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HomeMy WebLinkAboutBuilding Permit 14. 0472 Z <c M o a - � 2 � %2 �2� 0 o � � �� 5§ z � b o� WU � a t SS �io z 2 © (;j3!311 L l o . § 01 I.: Z - § ° 0 t § z O. �� 0 0 0 -0. K 2 I- 2 e q2(9a It. S ` w § LAI « I- & 2 - xIz § 0. 3 ■ ■ k 0 IU 11 �\§� kk § § X jw «2jW q 11. a ■ ■ ■ a ■ § q w 000000 aaLL I- 2 0 _s % � k re in o 0 be ■ 2 2 § $ v 2 k « 3 m - z w « v i- ce 4 74 ■ z § - E ww q 0. § 6 $kk5 2 � � re o -J S �� g Z 00ajzw 2 $ w S E /� � b z §o&_ zt o ; Q = f el k $ 0 0. u. ■ ■ § o 5z « o a DODO&O U (c-PLG.--4' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE c 3 l (� AND UTILITY CONNECTION PERMIT >x., �INNESOlt' I White File City 6 C 2 PinkCitPERMIT NO. /¢ 4_1 Z i Yellow Applicant (Please type or print and sign at bottom) ADDRESS 1 ZONING(office use) :2)'5601 0 pcu(e. (c) SL0 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER , (Name) I (a v i s �. e 1 Ale 5 i<� cc he r�1 (Phone) C��54.) -3; 0 "7 893 (Address) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) // TYPE OF WORK El New Construction ['Deck ❑PorchRe-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ❑Utility Co ection CODE: ❑I.R.C. ❑I.B.C. ❑Misc Type of Construction: I II HI IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) I 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 I am the owner of audunized agent for the above-mentioned propciry 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 revoke taut fox Justtcc eror �utherme,I hern eby agree that the city official or a designee may enter upon the property to perform needed inspections g 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 1 $ TOTAL DUE $ 17* '75-- This .75This Application Becomes Your Building Permit When Approved Paid -? 9, 7,1"-- Re ipt No. Ili ` 2— Date 6 3 /'-f B 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 piocecd as requested This document when signed by the City Flannel constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy,a Cetuticate 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