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HomeMy WebLinkAboutBuilding Permit 11-0812 1 0 0 n X0000 7 0> E A 0 \ 0 0 0 0 § ƒB 2 00 z m m / c a o X X ■ 3 m a c ■§4 X m g q % E 71 § § > Z k % B§B P 2§ % t '► -� ® q -I m 0 3 z to w a n Z 73 a § ® ., z 0 a n 2 a \ !• -- f o m m 7 F � .., k § k k © .gO =e =o m ,. mm ilk ��� ■� am \ q, • q q E &mz � 0 � � k M - `f ' ` -n 2■■xi § m o n O ? m K q t >§§§ § E q m :I § 0 r @oo 73 j 0 0 q a z zq z r o / r 9 m 2 z .: • 0 0 • C Q n - / 000000 1 �� - q 7 �t c om 2 R. $ Q / 'a / > C 41 z »mm_� ., § 0 -_ 2 w E m CA § �� `pRl�'� CITY OF PRIOR LAKE BUILDING PERMIT Date Rec'd �,/ � \� ' � i ,, ';;� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE "`• �I ���' `_' AND UTII.ITY CONNECTION PERNIIT � � E S�� '. w'"`e F��° PERMIT NO. � �� 2. e�► c�n. 3. Ydlow Applicant 633t 07 alld 31 SL �/OY[OIIl ADDRESS ZONING (office use) � y' 1`7 Z {-� V r.-r,�-� ��h ` b�" i'c) �'� • LEGAL DESCRIPTiON (oflFce use only) LOT BLOCK ADDITION PID OWNER (Name) ��lJ � E'I� �n vC �U ko � c• (Phone) 9'S `Z. - � 33 - ( S 8 S` (Address) 1`�"� 7� Nv�»�o �n bv�r C�7�' �%OI'' �e �lx� , S 37z BUII..DER. (Company Name) Sel�t �G��''S•'�ect�' Cc�,c_95Y�iL (Phone) � .. 3� 3p (Contact Name) �a�� ���� (Phone) !RS I • 54 Z • y-o7 `� (Address) / Z� �Cn �{ � i.c� � / „ ✓E ' �' c e�o �• -�ct J � l� � 5 1 Z TYPE OF WORK ❑ New Construction �Deck �Porch G}Re`-Roofing �Re-Siding �Lower Ixvel Finish ❑ Fireplace �Addition �Alteration �Utility Connection CODE: �I.B.C. �I.B.C. ❑ Misc: Type of Constnution: I II III IV V A B � �� Occapancy Group: A B E F $ I M R S U PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) I haeby certify that I have fiunished info:mation on this application whidt is to the best of my lmowledge hue and corred. I also cerfify that I am the owner or authorized agent for the above-mentioned properry and that all mnstruction wiil confoim ta ail e�aisoing state and local laws aad will proceed in acmrdance wIth submitted plans. I am awaze that the building official can revoke d�is petmit for just e. Furth ore, I hereby agree that the city offiaal or a desig�ee may eata upon the property to paform aeeded inspections. �( �bs y-�Z �va �' ..�f�' �i Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surchazge $ Pressure Reducer � Penalry $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Pennit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ This Application Bewmes Your Building Permit Rfien.Approved pa�d � � Cei t No. Date Buildin Official Date This is to ttrofy that the request in the above applicarion and accompanying documeats is in accordance wittt the City Zoning Ordiaance and may proaed as requested. Thfs docuss+enc when signed by the City Planner constimtes a temporary Certificate of Zoning �mpliance and allows consauaion W commeace. Before occupancy, a Certificau of Occupancy must be , issued. Planning Direcror Date Special Conditions, if mry 24 hour notice tor all iuspectioos (952) 447-9850, fax (952) 447-4245 4646 Dslcota Street SE., Prior Lake, Minnesota 55372