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HomeMy WebLinkAboutBuilding Permit 14. 0879 a 0 - k ate ■ • B g & v § � $ \ Oa K a. 2 2 § , ' 3/ 5 �a0 $ Z ...1..... oOOoc Ce LU o ! ii � / 2 k w t z w 6 § tea co z § R § O I- L-. F4 000 < 0 i U § w o 0 � coece3di � . U $ CO 0 CO U ■ § � §s § o oz 1- o w w x K § $ � �� • Ulre 111 000000 ` rd % N.\� k • o -J r a a o § LU cc Lu I- z S 5 U 0 o o § 8 Zk z ■ ■ a 0 z @ 0 w I- 2 ■ © U 4 w �\ 2 ■ co ul � � ���z . 0 -0 O II u ( /PA K 0 J2U.§ 1§ 0 c O O 1. O £ 5z « 0 a. 000000 U e Or.FpR1CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Q nAND UTILITY CONNECTION PERMIT u' GC. i L( �rj 40,NES..0 I. White File 2- PERMIT NO. 9 Yellow 3 YelllCity ow Applicam (Please type or print and sign at bottom) ADDRESS ZONING(office use) !‘iFgs /..7 s ilYe- s5' ?1 S.2 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION '/(0ie CI PID O/7- 2- C OWNER (Name) �recl SS d CJd (Phone) (Address) a..., yr" 4coct S' 4Ve 5 4 BUILDER /� p (Company Name) r)'f"0� C`' iS7'c9`►�t 5v/ldiS (Phone) 6/2 -S 75--2 1'05— (Contact Name) e1 ex dY)`�o ug/4 roiq (Phone) .S�- (Address) / oi ,g- H(//5-(„)1, /h a,' L✓ en/✓J.9o7-art tCl rt-e 1ti/ 47:5--3o.S� TYPE OF WORK ❑New Construction ['Deck ['Porch We-Roofing DRe-Siding ['Lower Level Finish ❑Fireplace ['Addition ['Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. El Misc. [ (f Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 7 l Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 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 constrt tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official ea •yoke this permit fo -ust cause// more,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ad&i Be6VS'377 5'=25=/ S1'ature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ r ( SAC # $ 71Plan 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 $" ' 7 7s This Application Becomes Your Building Permit When Approved 1�' . .7r ` /7 J Receipt No:-.7 Datet By 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 Prior Lake,MN 55372