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HomeMy WebLinkAboutBuilding Permit 16. 0275 5 0 0)f. n 011000 ❑ . o > $ n n n 0 ■ - n -n o $ o � n n a XI 73 K . rd > CPCO m § m 22 § o 2 2 73 m ■ � D § § 2 § 0 §' ii q q > Z $ § o§ ® z§ » k t 0 d C © z z § xi n —I 1 2 Pa o ° \ 0 �� t o r Z ■ vi \ ■ r o 3 .------, t4 m Z § 73 R 0 % Oc ❑ c ❑ O m m m m a) mr alms x m m m » mc § f � � % � � � % § m o X zi § 0 6 0 r -n 0 z k X 0 n, _ § 0 z X X z r % z i m r \ i P 0 2 ■ o XI {..-1Th k n (72 2 . ❑ O ❑ OOQ y m • o � � n § > 2 > § 0mm2o rn q o E0 1:1 II 0g ! 4 rn Al S; _ mm _, _ 7J 2 cot - z m | -Ir o 0.); fPR". CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE en City i L../2/4 AND UTILITY CONNECTION PERMIT �'R'NESOI. White a PERMIT NO. //A 3 Yellow Applicant • Y 2_75" (Please type or print and sign at bottom) ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) .. `Dw�'.x .,-;,-.�� (Phone) (Address) I 45\ &14.-az._z y Po__,^� BUILDER ii / ii (Company Name) 1�1�tiw,.. .L �j,,,,..1 s (Phone) (Contact Name) cS� LA-"-o -0,..5 (Phone) 9S L-' ZT2 -oy 7 3 (Address) 1227;2 INLc. 1( + A .. S 1(2- A.s,.--I(L TYPE OF WORK ❑New Construction ACQeck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition ['Alteration ['Utility Connection CODE: R.C. ❑I.B.C. ❑Misc. e/i(&it 'tl'"--. L=ii-/4- Type of Construction: I II HI IV V A B PROJECT COST/VALUE $ Sbo Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I have htrnished 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 cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X V1/4..."--, —113C-3`i 3E 94 AIN/ Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ + Permit Fee $ Z7 - - SAC # $ Plan Check Fee $ I Zc Water Meter Size 5/8"; 1"; $ State Surcharge $ -5t..) 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 e 4--74(0, $ 41 7L 7 .--- 1(Z t6 G/11 I1(v This A 'ca 'on Becomes Your Building Permit ' en pproved Paid /., !S ec pt No. S-30-2--- Date 3 C� Date a. i b By Buil Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Plan constttut/ to porary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued Planning Dire F,r 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 , , DEPARTMENT OF PRIOR LAKE AND UDING INSPECTIONS ING .,„ , INSPECTION RECORD SITE ADDRESS (51 j( � �,M� TYPE OF WORK GipLut,�a1•,� � ' USE OF BUILDING (7-e5 P-' PERMIT NO is-,�r DATE ISSUED ¢�o t tp BUILDER �L� co�sink-.06125 PHONE # 7.-c(2-0413 INSPECTOR DATE FOOTING I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ( FRAMING Fisc.+-s'v �Q� I I I FINAL I j I 5f25/Cy I 0 FOR ALL INSPECTIONS (952) 447-9850