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HomeMy WebLinkAboutBuilding Permit 14. 0480 I 0 0). n OCO0 o > zn § § a 0 2711111 & � 4 n n 0 0 0 C mgc � 2 § m r A moq § r- R X xi X m zr � E0z � $ � v 01 r■ § § § CA § ® § Q P 0 73 z0 © 0 §73 -4to ���� © 27-1 q §Mb 7 § § m m § • Z 2 , \ o § x . z 0 0 000000 % J mm ' mrR > rr c2 c . ■ $ m o Q ¥ � � 7 § � � m 0 Ce 9 2 \ 0 0 § � § § § v 0Lto a c r ,- cc p m z m m r � � o 11 / m m k0 Q 000000 -:• C.> _ � � 2 § § § R. k z � �/k _ zmm % 1 R fiN »z - E -1t z i;ha -1r o 5 \IA 0 0 `v '� C) ❑ 0000 -0 O > E 0 ybZ -n „ „ 0 0 � 4 0 0 3 -� zw Oco z mo O n O mDc � O m m m n b D o A 3 Z r 3 ZC 2 2 N - m �e oi r 0 D �� it Z - -4 Cl) z 23 t0 D y N n z = Zxi n O S. Cil 0 > O =i tri O 0 >0 = m m �` tl _ , „ TI ` Dx m 0 0 ■ 00000 z m m m e ; -o ; v 4.1 �_ Noo � �3 r 0C 6- ',c Z ? v ii w . ; � � 3 m 00 CO °II c m r _ � Dcpzioo � c 3 -Zi 6. m Zj Zcc z r titO X a X m t . is , -(,, g 0 N m 000000 4. 2 l4 C) > ; z06 m M 0 o Dmm = : N = z \ m P11- o CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd Ca P TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � � AND UTILITY CONNECTION PERMIT 6. 57 /51 4-4NESo�P I WhiteFile 2 PinkkCly PERMIT NO. l 5 47,6 i Yellow Applicant (Please type or print and sign at bottom) ADDRESS / �—� ZONING(office use) 6(21/Lt. '" ' --5 2 iie-y„,s,"„, LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER �i !� r ; (Name) ` / �V� Ct-�� (Phone) (Address) / LE-3 3 , C(.L -e BUILDER /� (_i /i �_— //y�-� -� (Company Name) tt 1 lr 0 n' 1= G tZ,,t 2<�t-�+,c .lam hone) (Contact Name) _? : 'S h. ( .k'CE? if..( (Phone) l (Address) S. S 3 Cs c. 111 vvt.et. f .� J i" - ( , c: -.'c: T Al::: A--_ / C..,/ TYPE OF WORK ❑New Construction ❑Deck EPorch [Me-Roofing ❑Re-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 $ S,_/� Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby cc • . I have furnished information on this application which is to the best of my knowledge true and collect I also certify that I am the owner of authorized agent for the above- ntioned pr .city and that all construction will conform to all existing state and local laws and will proceed in accoidance with submitted plans I am aware that the building officia can revoke th.pet mit for Just cause Fin thermo col hetcby}gree that t .ity official or a designee may enter upon the property to perform needed inspections ,/ Signature ' Contractor's License No Date Permit V nation Park Support Fee # $ Per ' 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 $$ I 9.1......._____, Gas Fireplace Permit Fee $ TOTAL DUE This Application Becomes Your Building Permit When Approved Paid 7 Q, 1 Re tpt No. /1 t y(y-7_„ Date / i S . `7 y , Building Official Date (I� This is to certify that the request in the above application and accompanying documents is in accoidance with the City Zoning Ordinance and may pioceed as iequcsted This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Befoie occupancy,a Certificate 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