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HomeMy WebLinkAboutBuilding Permit 14. 1031 10 0' 0 000000 NI 0 > 20 a nn ■ O ■� E -n -n � 0 & 0 PO4 k I- 71 k k k s �� Mi! ZM I �@ t 01 r -1 -1 � 2 It Pr • m in © 2 fit0,_ z § z ox t Ti r z 2 �\ m m z - § 2 �\ m o ■ ■ Z R R 000000 �� 0 \ 200 ■ r ■ § mr * CD Oct .1nC % 2 § ? m .n § ■ § m§ m 01-ti..: 0 � n Q m _, d > 0 , 0 0@ m • 0hi d 6 0 . r � opo § . r 0w3 Z # m > cc z c 2 k q . r- -a P b M § Ca � § _1 m - '00000 xi � � r. 5 / k . � � � � � q z mk ;; § hi 0 › mm4 � qua r C ■ § z m J -I r 0 ((-1PRlp+P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � I 4-- Ave AND UTILITY CONNECTION PERMIT ! + L'-� .'''fNEsO�P I. White File PERMIT NO. /// o3 1 3 Pink City 3 Yellow Applicant I 1 (Please type or print and sign at bottom) ADDRESS ZONING(office use) ft/y/4 (Ai el fez sedge Tit 1 fro La kc LEGAL DESCRIPTION(office use only) LOT i.4.0'BLOCK ADDITION (:J c v d j y(5 rnBn or PID' i iq -62) .t OWNER(Name) iO_j ley. 5-lei ktQr (Phone) 7.5. - yet o2 9:5-s"� (Address) /l//le („C)4-1-e vs e cif. %�x 1 I f r io e &d'K e BUILDER .-- t� / (Company Name) J O II h O'� (t COWSst (Phone) � / 303 35 ? (Contact Name) .ToL1 4 -Ca4 (Phone) 4 5j 308' 3s'97 (Address) a 0 I tic Cad-11,1)e- cl- ,- a ern i a 10 el i s'f'V sr TYPE OF WORK ❑New Construction beck ❑Porch, ❑Re-Roofing ORe-Siding ❑Lower Level Finish ❑Fireplace �(nl ['Addition 'Alteration ❑Utility Connection yam' �C 5 me ,F-00-i. {� CODE: ?4I.R.C. I.B.C. ) JMisc.COvri 1de / QoV- O�1 Us)n f,3 ;l 1' ❑ P co Type of Construction: I II HI IV V A B PROJECT COST/VALUE $ � (JO Occupancy Group: A B E F H I M R SU (excluding land) � �� �Ect�-� 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 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. 1 X JAI' 6y. DILA S. c.. X37 3q 7.- 19 - /q Signature Contractor's License No. Date Permit Valuation a®e;fr7 , Park Support Fee # $ Permit Fee $ •1.5:1 5SAC # $ Plan Check Fee $ 4—' , 1461 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 9it/.14, $ Gas Fireplace Permit Fee I $ TOTAL DUE $ (-2_z This Ap. ica, t n Becomes Your Building Permit en Ap' oved Paid / - z.,(y% No. l14/ 1-1 , `idi /.—...... 'V. Date /,‘ • 'ding Official late This is to certify that the re.ucst in the above application and accompanying docu ents is in a ordance with the City Zoning Ordinance and may proceed as requested. This document when signed by th ity P i net constktutes a temporary Certificate of Zoning co pliance an 'allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. 'i 1, `c 0 ning �r `\ D e (� Special Conditions,if any 24 hour notice for all inspec Ions(952)447-9850,fax(952)447-4245 , 4646 Dakota Street Prior Lake,MN 55372 • PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION R CORD SITE ADDRESS ,qqfUif:045 ii TYPE OF WORK '99eitIMMT - USE OF BUILD! 1� PERMIT NO. L' j D A E ISSUED ',Zing"' BUILDER I . I ;2711.77;" PHONE # 9.351, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE IFOOTING v&z t Bhtsri "J I '-c—� ci 23 l PLACE NO CONCRETE UNTIL ABOVE HAS BEEN IG ED I FRAMING ! FINAL I \\ kc.i FOR ALL INSPECTIONS (952) 447-9850