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HomeMy WebLinkAboutBuilding Permit 14. 0629 LIJ 2 ak kj ■ LT. c, _ U id b � � b § � � � � ' « � > X222 § .� 0 2 § S00 § W2 I ? utT0i . tu r el § & .00000 ' 0 2 § k / n Z Next z 0 F o E E oO ' a I 0 § X Z & 2 - xx § § / i ED § X 0 w © fwW55 � uw § _1u 2 w - I- § ..i u.1 00 2 ti O ❑ oe ❑ O § § § k k \� 2 ■ t� re 0 z 0 0 % Y c) I- 0 & ■ Q 0 < - o co FA re e « 0 0 a re-2 § w < I- e 4 2 - z z 2 © w w • ■ o « - � q ag 2 zo■ § � & •re ° < o U.0 � re LU z 00W2z § a 0 0 0 k e, o 1- & § § s u. u. u. ■ u.■ o �O c / 5z « 0 a 000000 U i c F P. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,�° TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT -7 3 i ct 44NESD.1P 2I WhitekFile PERMIT NO. /Li . ( 29 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS / ZONING(office use) 1 � L199 Xie/ O /C5 /24/ ai5P LEGAL DESCRIPTION(office use only) -1 Oat) LOT BLOCK ADDITION PID /. U a * OWNER A A (Name) Mar/lair/ Hton (Phone) (Address) BUILDER t ct Lcri /L L L: (Company Name) NIL (Phone) (ContactName) / 4t frig/-G, (Phone) (r�1 c — 7i -3.-7(v�� Lt>,y1C� / (Address) ( 4 I k,-3h C_ /�D7 c TYPE OF WORK ❑New Construction ❑Deck ['Porch e-Roofing ERe-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 $ ��g Occupancy Group: A B E F H I M R 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 true and correct I also ceinfy that I am the owner in authoiizcd agent for the above-mentioned propeity and that all 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 revoke this pet mit for Just use Fut e re,I hereby agree that the city official or a designee may enter upon the pi operty to perform needed inspections X :Xir..i....ic 7,../(71 C 3 0 Signature Contractor's License No Date Permit Valuation �j Park Support Fee # $ Permit Fee $ i q 1" SAC # $ Plan Check Fee $ Water Meter Size 5/8", 1", $ State Surcharge $ 5 ()D 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 $ , This Application Becomes Your Building Permit When Approved Paid 19.7s' Receipt No. 7 (1 g s' Date "7 . 3 . t —{ By 51,-4.4,.) Building Official Date This is to certify that the request 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 Plannei constitutes a temporary Ceitificate of Zoning compliance and allows construction to commence Before occupancy,a Ceitificate 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