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Home My WebLink AboutBuilding Permit 14. 0512 c : n 40000 © > �C _ � � � o $ o Er X0 0 3 0 up_ m § § 2� \ 2 r n o m m � Z E� %k\z 0 0k k �� § § a 0 § 2 9 0 f 2 \_ \ / as �\ . o n tNI 0 0 a 0 § r 3 IA:- rn % \ 000000 273 © R ■r � *Cri § 0 m x&2mx& -U o co o i o �� ■§ 111 0 0 zZXS> 092 0 s m § \ \ c r 11 z 7§ z r U $ r111 P o 0 Si C 0 ~ ■ i� , rn / < 000000 1 - E � � n § CA m n i c8 qm II t�7 � f: k 0 � m -4r 0 of PRio� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT U � 4/A'NEsOl� White File PERMIT NO. 2. Pink City 1 et-,I 3 Yellow Applicant r (Please type or print and sign at bottom) ,..)...... ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID ,....„\.... OWNEI(Name) .6'11 t 1J "t"/✓hl'tr LA"R-Z e (Phone) tota-386- 7g8:7- (Address) O a -7-(Address) l 4677 ,o/ i To u- g-z H BUILDER (Company Name) N A (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ,Deck ❑Porch ❑Re-Roofing ORe-Siding Lower Level Finish ❑Fireplace ❑Addition ❑Alteration DUtility Connection CODE:4.ii I.R.C. ❑I.B.C. ❑Misc. Grite.; Type of Co traction: I II III IV V A B PROJECT COST/VALUE $ bs--� c)C)C) 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- i -.ed property and that a struction 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 revo,'this permit f u eau e. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X I /v/1" e9 11 Z•lv Signature Contractor's License No. Date Permit Valuation 441000.. Park Support Fee # $ Permit Fee $ 10 SAC # $ Plan Check Fee $ ;67y, Water Meter Size 5/8"; 1"; $ State Surcharge $ - t Pressure Reducer $ Penalty $ GGG••• 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 $ 1-7`, l 5 This Ap 1 io !%ec s Your B 'ding Permit When Approved Paid Rec t No. —71E/ti /, / Date (o JiZ)i 4 By Build to ;'ficial_: ate This is to cerci .-i t the .,,lest in the above application and accompanying documeits is accordance with the City Zoning Ordinance and may proceed as requested. This document when signed r City '/r`nner'4nstttuttltt temporary Certificate of Zoning corn• ianc and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. fr Planni : I irecto II ate Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372