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HomeMy WebLinkAboutReroof 14.16 0 OVDOOO m 0 > ■n 5 0 0 0 ■ 11 - � -nm 0 §§ 25 0 0 K a ® 2 8 i m n n 7 o � §� ■ � k m Z $ © §© Z§ / k z 0 ■ 2z Z 0 & M 0 � | r o m 0X 73 IN 000000 CO k X �2 � L�� a2 ® $ m2 �0 ° § § §�� 2 0 �' 0 $ . / m . ii ti § 2 0 o r m 8§ a 4 q i 0 N 0 A � > CC 0 0 0 2 R 1 k =i 2 ■ m A . . ., x m . �.! 2 m k 000000 ` 2 . �M � � Rs t § . 2 � � $© m « m 00 - �@ i f m \ ▪ $ z - I r 0 y z i O F PR10 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT / - 7- t evi ~/aHESOth I. while Cif PERMIT NO. 10¢ -/�p 2. Pink City 3 Yellow Applicant lit and sign at bottom) ,ADDRESS ( (office use) X37 w g N t LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) �, � ...A .1 0 '- / (Phone) 1 �� U -13 (Address) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ❑Deck ['Porch -Roofing ['Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition DAlteration ['Utility Conne do CODE: DLR.C. DLB.C. 0 Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 I hereby certify that I have furnished in . ma • . is application which ' the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above - mention - . .perry 5jid that all c .nst • . onfo ... state and local laws and will proceed in accordance with submitted plans. I am aware that the building official ca ok his . - nit for just c, . se. F . - at the city official or a designee may enter upon the property to perform needed inspections. 0 - 4 " ignature 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 , $ 79 7c- This Application Becomes Your Building Permit When Approved Paid - Y ' eipt No. 4 ,• Date 7 ., 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) 4474245 4646 Dakota Street Prior Lake, MN 55372