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HomeMy WebLinkAboutBuilding Permit 12. 1486 O :ow: J N > . w YJ � f"W- ZVW 7 aa � oN 0 ? ti �� co ° =., 00000 0 oC O CC i4 ...***Ni\\ o re v W . 6 Z 0 C aaQ Z 0 F ■ 0 F GC o g u J T g t a a C W 0 0 < C W N � 0 -' 0 W m a. 0 F „ IX J v U a 2 x u 2 V W W Z X {i J J W J W tt� W V W OC a 23 Na 2 UU z 0000❑❑ O O a a LL QQ\() J O `t U 1 +- t W Y W _ 0 O q • � V J . V . , , \ N W a W O 0 u Z ? 0 z w l- < AC aO N O Zap? x W Y w W ..11 C W F- N a . Z Pz2"J 2 O O U V 0 W W W Z 80 V 1. a o O u.0 u. = - rn O ❑ ❑ a V= Q 0 a 0000❑ V Oti f PRI CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 4 �HMeso� ° 1. White File PERMIT NO . _ 3 pink Yellow Applicant l icant 12 140 3 (Please type or print and sign at bottom) ADDRESS ZONING (office use) 'P-\ 1 FAN - l c u- C c� ? c lOr �. S5 7 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �'t 5-\5 t / Q' V f Y V (,�-� (Phone) ��"� � �` / Y Y (Address) S CA-'v—(2_, BUILDER (( \ (Company Name) '` 1 i3O (Phone) \f 1 -yo. - 43a (Contact Name) • . _ . ,. _ • _ / (Phone) (Address) 151 7 6 - ' C O 14 L J p, ) Let .L s3--)z__ i TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing [Me- Siding ❑Lower Level Finish ❑ Fireplace ['Addition Iteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ `f4 b 1 J a O ccupancy Group: A B E F HI MR S U (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 1 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 Signature Contractor's License No. Date Permit Valuation O ©, _ Park Support Fee # $ Permit Fee $ 3 4 15 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ So 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 $ 3 S, 2 S This k. 1" 2.f Z : ' on Becomes Your Building Permit en , proved Paid 35 - 2 Receipt No. ro} I U Date t 2—/P. �i. �� By _D 44_ pi . uilding . - I Date This is to certify t , t the request in the above application and accompanying docume s is in accordance with the City Zoning Ordinance and may proceed as requested. This document when si: - , by i City Planner constitutes a temporary Certificate of Zonin comp ' . nce and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. A. .. ='s. i Z ZG, y 144111111.rector 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 • -,,i.--4-'"1.1-74,.-,,k,'„':-;.-„,`9,,:;:.:.,, fi x ' .^ °+, ?¢ ggr ,v., �, .s- t4 ' �% fiver - r "r=4 ! �.sa r ' s Y� � 4�° :� � .'� f ti � Y r�'a' � � ',��� x j a " � � r. $'', � �" - � a �` � � � P t , RT ME O F } c � t R .� ; � L x �',3 . � � <,�- r ,a�- - ? t Y � Y > fit f P r D EPA G AND s ,BUILDIN INSPEC ..‘, .._ ..,,,._ :,..... ,,,. ,,,- .4i;.,,,,,,,,,,,i44„,,::,..,„,..„,„,,,,, , ... .. , , _ . ,. , „ ., . , , , . , .. . , , ., , , ,, . - .. , - Nom S ITE ADDRESS f 44 ` v C. r (J TYPE OF WORK Lo ,►-- L. �-- _ USE OF BUILDING = tZ A / PERMIT NO. 12- k G : DATE ISSUED 1Z- 7 7 CZ BUILDER . .-c -.rte. + o reL i2 � PHONE # s^z 4 S1 ` • 4 4 4 1 NOTE THIS 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 ' 1 ' f 4(-)'' I FINAL 1 P d ( i 4 i FOR ALL INSPECTIONS (952) 447 -9850