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Home My WebLink AboutBuilding Permit 12. 0834 W z -J N P d a ~ _ ui Zwwa U La 2g5gw ta. W g 22 Q o __0 2 ? o U LL LL G 1 E ❑0000tk > V oc 0 I x cc o LL N O qi w O »a m C O H re OOLL-J O Q o 0 4 s \ z z ad z= =z 0 c o. m cc cc 03 LL a Z 2 N � � v a g N Ac (.) o U o o z E O 1 4C AC 0 a.X w w z w u. o J a , o: a a � � O V J o LL w w U '� F- Z o 0 z O ZO W F_' 1 N Z aF= N Z p o=g J Z W Y w tu L J A O w OG w gO * y gg 2 O O O 1 U V IN o O u. u. u. = u. 0 U U z a O a 0 ❑❑0❑❑ 0 0 ❑ O 1 PRI0 A. CITY OF PRIOR LAKE BUILDING PERMIT, 7 Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE // > r c: AN E AND UTILITY CONNECTION PERMIT ct y- .,,,,,, -,',.,.: 1. White File PERMIT NO . Pink City C4.1/ � [L - _ t 3. 3. Yellow Applicant T p , (Please type or print and sign at bottom) ' ' ADDRESS ZONING (office use) _, 9 1 s 0 A-peet 1 o o. & l -i ( 1J E_ r Pr - by Lake- , � :1 .- LEGAL DESCRIPTION (office use only) i il y, v ii'''.., LOT BLOCK ADDITION PID t_ {4,,' y ,. OWNER C �� { ©C1C (Phone) � �'� ( _ . (Name) v (Address) I t4Rsl,a ) 14 ppa l ooSe. Ire ti / ME Prior- LA k.F- i M� S S3 7 �- BUILDER (Company NameL S (1 fYiev ki.s+rLLL41 Ov. SeV✓I c- -e5 (Phone) gs '440 _ 1 i (Contact Name) V) t 5 2)i..4. ✓b.s (Phone) ?S ' (a' 195? is- (Address) i l S'1 Lk ( co ✓t') t ' 'i -e se-, Prt D tr L k ! f I. S- S3"7 TYPE OF WORK ❑ New Construction ❑Deck 1' ❑Addition ❑Alteration ❑Utility Conne t ❑Porch Re- Roofing ❑Re- Siding ['Lower Level Finish 0 o CODE: I.R.C. I.B.C. ❑ Misc: u :,A Type of Construction: I If III IV V A B �} Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ i 0O #s Division: 1 2 3 4 5 (excluding land) I 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 I am the owner or authorized agent for the r5 above- mentio perty and that all constwction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official evoke is p it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. QQ ��//� f 'i X , e..-T i S4 ila-S1't- Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ 1. Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Pressure Reducer $ t Penalty $ Sewer /Water Connection Fee # $ . 1," Plumbing Permit Fee $ Water Tower Fee # $ "` Mechanical Permit Fee $ Builder's Deposit $ ',. Sewer & Water Permit Fee $ Other $ ',t` Gas Fireplace Permit Fee $ TOTAL DUE $ t c ; This Application Becomes Your Building Permit When Approved Paid 7 .. 7 Recei No. 6‘ no Y 1 ' Date 7_ 2_6 . ( , By Building Official Date j` This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ' issued, e Y ; ° lt Planning Director Date Special Conditions, if any ; 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 ' r ,., r.