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Home My WebLink AboutBuilding Permit 13. 0634 — 0 0 0 0 0000 "a 0> zg A n 0 X§ Ht 0 k k" K kkk z �/ k r m k 0 m z � > §0z 2 § a� % t q q $ N -I 0 0 - P � k t \ . q 2 0._ § n [ ° \ \ > 0 %% M m < XJ 1 0 § NI w \ � 0 0 • 000200 / m k ) �\ rr�t nc¥nc | \ E? m (, _ mI ■ m 0 0 CA ! ° ® , 0 -n227 70 0 ? \ 0 0 0 \ [ >000 0 § / m m e 0 Z z�� z r z m >cc p m 0 / k 0 FN m ► \ 0 $ § < 000000 ' • - . i § Q @@nm § § r - -o < '11 0 * � \ § m 73.„ -4 a ®z UJ ■ - E 0 O F PR I p� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT / / v �, 40iNESOit" I. white File 2 Pink City PERMIT NO. /3 634__ 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS L ZONING (office use) S v / O sAav vv, - 5/.~' LEGAL DESCRIPTION (office use only) • LOT /l j BLOCK ADDITION Pr /04, jit LL PID ,RS —/ 7g - ©23 -Q OWNER (Name) g C..„ 6 (Phone) (Address) e ( s) s u � .S/1� n. eel � �1.. S/= BUILDER /— (Company Name) / 4 / ° A £ c_ (Phone) l Z _ wd -'s (Contact Name) 014 ,j ;:y // /� (Phone) qrL 4' — -Ys (Address) CO ys. G S' 'el m Ze TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace DAddition igkAlteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. / I sxc h, 4 Type of Construction: I II III IV V AB PROJECT COST /VALUE $ SNOT Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 hereby certify that I have furnished 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 - mention • roperty 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 o Iris pe it ust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections_ X 13C— 6 a 3 G, v C 67.1 Signature Contractors 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 $ 79 7$ r ' i This Applicati.. tB omes Your Building Permit When Approved Paid - Rtlei.t No. for ,i i Date WIIIIIMIN4 („ A q ) !{ it R► flicial Date This is to certi 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 b 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