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HomeMy WebLinkAboutBuilding PErmit 11-1065 — o o 0 000000 13 0> E0 r) 0 / 0 0 0 0 • 0 0 0 m § 7 SG 0 = a o X 73 m ■ r E§q m 7A 0 k rn � § ® Z K E C) § 673 -13 t t . I" - m o § | k % § ■ • o d q ; - ■ 0 0 \ 0 WO m m ] 2 § 0 7 CA w % Z k0 0 � 1 00000 -71 } q §§ Imo � � ®,©� 2 w C A o 0 § c | 3 k E m -n$ 73 %§ m 0 g 0 Li 2 m § q > 0 3 q ` m 0 \ 2 X 277 73 -Ti r § 2 4 m ,$ P . § I 0 ƒ ` - 000000 0 ® Q $ 0 2 > 0 U)rng2 m 2 E -0 -013m - K o 00 z� �� _ k CA 0 (IPRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd \ . TE MPORARY CERTIFICATE OF ZONING COMPLIANCE � U 7 / / AND UTILITY CONNECTION PERMIT U : ,, mo y M,..,Es. I. White File 2. Pink City PERMIT NO // / O 5 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 5 73 v \bc - L, tc le. 5 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 751 083 . 0 it 0 OWNER . 950 Y , - g .-a 7. (Name) 1.1-Q�CJ '� . � -e.� nods (Phone) `T7 (Address) C'> BUILDER z _ ` — ` / , I I (Company Name) / r1 T€ �1. Y N fk -ef (Phone) �57'dlU 4 --L 73-3- (Contact Name) \\ C (Phone) (Address) I_1a0 c -y,8 G ", ;i U)-Cb l ; 2 c S,_Lr\W . t YY1rV SS 113 I TYPE OF WORK ❑ New Construction ❑Deck ['Porch [Me- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace Addition ['Alteration ['Utility Connection , ^ ,,,� ' , n CODE: ❑I.R.C. ❑I.B.C. 1=1 Mi sc.`/ ►�CJL VLJ��M�s Lk -A nls Type of Construction: I II III IV V A B `` �.t PROJECT COST /VALUE $ 3 l r I-'� Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 I hereby certify that 1 have burnished 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- intioned property id 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 officia - an revoke this pe or lust cause Furthermore, I hereby agree that the city official or a designee may enter upon the p roperty to perform needed inspections. X,Aill A • 1 .• x0130 l ru Unt✓ Cood II Signature Contractor's License No. Date Permit Valuation 2_5 C 0 Park Support Fee # $ Permit Fee $ 7 ‘t"- -1 f — SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ S trb 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 $ 79 1 r This Application Becomes Your Building Permit When Approved Paid / 9 7 R eipt No. g2...6,7 Date /0.1 0. 1 / Building Official Date 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