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HomeMy WebLinkAboutBuilding Permit 14. 0544 5 a n c c000 -0 0 > Eo n n \ § § o O ■ E -n -a -a § & 0 �4 0 r R mm 3 mPGaz § z § §@ n n ■ m § \ ■ 2 ■ y $ d73 Lo § k � } \� n $ �% � z� e > a o ..._,•••. co 0 0 q 0 . 0 k rici o r 2 2 '-'•\ m m 73 r % m o 72 7J GN 73 0 z x00 000000 M m m m CP ] q_ § § § m21tm2 § el Z ? x ■ mmx ■ n . ■ o @ m ■ ! -0 ' 0 ilb 2z }7 - 7 xi 0 7 -4 o z §k \ k \ § � � � P b I Q m , -i E xim � O ❑ 000O kl o � � n R. 0 0) mmc0 k ri > q » mmE � 53m ■ -1 � -I co z ■ -1r 0 5 0 0 0 n 000000 "0 0 > 2 2 nn ■ 0 ■ TiEnim § § 0 (44 73 k r. 0 21 73 k k 3 m � c _Ezk x om2 \ \ 0) Z k � cs> B P 0xj 10 % * » 2 � m 0 �2 �8 n n z 412 21, ko n �» 07.1 � � z ox ti o § >z ' mn, r § 7 � � m o 73 73 ZOO z 000000 o \ 2 a p ` rn i > m r- ~ ® OC -40C § 2 K ? m M § ■ § _ § m n Cl G E m § q > OooC) 3 z m 2 q U Z rZXX c C:11 IV 2 � m �� r 13 § P r k - L m \ 0 ® m %O ❑ O ❑ O / / ,a22 § c k 2 � � � � © � m tm 0 „ . � � > 0o2 § q m ® xi � ■ � r . -1S - z ■ -ir o of rRioR e CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd . °04TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ®� AND UTILITY CONNECTION PERMIT i.o , (b. /g• 4•HNeso•,° 2 Pin'I.e File PERMIT NO. •] l , I�q� 3 Yellow Applicant / (Please type or print and sign at bottom) ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) 1/� O //LOT BLOCK ADDITION PID ( T'[ 7 b[ '0 OWNER (Name) (Phone) (Address) BUILDER r (Company Name) lin•-1:-.) �„..)‘•-NV--- Ul--lk(2-1Y1.71.0 0 (Phone) (: f D- - 31 , ti S (Contact Name) ....)A usi_ i)a(7-'3"-'1/4.4 k- (Phone) (Address) D\.D. J-.)Ay)'v:-.)' [ "51.--\.4Y-3Se't N`.-) S-y i A i TYPE OF WORK ❑New Construction ['Deck ['Porch ['Re-Roofing ,IIFRe-Siding ['Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc Type of Construction: I II III IV V A B PROJECT COST/VALUE $ «V Occupancy Group: A B E F H I M R 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 collect I also ccitify that I am the owner or authouzed agent lot the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accoi dance with submitted plans I am awaie that the building official can revoke this pet mit for lust cause Furthermore,I hereby agree that the city official or a designee may enter upon the pioperty to perform needed inspections x )-^ 0 C.S— i.' ' (0 ' ice ' 1-4 Signature Contractor's License No Date Permit Valuation Park Support Fee # $ Permit Fee $ i 14 '7s SAC # $ Plan Check Fee $ Water Meter Size 5/8", I", $ State Surcharge $ 5eI° Pressure Reducer $ Penalty $ Y 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 I $ TOTAL DUE $ l L 2 `�C J This Application Becomes Your Building Permit When Approved Paid r/q,rReceipt No '71 -q Date 0 at t I 1 By c-cJ Building Official Date This is to certify that the request in the above application and accompanying documents is in accoi dance with the City Zoning Ordinance and may pioceed as requested This document when signed by the City Plannei constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy,a Ceitificate 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