDRESS 0&61 TYPE OF WORK USE OF BUILDING 1& A- A-- PERMIT NO. ( - ( `' 0 DATE ISSUED i-2- ( ( (cc _ BUILDER , ,A-/Y1 ���i'L PHONE # (2(Z -7�f 6IS INSPECTOR DATE I FOOTING D s� 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED _ I I I FINAL FOR ALL INSPECTIONS (952) 447-9850