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HomeMy WebLinkAboutBuilding Permit 14. 0650 1 I § k W \ �� i§\d� ' V gL.CC.z 2 ui i �kkk� CX z Su � � � > Ci 00000 0 z \ k 2 & u o _�... 0 0 % 6 ��z L ■ / 0 ( 0 � to� k�ea/ ui CO z / ,:.'" & _ zz co u a xzI � ■= u � u �&�Q w \ k / IU / co CIC aE7coa* 000000 2 2 i C 0 Z11 $ L5121 CC CC 0 Illib, I) s Q ) 0 g z k © Ore < C ce k g o z 0 0 2 $ rz. co U. ■ z co a 3 ƒ k o Q � � W ce 2 o3 2« w 000 $ k2 8 o 2 ��7■mak A i ƒ ƒ o qk 0 000000 U 4 0 0 2 Q Q O O / ii--- PRIp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,„, 1P TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 ,5-'..71— AND UTILITY CONNECTION PERMIT 4:NNEso�� I White File PERMIT NO. (� 2 Pink City 14_ &,� 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS�/� ? idsec/y � � ZONING(office use) �/ ,t)LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER /42E2' / Y ►" -E1' (Name) (Phone) b/2'-34c----�4yt:' (Address) 53,14-cu aA a I-e— BUILDER (Company Name) °iv—72Wet C '''''-& l'..*'. (Phone) 0 Z 55 7 \/ (Contact Name) ;Ji,(cp^.; g(2.-A-4G.,e_f (Phone) (Address) V3 'L 5, 57,,_77-- ,4 L 'L t4 ..)‹cTYPE OF WORK ❑New Construction ['Deck ❑Porch -Roofing CRe-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: ABE F HI M R S U (excluding land) Division: 1 2 3 4 5 I hereby certify th have furnished infounation on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authorized agent for the above-menti.--. . ope % and at al onstu on will conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building official c. °thi•pe . nthermor , hereby agree that the city official or a designee may enter upon the property to perform needed inspc ons igi ature Contractor's License No Date 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 $ This Application Becomes Your Building Permit When Approved Paid yc/, 7-S Rec t No. 7/ 7? / Date 7- E- jam-- B Budding Official 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 proceed as iequcucd This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constiucuon to commence Before occupancy,a Ceitihcatc 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