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HomeMy WebLinkAboutBuilding Permit #12-252 y ❑ O� C� ��.O�O❑ _ � � N� n c� O N�=��n� O � C � n �¢ °°� 3"�� m � y n,�i � � � � � m m y 0 ITi y �zyz � N 0� �e -�-1 D Z '9 ={ � -I � Z � p � n a (�/) „ Z Z � 0� m � � o D O � m 7C � m � O > Z � � � v � � � �v � r^ � o O ❑�OOO❑ � '� x m m m m��'� � - � N v o ��� "� ai � m �t°���oo m p p � c � � n z�=� 3 Z m b A � O << r��� � � � C � � ° z z z � r- � z � m ��� � o � A � = m N � c � y m ❑O❑�O❑ ' y Z � „„� � ` > � _ � � m � o � C���� � N D m v �55 � � >mm�� � m 70 '� � � � y �- Z m "+ r � oF pR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � ' AND UTILITY CONNECTION PERMIT � � � � � Z ` U X � 'yjA,NE$�t�' I White File pERMIT NO. JJJ 2. Pink City 3 Yellow Applicam � + � Please e or rint and si at bottom) ADDRESS ZOIVING (of�'ice �se) . � ,��` �� � LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ;� � ���� �, fi - (Phone) �6 .3 3 ?C� c�0 7S� (Name) / J V'✓�� (Address) v c�c�l (Company ��� r�- eS fd��c rt� o� �r/�cJ� (Phone) ( j Z � 7� Sd �CJ (ContactName) �-�v�lc�. �� ll eS„�!i'� (Phone) �S�L - .37��5��� (Address) ? , ( fj e- �/ 0 ,3 TYPE OF WORK ❑ New Construction ❑Deck ❑Porch �e-RooFing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III N V A B pROJECT COST/VALUE $ l �Do Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 Z 3 4 5 I hereby certify that I have famished mformation on this application which is to the best of my knowledge mie and correct. I also certify that 1 am the owncr or authonud agent for the abuve-mentioned pr perry and that a onstruction will conform ro all existing state and local laws and wil( proceed in accurdance with submittcd ptans. I am aware that thc buildmg official can revok is permit for ju u e Fm7 � re, I hereby ag, e that the ciry official or a designee may enter upon the property to perform necded mspec ons. X ,- . �L Zd6 .37�3 2 S� l z 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 $ r This Application Becomes Your Building Permit When Approved Paid Re ' t No. Date B BuilJim� Utlicial Date This is to certify that thc requcst in the abuve applicanon and accumpanying documents is in accordance with the City Z.�ming Ordsnantt and may proceed as requcstcd. This document when signed by the Ciry Planner consumtes a temparary Certificate of Zoning compliance and allows consrruction ro commence. Befure occupancy, a Ceruficate of Occupancy must be issucd w Planning Director Date Special Conditions, if any 24 hour noticc ior ail inspections (952) 447-9850, i'ax (9S2) 447-4245 4646 Dakota Street Prior Lake, MN 55372