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HomeMy WebLinkAboutBuilding Permit 14. 0261 531/4 i o o O 202 � � x 5 > Ko n n g 0 0 0 z 0 $ o » o ■ § m z m Q r k o 0 m E E'0 z m run) 2 7 J © � Q P z- q 73 A 2 . q 2 0 2 CI n Z nk o m r21 0 X r§ . E. % m o 73 . - z Z00 • 000000 m m m m �� Q -1 z § § ,� ` m � � � � � . ■ nc § � 0c % *1 2 ? ' z ■ mI ■ n ■ ! -0 _ 0 � � � � ■ � m 0 n 7 n 0 2 > 000 0 3 m L-1 o z r � § o o 0 A ‘ � � � P § I 73 ...... * CI 0CI �' r71000000 ! t Illb / §0mmco :1---) \ Z rit § -nx, -I / -1 cot zm � r 0 of "�pCITY OF PRIOR LAKE i uIii.DING PERMIT, L.,!:. drTEMPORARY CERTIFICATE OF ZONING COMPLIANCE _/_� + AND UTILITY CONNECTION PERMIT A:N B:. JJ1 ��'/// Y I White File 2 Pink City ` ( �� lRMITN0. 1 L. / (/L�/^ 3 Yellow Applicant ' (Please type or print and sign at bottom) 2,-,`',.-.,1; ADDRESS /f �l R5 aueee �'L 2iG4, ink j`"7�tJ 372, LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID i OWN)Ri�-�Qey Cmc Tj Z l 0 (Phone) Name (Address) 06C)OG) BUILDER(Company /�etz,ei , /4/476-.iii ' iG61'r1& t1T (Phone) av�YY' TOO (Company Name) G- �-' Phone --- -- (Contact Name) / y I�U66 ' (Phone) r (Address) J 53� (GeYS � '� ��� — — TYPE OF WORK ❑New Construction EDeck ❑Porch ❑Re-Roofing ❑Re-Siding ELower Level Finish ❑Fite!' , EAddition EAlteration ❑Utility Connection ' r �( CODE: I.R.C.❑ ❑I.B.C. �]Misc: i ?vo0`'"S` ) Gc r-1^-1 96"-105 -- Type of Construction: I II III IV V AB COST/VALUE $ �� Occupancy Group: ABE F HI MR SU PROJECT _ 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..u'.. .,,_tt. I. the above-mentio ed . .pe ty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans I am a\„ C iii,.. ;..1-...ng official can%-ik'this p•rmit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspectons X Air' Signature Contractor's License No. D_==__ 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 # $ J Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ I �7 I Gas Fireplace Permit Fee $ TOTAL DUE $ /_9 73___ 77c Receipt NoITN,9...i This Application Becomes Your Building Permit When Approved Paid i Date i/L1f-�/�-- By -1--=— ---� 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 icciu.....- dOel ` !_al when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows conshuction to commence. Before occupancy,a Certificate o. - =7 issued. 1 Planning Director Date Special Conditions,if any — 24 hour notice for ail inspections(9:i2)41 933ii,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake, liunesota 55372