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HomeMy WebLinkAboutBuilding Permit 14. 0417 0 000000 0 p s NA 0 �► O v, „ = „ „ „ 0 2 v 5v 5 y 73 3 mzc3Zo m 73 N o� z �, b r O m m t: r n C �> - --1 m p NZ 13 ZZ z� C z m > m- m ' ❑m 0 X XI 73 nn z 313N � 3Y. 73 m m m > mc o z o 0 1 t3 = 3 m N Oa = m0o 0 o `m - - nZb .I o > CCO m 00 o Z s 0 m c no �j00000 • "t c E 73 z r � -0v$ -4 41 > 7, > mm � -, 41 t'lz �j 73 '" 73 r m y►1 0 -1 Z - z Pi -4rr 0 Date Rec'd CITY OF PRIOR LAKE BUILDING PERMIT, t r F PRIo i/ � � 1 �� R TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (p AND UTILITY CONNECTION PERMIT v 117 I Whne Frle PERMIT NO. ` ¢ S/ �, 2 Pint. City M�ANE$O� ; Yellow Applicant (Please .e or t rint and si:n at bottom) ADDRESS ZONING(offCe use) —3y �/ p • o LEGAL DESCRIPTION(office use only) PID LOT BLOCK ADDITION OWNER - _AAA-' (Phone) (Name) (Address) t t, BUILDER \ + _©6 .Cc •, (, (Phone) I 4 (Company Name) 1 (Phone) (Contact Name) l III C,�>'` p �S 7 Lvi 5 - `C. K\S ',c a r 01.E-_,,, (Address) � � � TYPE OF WORK El New Construction V Deck ['Porch ORe-Roofing ORe-Siding OLower Level Finish El Fireplace ❑Addition ❑Altera[ a ['Utility Connection ❑Misc CODE: DI.R.C. I.B.C.D Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Group: A B E F HI MR SU (excluding land) Occupancy P� 1 2 3 4 5 Division: construction will confoim to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building I hereby cetti that I have hirnished information on this application which is to the best of my knowledge true and correct I also certify that I am the owner of authorized agent fort e above-mentioned anuevok pt et and that alldi_c).--"L official can revoke this et mit for fust cause Furthermore,I hereby agree that the city official �signce may.e`nteupon the property to perform needed inspections Z J Date X Contractor's License No Signature Park Support Fee # 11111111111111111 Permit Valuation $ Permit Fee $ SAC # $ Water Meter Size 5/8", 1", Plan Check Fee 1111111111111111 52/03 $ Pressure Reducer 111111111111111111 $ Sewer/Water Connection Fee # Penalty 11111111111111111 $ Water Tower Fee # Plumbing Permit Fee 1111111111111111 Builder's Deposit Mechanical Permit Fee $ $ 111111111011111 Other Sewer&Water Permit Fee $ TOTAL DUE $ /1 Gas Fireplace Permit Fee ,�- R;�ei.t No. This Application Becomes Your Building Permit When Approved Paid � ; Date /^ 46 ' Bulidine Otiiclal Date iocecd as requested This document This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may p' when signed by the City Planner constitutes a temporary Ceitrficate of Zoning compliance and allows constiucnon to commence Before occupancy,a Ccihficate 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 47-42 - 4646 Dakota Street Prior Lake,MN 55372