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HomeMy WebLinkAboutBuilding Permit 13. 0711 - O n O coo= 0 > z0 A 0 / 71 � C �¢k� m m C § j ° 2 M 7 - 2 3 0 z z $ e % r . . m m> Z q k� >0 P 273 `� j � � 0 d z G k q d a � @ Z 2 q ` z 0 x n ► / o >r Z 2 ` R © -n 0 3 . » X 3 7 2 � m % x o o Q 000000 m m m m ■�m 1111• x m m OF m gym c \ z i § \% m 0 0 ! 0 ® m zl= z z = ZI % § ) >Ooo 0 3 -1 m § 0 x3 x 4 71 0 q a U z z�� z r % • 7 m r -0 -0 0 m k 0 0 m m \ 000000 �_ a_ m c § z > 0 § ' � � R. v 0 o § -013 \ 0 � 0/ - K q m 53- m � k wz - q r- 0 r o4 P R j CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd E...A / TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 0 rr AND UTILITY CONNECTION PERMIT 4 NN$so � A/ill9 4 • 1. White File I I 2 Fink City PERMIT NO. (3—,7f1 3. Yellow Applicant _ 1 (Please type or print and sign at bottom) ADDRESS / /��� I� �� ZONING (office we) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ( 444/ 6 40 __--_ (Phone) /Z 7/9 f 7D 7 (Address) c4 BUILDER (Company Name) ���� / ' / �'� � l % , _. _ (Phone) 9 � S n O D (Contact Name) ei,ty. J (Phone) // (Address) ' t. " - :' r ' • 3 �!!�!` 6 fi z✓ & , TYPE OF WORK 0 New Construction ['Deck ['Porch Re Roofing ❑R•- Siding ['Lower Level Finish 0 Fireplace let ∎'/ ['Addition ['Alteration ❑ Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I II III IV V A B 9� Occupancy Group: A E F II I M R S U PROJECT COST /VALUE $ l • ivision: 1 2 3 4 5 (excluding land) I hereby certify that I v , : information o this plication which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above - mentioned p e an• . at all contra • wit}` onform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revok ' p - ,, `. r just cause. erm e, I hereby a ee official os a designee may enter upon the property to perform needed insp 'ons. X 1 / 7 T Signature Contractor's License No ate Permit Valuation 1 Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ 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 $ 7/),7S AP • - ...4' Be tomes Your Building Permit When Approved _Paid Recej,�t No. (0/' L' / / /i Date By J VV��J /h ' ( __ W B.'Idii Official •ate 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 iliss ued. Nanning 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 •