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HomeMy WebLinkAboutBuilding Permit 14. 0646 2 1 § § a ]_ � - - ■_ § k � vv � z 2 _� k�UJ2co 0 0( 4/ re CZ k S ■ CT0 C k 000000 � 0 2 re r io le re x -0 N § 1�► o Ili z 0. Lt. ■ i 0 q 1- 2 0 2010 < ` k 01 \ B z) 0 0 & 2Ezzzl I § k 2 p. § S 051 % § L § \ § ` Al ► 22 § X § a ■ ■ ■ asts;t UMW 0 0 rx 2 q 00000 11, 2 g 0 2a ao nj 3 0 < 0 Uz . . z . 0 © § 0 < o - z 0 § �� co 3 ol a. 2 ■ 0 0 �Fi k g Ui b D _i � & a § U •J § /\ 0 re Ui x � � � � k k S / f Q § z « 0 a 0000 0 U E. oPR ci CITY OF PRIOR LAKE BUILDING PERMIT, Cr f Date Rec'd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1 • (v 4fikNESO1t. I white File2 Pink City PERMIT NO. / / Yellow Applicant � � (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1`iV 4 A-1-/03iieD 7 ,4/L- / E-. LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER y C14/1) f/14/Ce je 1 (Phone) 7i ' " W7/ ii (Address) / / Yt t, 614 c1'-0itc'1� J Mit- /V. t-• 'km Lee / / /) f337.e BUILDER (Company Name)pf�/tD �,f/V33' tisT � (Phone) /S -YYf7� t (Contact Name) b4t-' EX/Lit-7- ,rte (Phone) 6/.4—'1P7�_G?PI (Address) >/d 7, P/, ,1t2"Z,.[D (7— 17741/ EE /RJ J,>>?, TYPE OF WORK ❑New Construction ❑Deck ['Porch e-Roofing ERe-Siding ['Lower Level Finish ❑Fireplace ['Addition ['Alteration ['Utility Conne ton CODE: ❑I.R.C. ❑I.B.C. ❑Mtsc 6," 9,;(9*-q� Type of Construction: I II III IV V A B PROJECT COST/VALUE $ tO/ /�j/ *- Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I have htrnished information on this application which is to the best of my knowledge true and correct I also certify that I am the owner in authouzed agent for the above- ioned 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 n evo this permit Aust cause Furthermore,I hereby agree that the city official or a designee may enter upon the pioperty to perform needed inspections y X46'e/3,067 7 �/� Signature Contractor's License No Da e Permit Valuation Park Support Fee # $ Permit Fee $ 7 L / lc SAC # $ Plan Check Fee $ Water Meter Size 5/8", 1", $ State Surcharge $ 5` 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 $ —1et ' This Application Becomes Your Building Permit When Approved Paid fl (,-is- Receipt No. 1 I --it.,.;7 Date 7, 6 - C 9 By ,.) 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 iequcsted This document when signed by the City Planner constitutes a temporary 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