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HomeMy WebLinkAboutBuilding Permit 12. 0796 (Re-roof) 5 0 0 0 000000 -0 0 > zn ] 00 0 m11 Em 0 2 0 / � � co m m - k/\ 0 0 k k = r- \ §77 :1 /3 m r 0 ® 2$ ee§Q P 0 x ki t j \ 2 0 \ 0 } \ z ' 0 7 74 0 > 0 m \ ° § . w 71 •U •U \ ^ q 0 0 } 000000 §q k c -0® *c-0 \ / ii) 13 ! zc m -a 0 1 c \ 2 2 2ZZX Z§ z, m rh k m , 0 �\ rm00 § a F 0 tn -4 \ 0 /§§ 0 § 0 z Q _ 0 m 0 0 \ 2 2 00000 | :� § $II§§ - , , 2 R. > ® � �E§q -0/ < � � % 0 � .-mgK . -4 § \f � �� C ® z - -4r- 0 4 P RIO CITY OF PRIOR LAKE BUILDING TEMPORARY CERTIFICATE OF ZONING 6, ERMIT, Date Recd G COMPLIANCE AND UTILITY CONNECTION PERMIT 7 18• Z____ 1r4, SD s'r 1 . White File 3 Pink c ity PERMIT NO. % ,� � ' ease j.- or . 'at and si,. at bottom 3. Yellow Applicant ADDRESS iv' .5eet. vi ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER � (Name) e S ,� //,,7 �n (Phone) 2 -o- (Address) ` /5 6 9 .5e40 cd( C€ ✓e / 1�rit7r 0'7 6 .--- BUILDER (Company Name) 4 LLD( ci I- ?� � L/ .th1 / �VC.vn a II T (Phone) 9cS2 - 237- .33 �C f � (Contact Name) i Phone (Address) / , .2. 0 SY e ^ ( ) -- -S�9 7 iy0� L ,gkt 5372 TYPE OF WORK 0 New Construction °Deck °Porch gi a -Roofin g QRe- Siding °Addition °Alteration °Utility Connection ['Lower Level Finish ❑ Fireplace CODE: ❑LR.C. ❑LB.C. Type of Construction: I II III IV V A B ° Misc: Occupancy Group: A B E F M R S U Division; 1 2 3 4 5 PROJECT COST /VALUE i t 752)0 H I (excluding land) I hereby certify that I ha mis. ed inf./ anon 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 offi abow • • , can • r n ' d , an. a all `-, nstmction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building fo i c. ■ e. Furthermore, I hereby agree that the city official or a designee may enter u X ,, _ r - Pon the Property to perform needed inspections. gm Signature / —7 8 ' � IV Contractor's License No. Permit Valuation Date IIIIIIIIIIIIIIIIII Park Support Fee # IUIIIIIIIIIIIII F Plan Check k Fee Water Meter Size 5/8 "; 1"; ©_ Penalty ©_- Pressure Reducer Sewer /Water Connection Fee # $ Plumbing Permit Fee 1111111•_ Mechanical Permit Fee Water Tower Fee # $ FISIUNIMIllillill Builder's Deposit $ ■. Other $ Gas Fireplace Permit Fee IIIIIIIIIIIIIIII TOTAL DUE $ 1 This Application Becomes Your Building permit When Approved i � Date � ���cei.t No. C �� Elm= Buildin. Official' - Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, issued. y Proceed as requested. This document P cy, a Certificate of Occupancy must be Planning Director Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Special Conditions, if any 4646 Dakota Street S.E., Prior Lake, Minnesota 55372