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HomeMy WebLinkAboutBuilding Permit 11. 780 2 0 0• 0 000000 V o> 2 n g n n 0 ■�zm�� 0§ o - q 0 r: kk \ s /�E xj m \� t r M m m ■ � ■ oz co) qq 2 -0 -Qq® �■ ca 2 ki t § i m § Z 2 § 2 § s 7 0 0 �_ 0 /\ t 0 D. x U mm § r § 7 / 0 Z X ■ o 8 1 000000 • x mmm �� aIIcn *ate , • �_ ■ °o i 0c ro E? § ■ § m 0 • 0 I / / m CO 2 \ � % >0■0�0 Z 0 . m § 0 o 0 r2 ■ Li o § § z F• 0 „ § r � � 0 ■ o m xi m \ k 4 | w ■ < . $Q00000 • > z _ imr�§ § c� �� \ 0 �0 w • m . ' \f��z 2 m 4 PR �' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd i. ,`\ S; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE L.) `� AND UTILITY CONNECTI PERMIT �' ice ' j j 4"j kN ES ° I. white File NO. Igo 2. Pink City PERMIT NO / / 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 Wli-b..3 OVER-o04 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER 1� (Name) / /Pink GfrIb CA-A O y 3EU. 'hone) 9S'2 - Z 4 / i 4 (Address) /y 33 4 / Wu -DS O✓BleGOO TesOle La iGC MAI $ BUILDER (Company Name) ../Q/'rf 7' /d r : 75 (Phone) to /2 - 7/4 - ■S 98 (Contact Name) ?/'A'. ,d . J 2 P tat (Phone) (Address) TYPE OF WORK ❑ New Construction ISeeck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection CODE: L1hR.C. DLB.C. ❑ Misc: Type of Construction: I II III IV V A B Occupancy Group: A B E F II I M R S U PROJECT COST /VALUE $ 12,O60 Division: 1 2 3 4 5 (excluding land) 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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building official `revoke this permit use. F , ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. / / S -/4- 20// X ear — Signature Contractor's License No. Date Permit Valuation ©O © _ Park Support Fee # $ Permit Fee $ Z 1 r SAC # $ Plan Check Fee $ -- 7( � >.4(, Water Meter Size 5/8"; 1"; $ State Surcharge $ Z 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 !?A'LL. , 47./1 $ t Co . 7 y 2' = sl fie/ This • pp • , ition Becomes Your Building Permit • ■ . • , : proved Paid /'7 (.<< 7/ Re ' pt No. Co ¢,,2 4 Date / 0 .. fa- r / B u ' ink :� Date This is to 'fy tlhe inc ab w applicatid accompanying docu is is . with the ty Zonin Ordinance and may proceed as requested. This document when si th ity Planne r const itutes e a temporary on Certificate an of Zoning co ce d allows accordance construction Ci to commence. g Before occupancy, a Certificate of Occupancy must be issued. (g C 1 Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PRIOR LAKE BUILDING A D�INSPECTION INSPECTION RECORD ` SITE ADDRESS /4334' WILDs DVEItl�/ 'MV/�. TYPE OF WORK DeCS. USE OF BUILDING /I �l�. PERMIT NO. DATE ISSUED et_/&./1 BUILDER 751 PHONE # L6I. 4'II60 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT �/ INSPECTOR DATE �,,� PO44 �l�,lLy rk5,) C�,,LnI61- lNosmAo PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SICaNEDP�''��Iga *MN/ 1 1 (FINAL 1 t-fj� 1 0 FOR ALL INSPECTIONS (952) 447 -9850