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HomeMy WebLinkAboutBuilding Permit 14.0305 E O Oiii n 000000 13 o > Ko 2 0 0 0 0 to 00 g rn z � � eco m ran) n0 01 r m m mz Ems § § 0z § §-0 IQ $ §41, � � Z . k79 n .. 0 kn >Z \ NI. m ni 7 2 F. 0 7 « �� x F. -0 - % m 2 0 00 000000 41 x § m m m � � * C � am OC :10C § � a xa mm_a m 0 a) zi© 2 m § qm > 000 0 § X "0 U 0 r � c/ / 2 m � � -0 0 § 1 ' I m \ o XX00000 � � � m o } / 0 krm o 0 2 kg13 13 13 § j x � �j m r � ( - § ■ -Ir o CPRio* CITY OF PRIOR LAKE BUILDING PERMIT,v Date Rec'd , , tr 1 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ri L� Gv/ 1¢, 1�7 P 1 White File PERMIT NO. 14- 3 05 ESO� 2 Pink Cay 3 Yellow Applicant i (Please type or print and sign at bottom) ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER n (Name) l_t -k‘`k IS S:JC - 'A-SPA- (Phone) (Address) c\ v,,.9_ o � l. BUILDER (Company Name) (MitAl t te--- lGv•— (Phone) lac f"[S1--1WO (Contact Name) aXin....._ Y 4- us-ell }} (Phone) YJ (Address) , s i f\y‘� �c._ Al)e_ \.. )P1 . SA,, C'(�t-~,`A.l MA) C3503 TYPE OF WORK ❑New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition Iteration ❑Utility Connectionc` r �Misc. re ---)pr � -✓� LZ' CODE: ❑I.R.C. ❑I.B.C. Type of Construction: I II III IV V A BPROJECT COST/VALUE $ /(XY) Occupancy Group: A B E F H I M R SU (excluding land) Division: 1 2 3 4 5 ' -AA ci. l ) 0'4 i . nit–* ,.4 e i Add 4o le\o.0 , Aad 2- u:..- Pa,*eJ1-roc' . I hereby certify that I have furnished infoimation on this application Which is to the best of my knowledge klie and correct I also certify that I am the owner or authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will pioceed in accordance with submitted plans I am aware that the building officio revoke this permit for lust ca se Furthei more,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections X jit.d-, — C—0 q3 4—(91/-111 Signature Contractor's License No. Date Permit Valuation ? b00-- Park Support Fee # $ Permit Fee $ Fes_ .7 SAC # $ Plan Check Fee _ $ _ Water Meter Size 5/8"; 1", $ State Surcharge $ ISL] 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 $ TOTAL DUE / $ 4- I Z /I T .s Ap i,••• Beco s Your Building Pe . t en Approved Paid "' � I'' Re eipt No. -1( l s-- _A Date ,, 1 . k,-- B _. ,e, I clifiinlorticial '. to This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pioceed as requested This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy,a Certificate of Occupancy must be issued /� '^ �/ lode Planning Director Date a Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 16200 Eagle Creek Avenue Prior Lake,MN 55372