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HomeMy WebLinkAboutBuilding Permit 12-0201 w 0 1§ ■ Q0-■ ( � ��„ 2 id t _ Uv k _ N k2 �LUc . 0 0 2 4 § 3 w 0iZ0 co 000000 w ■ N O 0 re z O " \ D ---'4; a a3 z k Z w • / 88IL z 0 0 k o z ■ § § � � 1 0 k / $ 111 w co X 1§ w § ■�z§rt 0 3■® co & u ! �� ! � w w w 0.2 0000013 1111114. C\--7 § 0 § % % a. a. a > 2 d. 0 t 446 � 1 0 J © � % IA w �� �u § — 0 © � 0 ■z § z ' k < a ^ � � 2 § - 0 � 2 § & Z � � „, ILI w . w � r g c § - a NC rt re k «§ U w z § 0 . , 0 0 o U �� 0 0 u. 2 §- 0 ■u u a § $ 0 0 a 0000 0 S N� . 0 0 £ o� r x� � ui � N ` � PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1 Date Rec'd dr rN NSO , S CITY OF PRIOR LAKE BUILDING PERMIT AND UTILITY CONNECTION PERMIT 1 • 1. white File PERMIT NO. 1_ _k 2. Pink City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ^ � � ZSU0.1UC 9�i1/ ZONING (office use) <-1 C \ LOJE12 vv N ss5-1 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Na L X 1 &-6 1C (Phone) 6 1S - - - ). A — 3 --4t (Address) 1 `t 5 O . < '— - L_ t IV , --. BUILDER p ?LkW1Y / , I (Company Name) >, ► ( d , - �.P E, . (Phone) S `) 7 g `4 -AL q c / 0 ■ (Contact Name) \\---- ► ■ _`�., I ,, (Phone) (o 51 ) 7 D `-7 -Alp q tP (Address) q74.1 , ` H 1 ' tA .D geL962.,a y\'1v 1 5 'So /51 TYPE OF WORK ❑ New Construction ❑Deck ❑Porch e- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace DAddition ❑Alteration DUtility Connection CODE: ❑LR.C. ❑LB.C• ❑ Misc: Type of Construction: I II III IV V A 13 0 0 Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ l 3 d Division: 1 2 3 4 5 (excluding land) 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 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 *Ike oke this per) for just .: .e. Furthermore, I hereby agree that the city official or a des' ee may enter upon the roperty to perform needed inspections. X �....r.. C 3 Signature Contractor's License No. Date Permit Valuation ,- C a d Park Support Fee # $ Permit Fee $ 7 Li ? S` SAC Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ C 0 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 $ 7e1,--S.— . , This Appli on Becomes Your Building Permit When Approved Paid (, 1L1 Receipt NO. `j �� — Date ,� ?_ /� B 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 S.E., Prior Lake, Minnesota 55372