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HomeMy WebLinkAboutBuilding Permit 11.749 01,_,W,94, � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � i / TEMPORARY CERTIFICATE OF ZONING COMPLIANCE C / :; ` ' `� AND UTILITY 0 NECTION ' ERMIT 5_ I - l � j �' NE50� / , Ra wl., : 4 ' y PERMIT NO. I pi ir e, Cit 3. Applicant imillI (Please type or print and sign at bottom) ADDRESS F'"7 7---Aw- (4.`' ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID L ',9 05 I OWNE �+�� ,� 611;Z---e310 --6� (Name) 1�� C. -f�{J fs��� et ��G- (Phone) (Address) 2f t.. GI C.6,-A.i -P -Z Poo,..... 4 iik_t_it- L ive, BUILDER c�� (Company Name) i IL ( (Phone) q Gv - (Contact Name) J L itV SCE (Phone) 6 t2_- 36 3 MD 4— (Address) '� L,' e-gr Q° 0,LITt_ L& 42- IF 206 l U VL -wJ-- t-If C.l_ 't TYPE OF WORK ew Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace Addition ['Alteration ['Utility Connection CODE: ❑I.R.C. 'NI .B.C. ❑ M isc: Pi2e 1/11% ��ie.�oo/j Type of Cons ruction: I 0 III 1V V A (B® ,[�,� Occupancy f. oup: A F H I M R S U PROJECT COST /VALUE $ `©e t4% 9 Division: 1 2 3 4 5 (excluding land) I hereby ce , at I ha e furnished formation 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 -ment . :. proper and that . I 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 this .. rmi cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed nspections. X Lail r ? ) ° z ( ( lir rr 'r re Contractor's License No. Da Permit Val : tion Park Support Fee # $ Permit Fee $ , ( SAC # $ Plan Chec ■ Fee $ 1 1' { 9 O Water Meter Size 5/8"; 1 "; $ State Surcharge $ C - 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 G� 9in, J. / $ 3 to. 15 This rlicati n c . es Your Building Permit When A , . ro d Paid 3 p , Receipt NO.,, B f, �? r /,) I Date � � By "v ...3.,:iiw INA l v (� II ad-, O Da l This is to certify that the reques i in the above application and accompanying documents is in cord nce with the City Zoning Ordinance and may proceed as requested. This document when signed by the .. P1. , n constitutes a temporary Certificate of Zoning compliance an allo s construction to commence. Before occupancy, a Certificate of Occupancy must be issued. -- — *Ian ° g Di, Date Special Conditions, if any 24 hour notice 1 inspections (952) 447 -9850, fax (952) 447 -4245 ' . , . Dakota Street S.E., Prior Lake, Minnesota 55372 qc,,, kk. 84 atiji4 • s •