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HomeMy WebLinkAboutBuilding Permit 14. 0191 5 0 1:11Ec n t4p 000 0 a 2n co ■ n n a 00 § . 2 ■§� �11 k m2 c m m n k ' xi � -1 m E -i' az z -I -o % -1q q z §® § Q P �§ io• �KZ \ / / 0 \ § g © _ m m ■ r § 7 «/ X -n -o -a _ % rTi § § § 000000 D m � mm ■ � ■ s ■ � 2 c D m 0 c r_i Z ? 13 ■ ■ m ■ s n ■ % { cn m -, - kk00C) _� m m _ \ $ �,1D 2 §2 c § z 4 m > c C 0 c, 0 z m 0 gi § OOOOQo | R. / 7 P220 § R. © mii o m 17 §< ch z =M 002 qrn 7373 -4r- 2 �$ - z in -ir Q g O A o n 0000 = o » ■ mo n n a § o o 0s ■ � �� o§ 0 �2 § r R 2 2 0 m z >2 0 z z 0 2- § %�Z m 0 — =- c 4, 0 ■ Co n 2 2 z ■ % % § s ► •• 2 n § § N ii z m m \ 0 r 0 § o 73 kxjxj \ § 000000 o m m Si , m ' � > m - » m 2 " m § ■ 0x § n0 ■ 13 § 2 rn - § /BT § �B m z 0 § q / $ % � z §2 73 q c t § P. m % § . b = 73 m IN 6' § 0 t o - m OOOOOQ C....p.v ■ Rs C KMMEC \ 0 1 � �� § m -n r g � $ - § m -Ir Q % . o o 0 o 0 0 o -0 0 > ■ n n n 19W m § m fi �. / A kkk ' I o0 I :. r m m ■ Z o z© 10 $ / § § z z 01 o:11■ . . 4t0 -n co \II ~t 7 0 § . % 73 • r z "I -o "a 4. RI kq § 000000 53 z 222 ■ 11 ■ * ■ 'V k o m § § § 444 r 0S -, © S 0 I $ -n§ ■ § p3a3 M 0 0 § 53 cn m A . . > 080 0 C m E m 6 0 r o z MO 0 q § � , � �� p o § -n m k \ . r QOQOO 1 N q >0 C �§rnmE§ - , a. k r § •� 43 z » mm % _ 4 in Al -1z � vu "4 i 0 4.-PR IOC CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4- - / /4— AND UTILITY CONNECTION PERMIT (vEs°`t 1. white Fite 2. Pink City PERMIT NO. `4. /0/ 3.Yellow Applicant • (Please type or print and sign at bottom) ADDRESS ZONING(office use) C, 5 L rc sC _ti, le/SD LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION pm 2-5 _ 930. 005. 0 OWNER (Name) A 6-C c-V Le— C— — TT L)E J GH y l ,./ (Phone) 5'52 -- 5'1/-0 75z. "7 c` -2, (Address) .) (AY 0-45.40 of-"- C)GE OA 4 U✓i( F_ / MN• S>_477 BUILDER (Company Name) /4-,r G.14 C A&.z-,Q C., 0-W fir- (Phone) 7 6 7 2 3k — Rq 75 (Contact Name) e 77 4 fy i' A °V (Phone) 7 6 3 -- 7 75'— 75- (Address) 5(Address) 3 o £X f -r(w Ck E-s-�— C Q PR-s . L Ak€ ; 4 41/V 5-5177z, TYPE OF WORK 0 New Constructio• i a eek DPorch ❑Re-Roofing ORe-Siding DLower Level Finish 0 Fireplace DAddition 0 ,*.o. i Utility Connection CODE:4R.C. DLB.C. 0 Misc: Type of Construction: I II III IV V A B 6,50c, c.,-0 Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 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. 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 —z-� =� B c 5-0 6 3 6 Li //f(y Signature Contractor's License No. Date Permit Valuation 5-v®/� _ Park Support Fee # $ Permit Fee $ #1.76— /-1.(7 6 SAC # $ Plan Check Fee $ 7fo 54- Water Meter Size 5/8";1"; $ State Surcharge $ Z'—573 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 ] ) 4,14,4,- $ /7'_77 This • ;f a, �of Be 'Ines Your Building Permit Whe,Ap. . ed Paid /q 79 Receipt o. 9 lDate Wilh44 By t J„-.1 --, uil.in: I' ci M This is to certify t the re.uest in the above application and accompanying.. ..eats in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed b e Vie ' .,ner '•nstitutes a temporary Certificate of Zoning••..p'.,• and allows construction to commence. lefote occupancy,a Certificate of Occupancy must be issued. Planning Director / e Special Conditions,if any 24 hour notice for all nspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 F PRIOR LAKE DB Eur D NG D�INSPECTION INSPECTIQN RECORD SITE ADDRESS GCS'K/ IILfIsroof °Tlx- NPE OF WORK DEM., USE OF BUILDINGICS g//e PERMIT NO. Ido../q/ DATE ISSUED ¢. 4d4— BUILDER ff/yN enu6Ex. GONS7X.• PHONE # 'fGEZ. Z.38. et NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED *P.M Lt 1 I FINAL I 6)b L 7/244 '1 FOR ALL INSPECTIONS (952) 447-9850