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HomeMy WebLinkAboutBuilding Permit 14. 0493 .1 z z ,_ Ill E 0 1 il (.7.C1 G JH — Iiq 3111`g2 ‹ \ ©q / 0o a § W opi, ■ « w U) k U U. 0 o § \ . OOOOOO o 2 & r - o U. _ k Z 0 6 m §- 0 @ / g - & Z Y i r- et Lu o. w ( I E o8r � o.S ƒ § k z & 2 -= �k � § 0 0 Z I- o § 0 a. §\ §%§§ X w Do « 02 W W L a ■ ■ ■ as o o r4 w ,t J 000000 0 a. a.0 i 0 k 0 U k 0 k 2 2 q § u. 0 0 2 \ « W P 0 z U < bv c4 ■ § �_ u -J tzi W0 6 zoz < z reit re Z 0 E � Q � Za7 � w § 0 ° a 1.1. ui C4 Uj z V E E k p O O f kS5 o $ o 2 2 0 a EooOO U PRO CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 66 ,..;,,, 14 4 °A. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT / �, I wine FdeCit PERMIT NO. / [ ` ! 3 ��1VNE504 2 App /�}-` (,� i Yellow Applicant / (Please type or print and sign at bottom) ADDRESSfitr / ZONING(office use) L 1-76/ /I I 1/it4 e" A C7e/ 7 . 1 .E LEGAL DESCRIPTION(office use only) / C, LOT /c/BLOCK ADDITION 5r�tk /V S / sr �GA PID 7�- / r 0/q -0 OWNER //4/ fzj (Phone)9245-2 r p 1/ �e4oT (Name) (Address) , -,1‘,/b1 BUILDER ^// (Company Name) _4(//iii- (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ['Deck ❑Porch2e-Roofing Erne-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 $ Occupancy Group: A B E F H I M R SU (excluding land) Division: 1 2 3 4 5 I hereby cooly that I have furnished information on this application which is to the best of my knowledge true and conect I also certify that I am the owner of authorized agent for the above-mentioned property and that all constnic •n will conform to all existing state and local laws and will proceed in accordance with submitted plans I am awa-e that the bo Iding official can revoke this peimit for just caus• t ermorc,I hereby agree that the city official or a designee may enter upon the property to peiform needed peau . X / Date Signature Contractor's License No Permit Valuation /_ ,� Park Support Fee # $ iq 7 SAC # $ Permit Fee $ Plan Check Fee $ I6" L . 1 Water Meter Size 5/8", 1", $ State Surcharge $ f Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ r-/ Gas Fireplace Permit Fee $ TOTAL DUE $ C � � This Application ecomes Your Build' g Permit When Approved Pai `41. Receipt No./7 /LI- t -. tE' toj Date (6,,- j 4 By SA C ....---...‘...../ Btuldute Off al 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 pi>ceed as requested This document when signed by the City Planner constitutes a tempoiaty Certificate of Zoning compliance and allows construction to commence Befoie occupancy,a Ceihticate 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