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HomeMy WebLinkAboutBuilding Permit13. 0453 _ 0 /§ § j ■ u.■ w �ww- o �a.a.§ k \ M � a�am o V L - - k 2 z / 1 000000 w g • o p 2 0 z w z to M _ 2 Y§ = , © 0 p k K w i- § 0 00 0a ' k w k p 0 w §■33§� w 3 0 &§ ca a xz� a= ) •' - IX § « §�� oo z 1 o a ■ ■ ■a ■ \ §� & w gi 000000 � ° § § w , a a Ill 0 < 0 1 ce N \§ �R ■ § 0 m 2 0 w i C �. � \ � a 6 4 % a g to 0 z W 0 2 0 La w ■ w in §■ = CC > o / � 0 § 0 J2 - ■ 0 k § 0 ■ 2 0 a 0000110 0 0 0 £ C PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE z 1 i3 PERMIT NO AND UTILITY CONNECTION PERMIT � O I. Whine file 2 Pint city . /3 4-5 3 Yellow Applicant Y (Please type or print and sign at bottom) ADDRESS ZONING (office use) 5 6=23 / ,emuf."4/ Te AS, S' .41(41 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER /7 � 1 (Name) C%b -J /Te. (Phone) (Address) 1 BUILDER (Company Name) . // rty'u (Phone) / 5,,7. 73t . 3x4" (Contact Name) I/Cs /-�avli7 (Phone) (Address) / 77 /1! /r a /e / AC TYPE OF WORK ❑ New Construction eck ❑Porch []Re- Roofing ['Re-Siding ❑Lower Level Finish ❑ Fireplace ['Addition ❑Altera on ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnish d 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 above - mentioned property and at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building official can revoke this permi '4 r just cause. Furthermore, ereby agree that the city official or a designee may enter upon the property to perform needed inspections. X - i " .-' / � . 76 --5--.Z/- /3 Signature / Contractor's License No. Date Permit Valuation. J Ji — Park Support Fee # $ Permit Fee $ be z. 5 SAC # $ Plan Check Fee $ '•6d Water Meter Size 5/8 "; 1 "; $ State Surcharge $ i 5-0 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 eg' i. . ,r, Z?, ,y $141,11 This A lie on ecomes Your Building Permit WI; Approved Paid /L i• ( eipt No. 6 Date � ,! �3 y. Building t)tiicrat��� ate This is to certify that ' request in the above application and accompanying documents is i accordance with the City Zoning Ordinance and may proceed as requested. This document when signed e • y Planner coosttutes a temporary Certificate of Zoning com iance nd allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning %' ''srT.. ate Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 e - r ` - k r