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HomeMy WebLinkAboutBuilding Permit 15. 0904 § k P ] ■ � ■ q K6- o § « iii W w 2 0- 'ikkk� % o .Lc o tel . a z \ OOooO ¢ ® o ) , W 12X 0 M }}Z V. k k k o t 2 O %a 0 0 0 _z - xxzz § © a B 0 w �Iwja © x jw �§j� ► K / 2 / $ 3 a ■ ■ ■ a ■ f w w - 2 ccOOCO 0 0 ■ z 0 0 § 11 $ r o D W . �� ■ z Di 0 w 5 K o k o ° 5 § $ § z § § § $ % -z p oi�2 _/ z U) 0 0 § w D. co ■ � V. w bk�J 0 0 0 k Pi o § 0 u-2 ■ � § o 00 0 . 0 § Es < 0 a 000000 C.) ft O o / O� pg J� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � •� /S 4. x AND UTILITY CONNECTION PERMIT P, I. White File PERMIT NO. ` , 6 ��lVN850� 2. Pink City ` 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) ) 77 lht LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER iSct,5&v\(Name) )G (Phone) 63o a5'/ 9 ?3 Phone (Address) BUILDER 4D(Cpanyy Name) . i fE . 55/6(5 (Phone) 647-`6 0"/ 5 t' (Contact Name) Jim .t ' raid I(Phone) (Address) ' 33c ?a,e/tkiiiie4j 1/, C"'" / 9W 5 5/� TYPE OF WORK ❑New Construction Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 1:1 Fireplace ❑Addition ❑Alteratio ['Utility Connection CODE. LC R . ❑I.B.C. ❑Misc. Type of o struction: I II HI IV V A B PROJECT COST/VALUE $ Occupancy Group: A B E F H I M R S U (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 mit for car Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections. ) sPei BG(a73?� Signature Contractor's License No. Date Permit Valuation /L O 0 0_ U 0 Park Support Fee # $ Permit Fee $ `v3 _ 0 0 SAC # $ Plan Check Fee $ 6,4 , C!-5 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 $ Gas Fireplace Permit Fee $ TOTAL DUE $ /7/ . 5• This Applicati. Bei es Your Building Permit When A' tro d Paid giu.. 5 Receipt No. &Date S (�/By S Building'JI icut _.,000111111111"i ate This is to certify that the request in the above application and accompanying docs cots is- accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the 'y P n er constitutes Irtemporary Certificate of Zoning c mplianc and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. r- annin • ate 3 Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 MOF Rl0R LAKE ANDDEPARTBUILDINGENT INSPECTIONS NEERING INSPECTION - RECORD SITE ADDRESS I-77 4'4' W WOW L TYPE OF WORK D� USE OF BUILDING £ PERMIT NO. 4 qQ¢ DATE ISSUED - ¢, (.5- BU I LDER .SBUILDER o/C I GPf:6S'S/o ti,lf' PHONE # 6 • (PS1.1 a INSPECTOR DATE FOOTING I -- I g 'z-z\11 I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ' MEW IFINAL I "NE;)-N--c- I 5,V2-71 \ i ` I FOR ALL INSPECTIONS (952) 447-9850