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HomeMy WebLinkAboutBuilding Permit 15. 0809 § k � F ] ■L ■ § \ \\ 3 � Z ti 14. \.� § § www - tiw . bo ■■a 2 64 0 . . u � � o re IA 000000 . > CO — m, 040 \§ UJ X 0 V - 3- za - }§ z CO k 0 \ E ■ z pp .4 i I ■ o 2x91 . o % 0 a EdE §rerd � . § § a § ■ ■ z a A z E k 0 zQ1- mo ■ a �§was § § la 000000 u ° ' JX z % a � §a � © 2 ■ ■ ILI 0 < U U. kj re § k k § ■ . 0 z 0 0 2 1_ K a a-- CO n.- 2k24 2 w \ 0 0 ow 21-� kk���d 0 O , - C § 2 � � U § U. ■ O ■ 0 0 U3 « o a O O O E 0 U % 0 O / of Pe�oR CITY OF PRIOR LAKE BUILDING PERMITDate Rec'd A. TEMPORARY CERTIFICATE OF ZONING COMPL IANCE Z5 mj AND UTILITY CONNECTION PERMIT �� �N'NES0� I. White File 2. pelf caJel PERMIT NO. . it'- I 3 Yellow Applicant / (Please type or print and sign at bottom) ADDRESS ZONING(office use) 17(e qq &6Ue,`L/ l._.4. LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) "�"fr , (Phone) (Address) BUILDER (Company Name) 'Z1$ete--- (Phone) 7 Z-lf aEir (Contact Name) (Phone) (Address) 83E....2_ Lec 1j_ ✓ R- _ /® / 6-/ 7 TYPE OF WORK ❑New Construction Reck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ❑Addition DAlteration ❑Utility Connection CODE: [L,R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B r . Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ ` Ci^et—4 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 it for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. � X 37 2-6Z7 13—/-, Signature Contractor's License No. Date Permit Valuation c00 O- .-- Park Support Fee ## $ Permit Fee $ t l t 1.147 SAC ## $ Plan Check Fee $ , /_ Water Meter Size 5/8"; 1"; $ State Surcharge $ 2, 5o 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 $ This Apdo ecomesYoi Building Permit enApprt ed Paid 6, c �' /�� Rec i t No. �� / Date ,/_7_/ B Ak i din_Official Date This is to certify t.i the re• •st in the aboveltpplicauon and accompanying docume s is in acco-.ante with the City Zoning Ordinance and may proceed as requested. This document when signed by JO r ity P er constitutes a temporary Certificate of Zoning comp ante and a ows construction to commence. Before occupancy,a Certificate of Occupancy must be issued ' A,/ , i_ r3 'Plan '-. Director Date Special Conditions,if any 24 hour notic for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 PRIORLAKE AND BUILDING INS ECTIONSNG INSPECTION RECORD SITE ADDRESS f71�99 �iU(.� ,� Z..-/..../��/ v�� / TYPE OF WORK ,�� USE OF BUILDING Alex ,aKiz- PERMIT NO. �q � DATE ISSUED 7- /..7_45— BUILDER PHONE # 5=6b0 r / 4 FOOTING INSPECTOR DATE 111111... il :=1 =1:::::=:::3PLACE NO CONCRETE UNTIL py�BEEN SIGNED FINAL -PL 9 A1111111111111 FOR ALL INSPECTIONS (952) 447-9850