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HomeMy WebLinkAboutBuilding Permit 14. 0461 E 0 0c n 000000 0 » E0 ia nn 0 ■ m ■ � h1m 0 o § 2 r 2 2 § m E '20z 8 xr rn 0 �7 : . r 0 0 ■ . 2 0 E§> § R 0■ to t k » § © z 0 § § 01 k k -, . z n k n m m % xi r 0 7 -n -a r % z 20 § 000000 § - mm �'� . � � § m � / i § ° II X § mzQ "V n ) ■ 9 \ q .44 CP § 0 . m ~ n 0 /. rm00 a q - 0 tZ30 » CC § As' m § s # r 0 k 0 .-0- 6 k n �. 0 . 00000 ' k '0 coco AA20 � � o o � � ..Q. t a ' ° m > q 0 Pz Imm % � 7 :". 2F- ■ _, r 0 C/ 1L4-(z. zr �4 PRIp � �Gf ��� '�e CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ., TEMPORARY CERTIFICATE OF ZONING COMPLIANCE r AND UTILITY CONNECTION PERMIT (0. 2-. /4 �rFri �'NESO� 1.white Pile 2. Pink City PERMIT NO. / L o I 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS r 4174 Ft S H.eg. i V E, "of_ ZONING(office use) P 12to4 LAKE I t\-4i'.) 5S372 LEGAL DESCRIPT�7I1O/N(office useejoonnly) �,/ )/ LOT-3 BLOCK`'i/ ADD�TION �D c�'� /� 0/��5 PID 1.J�"o8'7. O//— OWNER (Name) J USt i N S T-PZ C`/ (Phone) (6SI) 3O g— ROY I Y{ (Address) 1417 LI FIBS Herz 'E NE . , PRI of-- LAKE / M N b53-1z BUILDER (Company Name) w UUDO tki W Oi LD (Phone) 0050 770 'q Q(I (Contact Name) C 14 e I Sea_ (Phone) (CQ S-) 170- 0,49S (Address) 2ZI1 1 till $ o ._ Est STe -:{-13t1, t�efir+-) ST_ P/ uL4 MIJ SS 1439 TYPE OF WORK 0 New Construction ['Deck ❑Porch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace DAddition ❑Alteration ❑Utility Connection f ' ' x'33 // CODE: ❑I.R.C. ❑I.B.C. sc; �pL�'^' h�� � l/ � i� Type of Construction: I II III IV V AB (' / Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ I h cJ Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information 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-mentioned property 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;iosiiie it for just cause. Furthermor .-reby agree at the city official or a designee may enter upon the property to perform needed inspections. Si, /' 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 $ / �f j I This Application Becomes Your Building Permit When Approved 9'`.. q(1 . 1_ Receipt NO. ` ? 1 �— bate (toBy 'Ak'K 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 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 S.E.,Prior Lake,Minnesota 55372