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HomeMy WebLinkAboutBuilding Permkit 14. 0794 A 0 oaaao❑ _ 1 w o 5 . EA E° 0 �"-' cogfgg z m ID n0 u, A A , Zr >ZOZ p co) 073 z 13 c _'o • °o aa ozx 75 73 73 m z o 0b r z rn r N I Z A7: mm Cis o rtfib A > O _ 2 73 r ° { c\ 000000 ta m 33 mr Mgnn > c y m_i �� zz , g►x v v , z D" 8 0 3 • g'° z r0 p p yCC°E. m m V rAc ''vi Z ' Ism -n f ‘ L.7_,A, 41. ' -- ---)3\---- c:: ruu \ Ir \ 'f7 Z V 0 t� A V r PI of PR10 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd 4. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE -r�) � ' `�"f, AND UTILITY CONNECTION PERMIT • 44NNESOlP I. W. Pink City CitFiit y PERMIT NO. (LI _ ` ci, 1 3 Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS - /Soy/ �SIQnd Vieww g) P. 0J- �1' l3-1) LEGAL DESCRIPTION(office use only) Q PID aS , a opt " LOT BLOCK ADDITION OWNER `1 S Y (Phone) (Name) I (Address) f S7 a/ ._15 /4 d V«.J Tzd w- U- BUILDER ©4.�W 6yCJ 0-os "Ros`�V eI-S (Phone) �Q�o� ?5 � 472-S- ,..--... Qa� (Company Name) (Phone) �p�����r- tP2 (Contact Name) ! `"'‘ ��f/ �5..3�--Z (Address) 9%94 0(K L Si. NJ �dG N TYPE OF WORK ❑New Construction eratDDeck❑UtDP Conne Eine-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition ❑Alt �w ❑Misc. W(r1..d 0�) 1L+,16..CL 0.4..",, CODE: DI.R.C. DI.B.C. Type of Construction: I II III IV V A BPROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 e and correct. I also certify at i the r authorized agent for the I hereby cert etha'oi ttye and that all information will conformhis on which is to the to all existing state and loest of cal laws and will y knowledge tproceed in accordance with[h submitted ed plan owner Iaoam aware that the building official can P otTicial can r ke this ermit for�ust taus urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed t� 4714/ Signature cerium` X Contractor's License No. Date , Park Support Fee # $ Permit Valuation ` I' # $ Permit Fee $ 14 1 SAC ` Water Meter Size 5/8"; 1"; $ Plan Check Fee $ State Surcharge $ Pressure Reducer $ Sewer/Water Connection Fee # $ Penalty $ $ Water Tower Fee # $ Plumbing Permit Fee Builder's Deposit $ Mechanical Permit Fee $ o -z<" Sewer&Water Permit Fee $ Other $-e-iq Gas Fireplace Permit Fee $ TOTAL DUE ,�/� '7c Receipt No. 1 l�7i/ I This Application Becomes Your Building Permit When Approved Paid ( . G I By � Date 0 - (D, l Building Official Date as This is to certify he in the application accompanying accordance with ning Ordinance and may � requested. document when signed by the request rcnstites a temporary Certificate f Zoning compliance and allows construction tthe ocommence. Bocuncy,aCtifcatofOcctpany mustbe 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