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HomeMy WebLinkAboutBuilding Permit 14. 0404 n 000000 7 0 �� E OO O ■ � ■ � � I o § o .� _ rizwoo Z m ■ mo n n \ k k 2 m ■r7.Et ..- k} 0 C 0m k r 71 m m Z@ " Q� Q z0 00 -1 m 2 o z ■ k k R 10 n 0 0 S, 7 § 0 z m m % o z -4 i6 -a 0 > o 7 2 § § .7( 73 w1 / \ 0 0 0 000000 � ■ \ \ Zaa �W§mi 0 © ) \ / § > 000 B 3 Z V ti q m C 0 rmOO 2 N § *0 q / z r- 13 � p Q § O.. t 5 r \ x m % - 1 0 0 7. ;00000 % vu4. $ 2 � � % / z If- 1C) '1C) c -0 -01,© . N .. - R. o ri ,s, \ i , cm§ %/ rfiAmmz r m 4 F1 ; t - z m Oi PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE pi pi AND UTILITY CONNECTION PERMIT 7.) x I White File ? Rik Cl ' I PERMIT NO. /9_'7 v E,L y/Nrveso i Yellow Applicant (Please type or print and sign at bottom)V) /...-6-12-v-4-6-P) S , e \ ZONING(office use) ADDRES 72 --/--- LEGAL DESCRIPTION(office use only) PID LOT BLOCK ADDITION OWNER tA 4....e.--.. •..- (Phone) (Name) _...i.,vulg../ (Address) pr BUILDER (Phone) I �� -�YaTsf (Company Name) � �� y � (Phone) (Contact Name) �— (Address) (p / 7 & 74. /2,1--td L /, e-Roofin ORe-Siding :Mower Level Finish 0 Fireplace TYPE OF WORK 0 New Construction ['Deck ❑Porch g ❑Addition ❑Alteration ['Utility Connection 0 Misc. CODE: DI.R.C. DI.B.C. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I have furnished information on this application which is to the best of my knowledge true and con ect I also certify that I am the owner or authorized agent for the to pertorm an i I am a above-mens oned property and th t all consnucuon will conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building official ca/ evoke this;-tmit fo/�ist cause Furthermore,I hereby agree that the city official or a designee may enter upon the pro / X / _.� /�—. v/..�....� G P ate Sig. ire Contractors icense No Park Support Fee # $ Permit Valuation Permit Fee $ SAC # $ $ $ Water Meter Size 5/8"; 1", Plan Check Fee $ $ Pressure Reducer State Surcharge $ Sewer/Water Connection Fee # $ Penalty Water Tower Fee # $ Plumbing Permit Fee $ $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ / 7� Gas Fireplace Permit Fee 1 $ TOTAL DUE "�// !�i 7 Rece'• NT', �lY" UI This Application Becomes Your Building Permit When Approved Paid Date • B -i I Building Official Date This ning may nt e is to cebyy that the annin the above application C°dhfrc.to of Zoning complanying iance andts is in callowasco sttce uction ttCity commencOrdinance Bfoie occupancy,a Cc tdicat requested Occt Occupancymustbe when signed the City Planner constitutes a temporary issued Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447A850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372