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HomeMy WebLinkAboutBuilding Permit 14. 0435 10 O C) 000000 II 0 > § 0 n n \ 00x 7) 0 0 � z0m > capkk z m z �\ k r ri m m § m zr > § oz z co � v % t .4 .4q m CA §® § Q P Zk q e. § § , . q z 0 § ■ co ■ » 0 : � o 7zq z 0m 2 0 0 a 0 .A % \ m z ■ -4 0 3 z 73 0 0 - . 000000 41 X § mm ■ r ■ > ■ r 2 § ° ° m � mmr 7 2 ? z § m x ■ n ■ 2 m 21 -I zzxx 0 mx m > 000 Q s - § , ., o \ 0 r - 0 xl C kZ 'ps, m r- 71 "O 0 a ak 2 .� ` I . C 0 ' r g Y00000 , 2 §a § �§ � -I> 0 © `A � ® 0 \ m &. z >< rl g } mm §m? (A) q m z r ul 2 § t & m OF PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, L----/ Date Rec'd A. ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 4,ivNESo.°. I White File PERMIT NO. I ?L, 3 3 Yellow Applicant �% (Please type or print and sign at bottom) ADDRESS ZONING(office use) (ewe4 ec,, O\( s NE LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER '�'� ��( (Name) \ o C1/� (Phone) 3wta Sz-2 ,(Q0 (Address) ( 3 Z 471 C cy eu y- St- A,."t 4,1_1:_,,42_ M,c) SS-3 7 Z- (Company Name) i v ( 1,S I f (Phone) 71P3 is S (Contact Name) \ _-a- J Z el-- C'Y1 (Phone) Z-[2S-- `E2--r` kS---:5 ( (Address) u SS® -w• t`t Pa -(,S K.t fe Z(O, /"c ,/e C j,', -e �G ) SS 367 TYPE OF WORK ❑New Construction ❑Deck EPorch We-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ['Utility Connection CODE: R.C. ❑I.B.C. ❑Misc Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 59O' i Occupancy Group: ABE F HI MR 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 titre and correct I also ceitify that I am the ownei of authorized agent for the above-mentioned property and that all constit tion will conform to all existing state and local laws and will proceed in accoidance with submitted plans I am aware that the building official can revokk this pet t for Just c irtheimore,I h eby agree that the city official or a designee may enter upon the property to perform needed inspections x �'�( i C ,CSC to �� `t 7 s 2`��/ Signa Contractor's License No Dnfe 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 # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE 1 $ 79. 75 • This Application Becomes Your Building Permit When Approved Paid `7f 7.3 Receipt 7/43 I Date )/,z9/jl By ,e-..i Building Official Date This is to certify that the iequest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This document when signed by the City Planner constitutes a tempoiary Certificate of Zoning compliance and allows construction to commence Before 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