HomeMy WebLinkAboutBuilding Permit #12-1407 y ❑ ❑ � (� 0�000❑ _ � � y�
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CI1'Y OF PRIOR LAKE BUII.,DING PERNIIT, �� Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �
" AND UTII�ITY CONNECTION PERMIT
�
l �'NES��
1. White File
�. � �,�, PERMIT NO. / L- I��1 �
3. Ydlow pppGc�t
CABC OI 8IIQ 8 8L �IOLWm
ADDRESS ZONIl�TG (office use)
/ 1�7,�� ��.�. � " �,
LEGAL DESCBIPTiON (ofl�ce use only)
LOT BLOCK ADDTTION pID
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�� (Phone) / S a5 -� s�� (�
(Address) O ' 1�'1 lV �S `� 7a
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(Company Name) � • (Phone) �S� - 1 � �" �-�o � �P
(Contact Name) (Phone) — � g 4' � � �
c.�d��$� �`� u � N sv � ea ert N:
TYPE OF wOBg ❑ New Construction �Deck �Porch �Re Roofing ❑Re-Siding [JLower Leve1 Fini$h ❑ gireplace
[]Ad�lition �Alteration []Utility Connection
Con�: pz.s.c. ❑i.s.c. ❑�G 1�3 �� h�r-P-u� u,c.�-�� a
� P�Constzncaon: I II III IV V A B ^ ov
Occ�p�qcy CYraupe A B E F H I M$ S iJ P80JECT COST/VALUE S ld ���D �
Ihvistwu 1 2 3 4 S (� ��'
I hereby artify that I have fiirnished infoimation on this applicabon which is to the best of my lmowledge true and ooaect, I also certit�r thac I am the owna or authodzed agent for the
above-menHo propaty and tbat all ' a ' conform to all austing state and local laws and will ptoceed in acwrdance with submitted plans. I am aware that the building
official can this permit for just canse. ore, I Latby agree that the city offiaal or a designee may enta upon the to pufotm needed inspechi�s.
x CD �21,�1`��� -�v • !�
' �'e Contractor's License No. D�
Permit Valuation Park Support Fee #
$
Pe�n.it Fee $ SAC # $
Plan Check Fee $ Water Meter Si�e 5/8"; 1"; $
State Surcharge $ Pressure Reducei' $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Wat�r Tower �ee # �
Mechanical Permit Fee $ Builcler's Deposit $
Sewer & Water Pexmit Fee $ p�� $
Gas Fireplace Permit Fee $ TOTAL DUE $ -•
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TLis Application Becomea Yo� Bnildias Permit When Approved Paid Rece' t o
Date g
Buildin Official . Date
This is to certify that the request in the above appHcadon aad acoompanying documents is in a�dana with the City Zoning Ordinana and may pzoceed as requested. This dncument
when signed by the City Planna comsdtutu a temporary Catificate of Zoning complianee and allows cwmstructloa to commencx. Before oavPancp� a Ceitific8te of Occapancy mnst be
issued.
Plaawng Duect°r Dat° Special C.�didons, if my
Z4 Lonr notice for all inspectlons (9�) 447-985(1, faz (952) qq7-4245
!�b46 Dakota Street 3.E., Prtor Lkq Minnesota 55372