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HomeMy WebLinkAboutBuilding Permit 13.0975 tu z g § . § ] rt. I - I_ ww74 0 ki 2 � � � > c aaa � < ; _ e ■ ww ■ 0 2 m 25 �� � ■ I 000000 > ■ o z 0 N \ 2 § § < ILI k 0 § K � �� � E E § § ■ � � % § 0 U �la �Ca � $ � � � � P. \ CO k 2222 _] o o § o a ■ ■ ■ a ■ w w § w k o ❑ ooOO 'mit 0 § UJ % I■ a. a. u. 1- o re < a It § W z ( g _ II \0 z � .. ` § a 0��cit % gd z In o z 0 16 ■ . rs a �� 2 2 2k §5 _1Z a. W . § re § � q § U.0 ■ lij � ■ ■� � ■ ■ ■ o « o /ei Lij 0 § 0 JU. u.§ u. § 0 $ S v k U Uz < 0 a 000D O U Oc / J W z 2 0 Zu W1 LI 2k � t V V a14. 0 an' w W4. O. v , z , 1000000\K W 0 EL:ii.0 , -, > CO <, W 0 ,... M ) � � � � i � LLdl w..„....tm-i .... jt C _ 5 k _ Q Q LL0 J © ® O0 Al V 4 O W IX W m a a=c a m rc iirili , , 11 d Z n°. A ii 4 cn , 3 lat) 'el-g -1 Ll, 1/4 1 -',il, 000000 UU 11 ilb WW : 1 ..4 11) a) c..) a. gitUW2 5 1 x..., z o X = 13� O 4 �n p� Ho_ ()+Q t1 a 0 a ocr 000 V N - 0 0 of PRio� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 0,, c• TEMPORARY CERTIFICATE OF ZONING COMPLIANCEz. AND UTILITY CONNECTION PERMIT ! . /3 +� p `3 H1YE8p�� I. white File PERMIT NO. j. 9------2. Pink City ` 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS � r ZONING(office use) 36769 W/6--Ds' OG PcZ5D LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITIONPID 437 /41 b OWNER a- A. i ct -S (Name} eeLet. / (Phone) (Address) 3 i { �f ,� e /v U', 4. BUILDER kI4I / �^(CompanyName) CzniS�tc..- it>1 ` VAS- (Phone) ‘/•2•2 ' 7/0-1-----54:0 (Contact Name) r ' '1 In (Phone) ' 1 (Address) / /2 SS 4/,'/ Ort,.,44/' 601.0014, . ,. TYPE OF WORK 0 New Construction ❑DeckPorch ❑Re-Roofing ['Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ['Utility Connection CODE: R.C. ❑I.B.C. 0 Misc. Type of C nstruction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: A B E F HI MR SU (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 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 t permit for ca e. Furthermore,I hereby agree that the city official or a designee may enter upon the pro rasp rty to perform needed ctions. ► X gC designee. 6s/ 9�3 AS Signature ` Contractor's License No. Date Permit Valuation 6e2( (" Park Support Fee # $ Permit Fee $ 32— t> SAC # $ t Plan Check Fee $ 6/- ` IS Water Meter Size 5/8"; 1"; $ State Surcharge $ - - _ -- Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ BuiIder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE C eit 9 o./3 $ zZ t ,42 3 This/, �li. on Becomes Your Building Permit ,en ' ,, oved Paid ii.iReceipo ze 03 5„Date 1/7V By .4,a--4".. 'Building Oftic1741111k D e This is to cert th c request W the above application and accompanying do men is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed th ty Planner constitutes a temporary Certificate of Zoning ompf:nee and allows construction to commence. Before occupancy,a Certificate of Occupancy must be , issued. I _ _ Hing Director Date Special Conditions,if any 4 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 r DEPARTMENT OF BUILDING AND INSPECTION . L, , a�t95ADDRESS i -SITE TYPE OF,WORK _ USE OF BUILDING ' — PERMIT NO. 13. 15' DATE ISSUED _ BUILDER -- r-Q c- PHONE # 41 -110- *O ` NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUM•ENT f BIG,..,/p7(, N NS ECTOR DATE FOOTING -. J �O� ' ej ' 144/4 : P/ 6te _ _. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN I SIGNED I FRAMING Q '©/C4l1 FINAL i> FOR ALL INSPECTIONS (952) 447-9850 ,