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Home My WebLink AboutBuilding Permit 12. 0427 n O eO O o eg 0 0 0 O ® = � �3 3 0 \ k � 2 M \ C C t 0 O Z m § � o e § a / 0 0 0 Z k � z k \ r 0 § ® m o � --I k / E tO G d 2 2 a § 2 m m o n �ƒ > 2 ■ � � r 0 - = ° \ \ 7 OOOOOO ® R§ s ��* C r \ \ � q § 71 r" 13 n ® 2 11 i \oo ]227\ 0 m ) Yo' § m ~ � . r \\\ @ q r ~ \ \ z i k\ g § �. \ . . - 7 0 \ I m �000OO ` ° 0 o \ ( 0 ©$ I I�k °� § 7 ,f §� -a ! o 0 .§ % % ;K i A mm -47 - \ z « 77 X Fr r--..„, § ri \ I. -4 m $ d -4 § Jul. 11. 2011 3:55PM No. 0908 P. 10 o el CITY OF PRIOR LAKE BUILDING .PERMIT, Date Rec' a a TEMPORARY CERTIFICATE OF ZONING COMPLIANCE E.. pg AND UTILITY CONNECTION PERMIT . M 4rkMa eot.. I. white rile 2. Pint C;y `7 4,z7 PERMIT NO Vette Applicant / -✓ Please or print and sign at bottom) ADDRESS . �� / • � J" x- • ZONING totliccuse) • LEGAL DESCR.I.PTION (office use only) LOT BLOCK ADDITION PID (Name) /`' CA: L Lt 6(.�t eej1 (Phone) l A - i 7 7 (Address)� _Coo l { 1 iiih i • BUILDER / /� (Company Name) r / 1" t°4 (V (\i 600ri (Phone) - (Contact Name) ' C_P rPti' S ' r (Phone) . _ z (Address) 3( ,..2 (,' 6 b } �tc(2 +/* c Yr cTTG yC� Cf 1 MA) SS j TYPE OF WORK ❑ New Construction [Deck ❑Porch e- Roofing ❑Residing Plower Lcvcl Finish ❑ Fireplace ❑ Addition ❑Alrcrarion 000i4 Connection CODE:.DT,kt,C, DY.B,C, ❑ Misc. . • Type of Construction: I II III IV Y A B PROJECT COST /VALUE 5 Occupancy Group: A B E P HI MR S U (excluding and Division: 1 2 3 4 5 1 hereby certify that I have ft+mished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner of authorized agent for the above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware Char the building , official can revoke This rmit forjitst cause, Purthe . , I hereby agree that the city official Or a designee may enter upon the property to perform needed inspections. X '- A yr ig, , 4 _--/ Y _ /L- i J s q j • 5Jf9 //, Signature Contractor's Permit Valuation ' Park Support Fee. # ' $ Pcrmit Fcc $ SAC # • $ Plan Check Fcc $ Water Meter. Size 5/8 "; 1 "; 5 State Surcharge $ Pressure Reducer 5 Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee 5 Water Tower Fcc it $ Mechanical Permit Fee 5 Builder's Deposit 5 Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ This Application Becomes Your Building Permit When Approved Paid a. 0 1 Recei a t 'o. , Date W 7 B IF - - Building Official Date Thu is to certify that the request in the above application and accompanying documents is in accordance with the City Ztsn ing Ordinance and may proceed as moucsied, This document when signed by the City Planner cOnslslutts a Temporary Certificate Of Zoning compliance and allows conslrucl On ro commence. Before occupancy. a Certificate or occupancy must be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952)447-9850, fax (952) 447 -4245 4546 Dakota Street Prior Lake, MN 55372