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HomeMy WebLinkAboutBuilding Permit #11-173 S O O� C� ❑ ❑�O❑ � O D Nn n �� o 0 0 3 �z�� ° c ° o Z��m �o b a � � � � 3 ��3z� _ � y .�T � � m m y m v SzyZ O N o� � � "� � � - m 0 ��� _ Z � p D y N n Z Z Z � A .� � �° o - z - n i z � . m � � o a Z� t m � � v � _ ,� � v � m � O � D❑❑O�❑ m 3 �3 � - y v v nc � � �3��x� m o � � G� � � m � -�i y� 3 � v �' -�i o z r zg� � � � ��°, z � m �, ��� � o � A � = m ^ � c � �1T y m ❑❑OO❑❑ I . y Z � �„„� $ a�. a c ymm�� `�l m � v rr���� � Z >mmZ� � m �,��o�� s 1 � � - � m oF PR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � � AND UTILITY CONNECTION PERMIT U �r 'Irj�, I. Whi�e File Z �;�, � PERMIT NO. f� �� 3 Yellow Applicant Please or rint and si at bottom) ADDRESS ZOIVING (o�ce use) t 4 � C�- � � . � LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID O aWNER �Ct,t�`� '`� � 41 Cj� ►� (Phone) � D � �� � ��1 ' �C� l �— � (Address) � � S �`t �` '� � i•1 4 V BUII.DER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utiliry Connection CODE: ❑I.R.C. ❑I.B.C. �`S�� t Z� �� � � �'T Type of Consm�dion: I II III N V A B pROJECT COST/VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 I hereby certi'ty that I have fi�mished �nformation on this application which is ro the best uf my knowledge true and correct. I also certify that 1 am the owncr ur authonzed agent for thc above-menuoned property and that all construction wil] conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am awaze that the buildmg ot'ficial can rev�his pe mit r just ca`'se. Furthermare, I hereby agree that the city official or a designee may enter upon the properry to perform necded mspcctions. X vy;1 3"`� Signature Contractor's License No. Date Permit Valuation � r . Park Support Fee # $ Permit Fee $ . . SAC # $ Plan Check Fee $ �(p �Z �" 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 $ 4 . This plic 'o mes �our Building Pemtit en proved Paid ReCei t NO. �� �� Date Z B � ui dine Uttic�a Da e This is to cr•rtify thar the requcst in the abuve application and aceompanying documenrs is in accordance with the City Zoning Ordinantt and may proceeA as requested. Th�s ducument when signed by the Ciry Planner consututes a tempurary Certificate oF Zoning compliance and allows construction to commence. Befure occupancy, a Cerdticate uf Occupancy must be issucd. Planning Director Date Special Conditions, if any 24 hour noticc for a!! inspcctions (9S2) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 DEPARTMENT OF BUILDING AND INSPECTION . SITE ADDRESS ti'� o TYPE OF WORK � �rZ ` ����- ` �� USE OF BUILDING PERMIT NO. �1 ��Z3 DATE ISSUED 3 � z BUILDER ��`'�� /�/s'o,�✓ PHONE # �('Z�73D^��Z NOTE: THlS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FRAMING �,vs��� �,,,�,�, E=�-�'� 1 c.�4c_ FINAL �� 1�,�,,., I�} S 3l c'z._._ FOR ALL INSPECTIONS (952) 447-9850 . �_ . , . . -- �� 6 � � �' T ' I ` J -- ---.._.. ----- - _ • � 1' (�n " � ` � ` `� �� � � � ' ; � �. `� . 3 / `.�. \ � \l� � � V - • �� , ► ti . �'7 �rn�r�D .. � ,� P� --, � " ���': �,�`a�: '2� : � i E N � ' .. . ��' . � -. � �. 3 �.•. •' a,. C:re°a:ti t •�,r. �P if� � , � �.,� 6 il . �� '4a 2 �� �� � / . r"�:.' :�o► ! �c. • S,� (., l. � �/ . , '� IE' t m o+� • �.. " 1?"Oo� � . i � 8��1�t� c,r►.-t►�"�A'? ""°°� �t'�"�.` '. , . AP�PROVED �.� !� Q,� �c � ac,:. " E�uitdln �, Da�te, _ � Zdnan� at� � i > >-' � :; `.c:.:, •A,,. 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