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HomeMy WebLinkAboutBuilding Permit 15. 0568 - 00 n O�OQOO o > § 0 n n k 0 0 © . 0 § Kkkkk z m �/ k r ° k § m 3 E 2 E § cn §� % ; - . -1 m 0 0- z- 10 eik ■ll cn © z 9 91 ■ % � � - 0 2 N) k 't z m m ® 2 rI 0 \-n P % Z 2 § § �� 000000 "11 xm - m m r � � 20 E2 C. x ■ 2 � ii ■ n ■ | § 3 f � zxx - § 7J z 2 , Q M " > o 0 0 ■ -I m qo z XExx ■ zz c § S r 24 m % p -i � Pm / r. 0 _ p. I m § o n 2 m2 . 000000 | R. >0 0 ommno �§ \ \ 222 \ q c § m � � - r 2 - - m 4r 0 0f r�t�Q4 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd it TEMPORARY CERTIFICATE OF ZONING COMPLIANCE u AND UTILITY CONNECTION PERMIT �" �� /5 �'�Nt4Esa�r I. White File 2 Pink City PERMIT NO. `5 5a 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office ose) 3-249 (AI(L.DS ,t.Dri E TV , LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) /41-1..-A1•1 i I\'•,1 R C, (Phone) '/z a 5 —/7O (Address) ?'Z49 t L.I3 i R 1. e Nui BUILDER (Company Name)1-C---C-2> ct:k.STn, Dec-4 'f Ke r*--*c.3 &L.1/W, (Phone) 'W.03 0.a3- -?ea- 777 7 (Contact Name) E, .N-- u.At:\-- (Phone) '7te3 - 3`?rte-- //418 (Address) `7c cto (..32 i., VIE. i' cx,K€o .sl i en 'j'5 3 TYPE OF WORK C New Construction ►+Peck DPorch [Me-Roofing ORe-Siding CLower Level Finish 0 Fireplace °Addition CAlteration °Utility Connection CODE: R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Z C:), Occupancy Group: ABE F II I MR SU 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 volts this pet r'' for Just cause, Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Sign. e Contractor's License No. Date Permit Valuation 3 e9e0 - Park Support Fee # $ Permit Fee $ g Z.-7 SAC # `$ Plan Check Fee $ S 1 • 3� Water Meter Size 5/8"; I"; $ State Surcharge $ ( 4 ,,J 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 0,74;,...0 6,`1.1S $ 1 * ! i I This A'°, . A.ti Becomes Your Building Permit '' n A.proved Paid Recei.t No. ar � Date (9�` - ' By m — r int Ilk , 2- r Bur'-'nOftici. Date This is to certify the(ucst in the alloy •••' • nil accompanying document is in a ordance with the City Zoning Ordinance and may proceed as requested. This document when signed b/� ityniter c utes a temporary Certificate of Zoning compli ce an allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued, m 6. 'z r c Planning a Date Special Conditions,if any 24 hour notice for all inspections(9521447-9850 4646 Dakota Street Prior Lake,MN 55372 DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 32#'1 W IL.PS !tole. /#'/ TYPE OF WORK D USE *COF BUILDING tie - r PERMIT NO. /5". 544 DAT ISSUED G . 1. /S" BUILDER 1,6ES' Cl/jnjtE IC.S► s gQMDPHONE # 143. 71k-7177 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE *Oft IT;4101. A, X PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED : /11"tfit4 I l FINAL I o�1 9/e,>/frp FOR ALL INSPECTIONS (952) 447-9850