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HomeMy WebLinkAboutBuilding Permit 11-0673 5 0 0 0 o 4 EOCE 7 0> E 0 0 0 0 KIK F33 Z m 2 �� 2 / / m 7J �rc -k m r m m 0 m K 0 0 § 0 > i ® d 2 % t . q > m mow® z a 0 Z 3 z 2 Lli / / - o . �.0 \ E z a m t-1 k ` 6 r o m \ 3 r \ m 2 o o 000000 m m m ) 317® *313 ]- § , i m i m o '\ @ 2 M z, • . - m 0 0 * ? ; \ ` >000 § 3 z m 2 m , r 2 o o m � r",� E q 0 \ $ I§c z r % z $ m r P m 0 \ m § m -« 2 =00000 E o53 53nm \ t - • x'''''.. __-1 > 0 o mm2 § CI c• > m o ©. ® z ao ) 0 X -nx r -1 m - k ¥ 0 81 0 PRIp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd A. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT 'Ir"NNESOlt' I. White File 2. Pint: City PERMIT NO. j I ..�-7 3 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ii"/45 / e 7- - r,ektik tit i i P/6L A4 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER C 7-.Z7--'"-- M� / ' Q ) / (Phone) 2 7Z + .L4/0- 3 v �y J f (Address) L// p / 7V `� /, Pki%ye 2A / /L= , iM ,5 BUILDER (Company �' --_--..: (Company Name) � fl.�'� /'t 1 p v S I - (Phone) % 7 0 _' 57' L (Contact Name) JO M,� , `-f b� E, (Phone) 41P. ' — e 40, / (Address) 2 )0 47 L 3 ` I 1 k L./1 /c-c /`'f �, T 3 2 r - TYPE OF WORK ❑ New Construction ❑Deck ❑Porch e- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ['Addition ['Alteration ❑Utility Connecti CODE: R.C. ❑I.B.C. ❑ Misc. Type of C nstnrction: I II III IV V AB PROJECT COST /VALUE $ 825L7 c) Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 I hereby certify that I have furnished Information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 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 t at the building official can r • voke this permit for Just cause) utthermore, I hereby agree that the ctry official or a designee may enter upon the property to perform needed fns, c X _ — ,I ' i . A 3 C//i7 , • 1 Signature Contractor's License No. Date Perm Valuation — _ Park Support Fee # $ Permit Fee $ 7 4 SAC # $ Plan Check Fee $ 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 Fir- .lace Permit Fee $ TOTAL DUE $ 71 - - 1 s A . Thi c �/� - �1 on Becomes Yo ._ • ; Whe Appr ved Paid 1111 "'� Receipt No. (4, j� f--1. Date 1 ' ( By /20 ifi- Bt r ate This Is to certify that the request in the above 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