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HomeMy WebLinkAboutBuilding Permit 14. 0955 / 00 * C) j�5 \ m \ k k § j m 0 o 0 c 7z � c § z rn q § o / / mm § m z � \ E § z Z 0 § \ � : q � 2 G) _1 z - 2 > d cn o z 2 � § ° \ \ � /• } \ § § z o ] 2 ( § P ® -n -o 13 § 2 § J 000000 -1 \ m m m _ m , ® > mi- ami k � = k mx § m o U, k 3 / q Iz } } mz 73 z 1� I Q)0 § 6 § _ r % RR \ § p ƒ § $ e \ z , 2 c ) 2 r r 2 4 7 > cc g § / 46.I XMOW 2 n r q 2 . = Ooc = O j \ 2 2 o -n -nn ; sm70 44 R. v ® § � § ® \ 0§ m ; Pfl K riPRio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd i....,, it,,4 I:c. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9 j¢. AND UTILITY CONNECTION PERMIT 4'4ole' I. white File PERMIT NO. S ,51..1'55'xes z rinA csty 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) tw/5 ( ,.q/ ccr.0( (j-. 911 --- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNERLQ I 3O �C I (Name) VC-W•e- rt Sd� (Phone) (Address) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Cons uc'on ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lo er Level Finish /► ❑Fireplace . ., ['Addition lteration ❑Utility Connection ' , Q �r,� v`0.0st :t - B.C. ❑Misc. (°v 1 1,5,�n � CODE: �.R.C. ❑I. 0V§244A,b. g96- Type of Construction: I II III 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 ahove-mentio d 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 evo a this permit for Just c%e. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x c g.— - (y Signature Contractor's License No. Date Permit Valuation 3 ' Park Support Fee # $ Permit Fee $ 56 1c SAC # $ Plan Check Fee $ H ?)40 Water Meter Size 5/8"; 1"; $ State Surcharge $ C�2J 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 $ (41, \ \ Thisif Nt lic tion Becomes Your Building Permit When Approved Paid \4-1—\\ Receipt No. (7- ' �/ ,,. Date 1 \ ,f i 4- By ` s-- , uildins Official Date This is to certify that the request in t e a.ove application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 „.„ , t DEPARTME � PRIOR BUILDING AND INSPECTION Luke detractors shall be upgra e per the requirements of the +• : etectors sha11 be oca tghout the house. Battery operated - d1I sleeping roo r� ,, on each story, Dice detectors may be installed inREco and in halls to sleeping rooms existing structures SITE ADDRESS t '11 ' '-� TYPE OF WORK Rilfxbet.0 s ►_4= r ., opF (i4;(40, USE OF BUILDING �- PERMIT NO. C DATE ISSUED BUILDER PHONE # I NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DA c4© PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FRAMING . kik FINAL �IP I I I ®, FOR ALL INSPECTIONS (952) 447-9850