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HomeMy WebLinkAboutBuilding Permit 16. 0207 5 5 0 n 000000 0 > zg § n \ 0 § 0 30 §2 §§ 00 0 § § mo 01 r • m § j m mr � § � } Cl)m xi \� t -1 2 = 0-I 0 o■ Z8 § XI 0 § . - 0i % Zq 0 0x % O m-n % r \v m 0 z 73 z xi k R 000000 0 \ 200 mritmr to z nc2� nc k M . > 000 Z ma Irma E k i m III 2 § I X222 z \ c r 0 k rm I m k0 ® 00000 R• > 0 kkm3§ � ni § � � � m r % , a � � }� � -n_ ■ ter -I 03t■ m -1r 0 of PRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd A. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT U tv 4'kNEsolt. I. White File PERMIT NO. `Fll: City 3 t t- �/ 3 Yellow Applicant /// (Please type or print and sign at bottom) ADDRESS ZONING(office use) S 1 (f) WeA:0\Z_V3 0®C. pr. LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER ^-- (Name) -1 o J''1 �1+ -(-(_ ' (Phone)@S ) o' 3aQ SS t41 (Address) S 5---) (© M`0\coo qct f BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction $Deck DPorch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition EAlteration DUtility Connection i CODE:40I.R.C. ❑I.B.C. ❑Misc. Type of ons t coon: I II III IV V A B • PROJECT COST/VALUE $ .3,00 a,�-- Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 1 •eby 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 ab en ned operty 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 offici n r ok t is 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 "") -D1- ®ko Signature Contractor's License No. Date Permit Valuation -3.0Park Support Fee # $ .r' Permit Fee $ 0 g e z 5 SAC # $ Plan Check Fee $ ,5 _7 3, Water Meter Size 5/8"; 1"; $ J l State Surcharge $ ( !5- 0 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 $ (41 r This Appiati t I' ecomes Your Building Permit en A J proved Paid /4-7,// Recei t No. 46/..2-- Date 61.VDate ,'j 2_4, /4 By Ole ....lig' b But ding Official Date This is to certify that the request in the above application and accompanying d'cume s is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by th City Planner constitutes a u. rary Certificate of Zonin+compl ince and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. AWE Plannin_Director l ate Special Conditions,if any 24 hour notice fir all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 PRIOR L KE DEPARTMENT OF ENGINEERING AND BUILDING INSPECTIONS INSPECTION RECORD SITE ADDRESS `5 •m .r,c). TYPE OF WORK USE OF BUILDING &Alp A PERMIT NO. ' DATE ISSUE u � BUILDER 4 J4 q9j PHON # 1' 2 -Z37- 'c4 INSPECTOR DATE FOOTING I >�r�� 5` 2 7� PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FINAL ni22e,p(Wic I (.5-(( -//1( l FOR ALL INSPECTIONS (952) 447-9850