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HomeMy WebLinkAboutBuilding Permit 11-1296 >O 2 0 0 0000 0 > z0 A 0\ 0 0 0 i c § -z- ET, 0 z m k m / o r o X4 X x K -r-r ■ Cn 0 m r m m m@ >i-Qz z c -4 -0 § t _ 2 7 ® Q§ Q - 2 � si a ® $ V 2 IQ § ) / . d N 0 ,_ % n 2 q / � k A \ o r z 7 r o - • ) 2 0 0 ►� 000000 § - m m i �7�* C� \ 2 ® 3 ° © .S � 0 M- i m 13 IN' § m 0 P 0 k °$ m ƒ Z == - z 73 z I F., m -i >000 Q ■ -I m = \ z r Ikk c § $ 7 m r. 2 0 2 0 w = m q 0 § i 000000 -C • z 2 2 2282 § R. 0 ® MME® — Col 0 §_ q § - - r 2 wz m qr- 0 r i P Rt♦ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ' R TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /2 2.// �'f ?. AND UTILITY CONNECTION PERMIT U T A',A'NESO�P I. White File 2. Pink City l PERMIT NO . /// /� i ay‘ 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 5 ,9 to (9//6 t 5 (/'— /c. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 1 OWNER 8, 1/ 6'06lt r L / 2 / fit - Q00() (Name) (Phone) (Address) 5 9 a e. / r 111 rs C7 r e./ BUILDER THD At- Home Service, Inc, (Company Name) 2690 Cumberland Pkwy, Ste 300 (Phone) (Contact Name) Atlanta, GA 30339 -3913 (Phone) 9 5'2(34 S • `0 V 7 (Address) Lic # 20268257 Ph. 763/542 -8826 Jo d f TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Firep ace ['Addition ['Alteration ['Utility Connection Y r r,n do w 1 t pi A V / f A - +' � p4/1 CO ❑I.R.C. ❑I.B.C. ❑ riplae np iv _civil f Gain /oW__ Type of Construction: I II III IV V A B PROJECT COST /VALUE $ 7 3 3 Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I 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 that the building official can revoke this permit for jt st c se Furthermore, 1 hereby agree that the city official o r a designee g may enter 7 � upon the property to perform needed ms mos /,„ a � a ,--- ---- - - Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ 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 Fireplace Permit Fee $ TOTAL DUE $ / q � This Application ∎ es Your Building Permit When Approved Paid 2 is Rec t No. b / ` ,), Date J.-(( B Buildin ,rtfticial Date This is to certify that t `• 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 Ci 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