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HomeMy WebLinkAboutBuilding PErmit 12.177 0 J y F a U.c ui V V < 0 W J'" Zg ggZ aaa:3 F \ O Z l! W _ w o Z iZ 0 Z A \ 000000 > ce re _ N u. J = »z \ CO c 0 w J H E 0 I 0 0 1.7. a o 8 < F W S' ' z ce z_isz? II 0 c o. ( 3 0 a °° xwzmx a 8 Z -� � V � V p p z F- 0 d a. 2 0 a. z W W ui w k. 00000 0 `kill 0 0 W W / ► a a LL E p J l 0 < 0 o Y V = 1, V O 60 ty O < oo n: 0 = v N 1�' N V 00 D Z 0 '�" W F F - W d� N O Z J fr < J = W Y a' ix UJ J O a 0 2 _$ u. u. u G 3 v v v v 5z < 0 a 000 C0 0 0 -c ,-F PRT CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT en 'yip I. White File PERMIT NO 2. Pink City 12_171 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER 0A. r (- ' (Name) / r 1 r l vt5 A'ke/' (Phone) 0.2 6. ' gOa (Address) /6 2 ‘..S - r-- 1,:t.,1c, Coe, r 4-- /Ilk) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: .R.C. ❑I.B.C. ❑ Misc. Type of onstruction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the above - mentioned property and that all % struction 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 revoke this.permit forj u s e a ore, I hereby agree t he city official or a designee may enter upon the property to perform needed inspections. X ' j /C -1 Signature Contractor's License No. Date Permit Valuation 4d ©©„ Park Support Fee # $ Permit Fee $ lo 3 , SAC # $ Plan Check Fee $ CPC.", .1 7 Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Z . _ 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 $ (^7 f . 1j 5 This A y ati , Becomes Your Building Permit en Ap ved Paid ( - Recei .t No. � l ,tjw Z: A • /�/ ', Date 3 t to HIMINIE B g1]1 : u ding • — •ial ate This is to certify t at the request in the above application and accompanying d uments s in accordance with the City Zoning Ordinance and may proceed as requested. This document when siv t by ' i . City Plani constitutes a temporary Certificate of Zonin omplia e and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued 7 t a itilL 3 lC (v ' a 1 irector Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 P I o 0 Jz z °` F.4 0 z..._ j ... o z co N. izr on o \�0_w a J 4 i. W i W O. J u) � n o ct. 0 0 ' w >0. � m U3 I- z a Z 0 E lm 4 a-, 2 - ... ... W W O. CO � W Z � il Z Wm - 0 a a cn �. z -J .�. gy p~ 1-0 Q Yz 1zFE 4 p cc o a z O 0 co w p W • _w ° wm zcc HH �a o p W F_- W .. ? J J CC w O g O W 0 a a U) w O u. T- a o f!) I- D 0- m z