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HomeMy WebLinkAboutBuilding Permit 12. 0400 V , J r w Z F U. P e2 LL U W y 13 '41 w N ° ' ODD ❑ ❑U O 0 cc U w o 0 N wt Q 0 w z Ct1 W � »a z ° O _ 0, z _ xx z z 0 0 •�) a H tY OOLLQ „ �� h a� ww j c W Z cc z XO `. W 0 N y 252 8 z J. b CI U ,� O W m m LL N c< �� N 0 Q . W W Z X J W ' C ,= ` w w U. f 1 a ��iN Lt 2 Z pC II�JI 00000 0 z +�� a a U. H ( tY Q a. O W Y � t O Z U 0 W W ^ � ` U 0 1 C to N 0 0 ~ t .- 0 m g P f . <n a 3 n 01 oz 0 z W F- a a = c7 ~0 1- N Z N w w -J W a0 N O z oz Z W x W aC . a A U. N z � z �aw 0 0 0 a 0 0 oo U. zjZ n 0 3 0 0 N 0 4 0 a. 0 000❑❑ 0 c k c di 7 '. 75 y pF PR / O CITY OF PRIOR LAKE BUILDING PERMIT, A. t TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd : `AND UTILITY CONNECTION PENT 41I 'Vk E SO - ° ' I White File 2. Pink City PERMIT NO. I Z 01 (Please type or print and sign at bottom) Yellow gppscuni ADDRESS ^/� 413/ G ,/ (iL o il wo o f &i rG I C_ AI L ZONING (office use LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION . I PID J OWNER �l'� ' 1 (Name) {�1 l �'�Tt �tW 6 Y1 ,f /� ,/ (Phone) 7 (Address) i 3/ l�1�1 n1,(.�ooC� C, Vcle. Klc___ - ( Pr; or 1..r,2.Le1 IV( N3 g ,),.. BUILDER C L . (Company Name) J p 1 ( 3 /` lYtkC Q I SerV Ce S (Phone) Q. - 4 �f o — 1 �a (Contact Name) n t 5 Lo- (Phone) ‘ - WO —/ /97 (Address) ',5 If(l i`'li kv'GG1l,(- 1 PN-io Ki_ f MIJ 5 TYPE OF WORK Q A New Cons uction atiODeck ❑Porch ,Re- Roofing ❑Re- Siding DLower Level Finish O Fireplace ❑Utility Connection ❑ Misc. • CODE: DI.R.C. ❑LB.C' PROJECT COST /VALUE $ 3 dd Type of Construction: I II III IV V A B O� ©� (excluding Iand) Occupancy Group: A 13 E F H I M R S X] Division: 1 2 3 4 5 I . I her • certify that I' • . ve 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 a•• e- mentioned pro.: and tha .11 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building o .."al can r yoke thi . ermit for; cause. Furthermore, i hereby agree that the city official or a designee may e upon the property ro perform needed inspections. X e ,4,,4 S 5f- 5l, o// Z Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # • $ Plan Check Fee $ Water Meter Size 5/8 "; I"; $ State Surcharge $ 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 $ This Application Becomes Your Building Permit Whcn Approved Paid 1-- /q a 7 S � R eipt No. L, ?S`.l Date S: j c Z ) • / Building 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 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. Planning Director Date 24 hour notice for all inspections (952) 447 -9850. fax (952) 447 -4245 Special Conditions, if any 16200 Eagle Creek Avenue Prior Lake, MN 55372