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HomeMy WebLinkAboutBuilding Permit 14. 0314 g 0 On 0013000 1 0 > 20 i n n 0 ■ m n - '1 o § g Po' / n n a 0 0 0 z 0 0 0 m rn m �0 k r � � � , C � Ekkk p CD - M % t ® ® q -I m o = z o ■ x § • j 0 $ m n k § r 01 0 §§ 7 !k X I II l k % fn Z 2 § § 1, 000000 Mm q EM0 ■ ® M V 2 -I 0 o o &oc _ic3c > | .1 z ? m I ■ rn0 2zzL3 ■ ■ z 0 ~ 0 § r -n 13 2 § v N _ / z zc Q. § z r m 1- $ m z b is;r. zm o n �_ 0 AOo000 ` 2 z ° 2 § § ` ` • � § R. < cnmm o 11 z W § j gmmmz t.. N xm , � r m w - - -1 § 0 �/ 01 >'RIo4) CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT arr ,C� o �t' NB I white Pile 2 Pink City [PERMIT NO. / ¢. 3 Yellow Applicant ! ✓� / (Please type or print and sign at bottom) ADDRESS ZONING(office use) 149 1X1-P, Pi- CI r. VrICr LCLV E, m33 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Name) \WNER 3 i ) V 11N let (Phone f 12)333'3931 (Address)I q O pive,P-4- O r. (Companyy Name) (AECYn !. 0 �O L 'i� I I c,• (Phone)CIY.JDER !l�g ��lJ/-i� (Contact Name) i3 '\\ l' ' 3J I 1 '' (Phone) (Address) �I114 II 0 O U no L ) 1 ' l ttt V C ` -f TYPE OF WORK 0 New Construction ❑Deck ['Porch We-Roofing ❑Re-Siding ❑Lower Level Finish El Fireplace DAddition DAlteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Misc: Type of Construction: I II III IV V A B ')/� +t09 Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE 17)0 Division: 1 2 3 4 5 (excluding land) I hereby certi that I have fu is 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-mento ed prope a d th all con ctio ill confo , to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building ._ official cjj1ç for t;au�, F rth . ,I here agree that the city official or v e nrupse( PeetYto perform needed i io LA' nii)Li X ittl 1 Signature Contractor's License No. 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 $ TOTAL DUE $ //. 7f." ;e l �J/�, This Application Becomes Your Building Permit When Approved Paid 7/ R elpt NO. � l/�'(� ai0 0C--42 5116 (pi Date J�4//", l Building Official Date ©( -fb 0 9 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 S.E.,Prior Lake,Minnesota 55372