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HomeMy WebLinkAboutBuilding Permit 10-0556 , w � .J1.. 2 2 § \ 2 1$ ate■ � z * 7 2 §� §■ § 1 aaa3 ■mow■ § e V 3Ei S 0 o 1 OOOOOO 2 2 CV Z O % t 0 % Cl 6 § §� 0 k t 2 2 Z oQ - w ® ■ ri 2 0 0O I IX 2 ■ ? =2■ % 00Z 2 w - z re �a■■■� �� Q w X 2 i $0 =0 kk k. ce @• ■ w z 0 0a a 0 0 r o OOO O O � 9 \ \ « \1 0 7 0 o ` . 7 �� /hi 1 $ w $ ■ $ 2 0 -- � � � u § \ 0 z § z 4. k // k S 6 2 � 2 ■o ■o 0 © g CO ■ gn «w £ /b & 0 kk � 27k p B 0 \ \ \\ O 0 0 ■ 4 0 a. /F PRID CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT U Crl y /'vNESo: I. White File 2. Pink City PERMIT NO .� ©_ J 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) I f 4 ? 4 nvQ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER . 3 . (Phone) yrd.-)- ).6 -- T3 (Name) 1 Phone (Address) I b 1 C 7 - I "' bi.. `. BUILDER � ' �5r..) �� Ot 7 /� (Company Name) Tr es.-1 .1 S 1uv\ ,, /�, (0 Lt (Qoh. 5 4 -4,-t/ C.i / av, (Phone) (Contact Name) +1t/'�S w'JOi'I7✓� (Phone) 6/). (Address) L 11.7D AV' V.-X. J 11.J( 5 _. TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing '( te- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ['Utility Connection CODE: I .R.C. ❑ ❑ Misc. I.B.C. ,✓^ Type of onstruction: I II III IV V A B PROJECT COST /VALUE $ � K Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 I hereby certi r at 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- menti' • pro • erty 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 e t' s permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. i aoa C 3)_ ‘- r X A ._ Date V Signature Contractor's License No. Permit Valuation ZS OO, — Park Support Fee # $ Permit Fee $ 1 SAC # $ Plan Check Fee $ 11-. � Water Meter Size 5/8 "; 1 "; $ State Surcharge $ l , T Pressure Reducer $ 2� 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 $ IP This :. p , ice' t . ecoy s Your Building Permit en Appro d Paid Receipt No. I / 1�� Date By Building Official Date This is to certify that when signed by the City Plannerrco n the constitutes a temporary Certificate of Zoning o co compliance and allows construction o commence. E fore occupa occupancy, proceed C ti requested. Certificate ofOcct 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