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HomeMy WebLinkAboutBuilding Permit #12-255 y ❑❑� c� otµo❑o❑ o� o -z� � n n � O N-nZ�t„�n � n c� � �� o �+ r��� m m m m o b r ° � m 7 � C rn z� z � N �� �e r -�i - > Z � ��- � z� ro� D y N ��= Z =� S � �° � > � o � � � �� D O � m� m t� O � Z � '� " z ,� o � � �o � � OOOOOO � � x ; m m m �Il 3�vsn�;v � o.� z v o ��' nc >�c p N � m ' m O � n � � � � � �; c ='� i �e � � m � � o z �'��� � � � a 2 � � ��� o . o N � � c � � o � � � y � aoaoo❑ - � Z c ��°�°�� � 0 a �, � =���v� � � � n >mm�� � � � . ���0 � � .. � r � oF PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � AND UTILITY CONNECTION PERMIT � '" �o�' U � y�NNE3��� I. Whi�e File PERMIT NO �cS 2. Pink City 3 Yellow Applicanl J Please or rint and si at bottom ADDRESS � ZOI�TING (ot�'ice usc) ��� 1�O�SS � 0 0� C� r�,,( S� LEGAL DESCRIPTION (office use onty) LOT BLOCK ADDITION PID � ��\ C � J� O � � (Phone) �7� V T�� � � U � 1" � (Address) s (��� �' ,S �,,� �� BUII.,DER ' �n1' r j17� � \.x � � ' aa� (Company Name) r S (M� (Phone) (Contact Name) �(' �. (Phone) (Address) �. ��_ TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing e-Siding ❑Lower Level Finish ❑ Fireplace ❑Addition �Alteration ❑Utility Connection 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 5 I h�reby certify that I have fumished information un this application which is to the best uf my knowlcdge true and correct. 1 also certify that I am the owncr or authonzcd agcnt for the abuvc-mentioned property and that all cunstniction will conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that thc buildmg offic' I ca evoke this permit �ust cause F rthermo I hereby agree that the city official or a designee may enter upon the property ro perform necded mspections. X �C,� �-�� �� �-�1 Signature ContraMOr's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ 7( � 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 DiTE $ '7 , This Application Becomes Your Building Permit When Approved Paid � ReCel t NO. Date '- — B � Bi � m�� Utlicial D� e This is to certify that the requcst in the abuve applicanon and accumpanying documents is in accordance with thc Ciry 7.�>ning Ordinance and may proceed as requcsted. This dixument when signed by the City Planner consumtcs a temporary Certificate of Zoning compliance and allows construction tu commence. Befure uccupancy, a Certificate of Occupancy must be issucd Planning Director • Date Special Conditions, if any 24 hour noticc for all inspections (9S2) 447-9R50, fax (9S2) 447-4245 4646 Dakota Street Prior Lake, MN 55372