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HomeMy WebLinkAboutBuilding Permit 13. 0252 - 0 0 C) 000000 "0 0 > -n ] 0 0 O cn 2 1'" 0 0 q § 222 §rE§§ m ^, / \k R o m m z > -oz § @ �� q q a 2 2§ 0 0 � k 2 R 2 ] 2 § G k 0 d n $ ~ 0 k $ m �� z m m m 0 ® • z ■ -1 -n \ X 2f § . , 000000 QT z M �mm . ■� ®*■� \ - z m i -0 0 q k M ƒ \ ' > 3 0 m 2 k 0 6 a r -n oo p3 77 ' E U Z . . 2 c§ z 4 r % z i m r -0 -0 p m ® x o I { < Q OOOCO 0 32nm U > 0 3 omm30 \ < 70 � KK y 't i z \ ©2 § § 0--I k f"� r 0 t, Pi% CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd F ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4J - /- /3 AND UTILITY CONNECTION PERMIT `� tri 'N soli' 1. White File 2 Pint: City PERMIT NO. ` is-z__ 3 Yellow Applicant _,(Elsase-type rint and sign at bottom) ADDRESS ZONING (office use) f .-- 19c --- - EiDC - W4- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNS 1 0!) rOS Nam ► t - t S T (Phone ) (Address) l c.) 1 c ( ) \AA BUILD_ _t_ ® � iieblig a u t ut i>•t. _ 1 ��� � )r , _ A Ph / o ne `� 976 3 J D A ontact Nam Is S ii�ME►I,. - IAA i � (Phone) �' dress 1 ab c. 4 ►ice - "' i Z °x--- TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing Je- Siding ['Lower Level Finish ❑ Fireplace ['Addition DAlteration ❑Utility Connection (((( CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. -- Type of Construction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 r I hereby certifyibat e irnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the above -menno d p'r'opel ., and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can r• tike this . rmit for Just cause Furthermore, I hereby agree that the city o'. ' • x a designee may enter upon the property to perform needed lnspppectio. s. X ilia . ► - r, Irr illaREMIF ontractor's License N• < Date Permit Valuation 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 I $ TOTAL DUE $ /7 9, 7.5 This Application Becomes Your Building Permit When Approved Paid 1 l ceipt No. U/ q Date . (, /3 517 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 Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372