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HomeMy WebLinkAboutBuilding Permit 14. 0395 (� Or 000 x 0 > E y5 ❑ ❑ * O cnv. " oo z 2 0 50) mp ov o 73 73 3 mrc3zo Z - N r.1 -0 b ° m m 7C zm N -I �D0 O 073 1� A v y I) m O 0 z 0 � '` N N - z z 1\ 0 O > z , mm ° o 7 z 0 m C) > 0 tri 0 r z 73 r v -1 -n 13 'O m O z 0 000000 ;r z xi n n ■ 3mcng3 � 'n xr 0 m m m m 0 0 -40S `' co Z v o m3 mi - o cn mtoxxi73W m 0 n 0 cz y ' m z222 czi 3 Z m c O y CD C) D 00 pi v C m m -1 r � 00 _� _ c b -1 0O = v ` r- vv O 171v Z 71 rn X XI 000000 `1 'NJ ; z > mmm _4z i �/ .1 M n zm73 r m ! �N � z "1 r C) i.. r of £R1 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd t.r. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5z/ to-,1 .. x AND UTILITY CONNECTION PERMIT v yrivNESOS' I White File PERMIT NO. / y, 3 q c Pink City 7 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /I / ! }�J -J i.-v 66 i eh• -mss'-i-E.#,L... 7 LEGAL DESCRIPTION(office use only) � ,,, ?ifX1C30 //G C PID . 5-- 3/0 —VOL?'^© LOT ' BLOCK I ADDITION OWNER --QQ (Name) 7.!'T / S 6✓ 9 Bo tv'.4iA 'J (Phone) (Address) BUILDER ��Y d _ P E 77A14-A./ / /Q (Company Name) '/ -S-�c e,41-cs,, •'C, (Phone) (Contact Name) "177 T' T 77Y4/ / (Phone)(952)La 7-467l_0 (Address) /274/0 ciecEev'1& J /hi . 5Ai444L, Abu, . 5637A TYPE OF WORK 0 New Construction ❑Deck ❑Porch D'Re•Roofing ORe-Siding ['Lower Level Finish 0 Fireplace ❑AdditionIteration ❑Utility Connection 441/NVIC.,5: .*, /6044i__. Mise CODE: DI.R.C. DI.B.C. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 4/0.00,0- Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 t I hereby certify that I have furnished information on this application which is to the best of my knowledge true and con ect I also certify that I am the owner or authorized agent for the above-mentioned props and that ail construction will conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building official can r. e'e th. . It for Just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to peiform needed inspections r w Signature Contractor's License No Date Permit Valuationr,. Park Support Fee # $ Permit Fee $ I t/ 75 SAC # $ Plan Check Fee $ (X) 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 $7y, 7s- CaritThis Application Becomes Your Building Permit When Approvedid #9Q c'1 Receipt No. #7 /a q I. ,5 % a i . ( (f 1 Date By Alb. 5 443------ Budding Utf Date 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 requested This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy,a Cettiticate 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