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HomeMy WebLinkAboutBuilding Permit #12-401 y o❑❑ c� a�oao❑ = o o y� n A � o O o 3 �n�+N�OO m � � m o o y o ��� 3 r ��c�z-� � y �,� b r � m m � m Z SZ �G�i Z y � p � '� y� - m 0�0 O o0 �� �� N� z Z � � "� � > O � � � o z � = m � t � O D Z � m � � � � � ,� � v � Z � � � 4 OOODOO '� X m m m mr�- o� -� y v o �c s�c ^e � =���=o;o m c� y O n � � y m ��xx�� � � m C � �o � pp b n n O r�00 ��. � �' O � oo � � � Z �ii �° z � m �'°� � v � � �+ x �— � c � y m O��ODO � '�! z � � �f �n nQ � n� F. � � C�I��� � � n D�rn�� � m ��� C � � �� � oF ret CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ���� Z .. � AND UTILITY CONNECTION PERMIT U � ��NNesa�� � Wn��e File PERMIT NO. I� �� 2. Pink Ciry 6 3 Yellow Applicant Please or rint and si at bottom) ADDRESS ZONING (otTice use) �5� z ��r �r. P�,� � LEGAL DESCRiPTION (ofFice use only) LOT BLOCK ADDITION PID OWNER (� M (Name) L/C L 1�,,, /�/ R G,�'p N (Phone) (Address) � 7 BUII.,DER (Company Name) �-- (Phone) 9 r� - 4'1 � -�r y�� (Contact Name) ll_ (Phone) (Address) '"1 t�G . t /� C S'r3� z. TYPE OF WORK ❑ New Construction ❑Deck ❑Porch �te-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Urility Connecnon CODE: ❑I.R.C. ❑I.B.C. � Misc. Type of Construction: I II III IV V A B pROJECT COST/VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 S I hereby certify that I have ti�mished information on this application which is ro the best uf my knowledge true and correct. I alsu certify that 1 am the uwner or author�zcd agent for the above-mentioned proprrty and that all construction will conform ro all existing stare and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg official can revoke this permit f r just cause. Furthermore, I hereby agree that the city official ur a designee may enrer upon the property to perform necded inspechons. x /3 e- 6� 7 l i '�' - � r-12 Signa re 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 $ This Application Becomes Yow Building Permit When Approved Paid `� ei t NO. Date BuilJin � Utlicial Date Thu �s ro certify that the requcst in thr abuve applicauon and accumpanying documents is in accordance with thc Ciry Zoning Ordinance and may pri�ceed as requcsted. Th�s ducument when signed by the Ciry Planner cunsurotes a tempu�ary Certificate of Zoning compliantt and allows construction to commence. Befare �xcupancy, a Ceruficam of Occupancy must be issucd Planning Director Date Special Conditions, if any 24 hour noticc for all inspections (952) 447-9850, fax (9S2) 447-4245 4646 Dakota Street Prior Lake, MN 55372