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HomeMy WebLinkAboutBuilding Permit 14. 0917 z_ 1 � ■ ■ §< b � 6z „ � a. a. a. z q� aaa � _ ■ ww ■ Q « LI 2 ' SSe t 0 § ■ oO ❑ c ❑ c § 2 © o "4 ON/ _ 2 ■ 2 aa � w t z 0 � § k8 §-J § \ k 4 i p Z B z _ ZIZ . b k01 - $ S � 0 2 � fw � � x 2 A z § meq § §� —I o0 § I- o a ■ ■ ■ a ■ w § re w k \ OCOCOO 222 I- ` § ■ ' § z § g j Gli so■ z 20 §§ z 2 § & § U. § ■ CU rz ■ M4§ ■ ■ ■ R § /% § § 0 u.u. u_2I■ 0 k C) C) E u3 2 0 a o000'c U ; o o 5. 8) 01 PkiO CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd i� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT � 7&71° 'orf. ,v �,NE5o 1.White File 2Pink City PERMIT NO. l _ C/ -7 . 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS _ ZONING(office use) r &{c) Z C3 i TAUS TT-- j ( LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID O (NaWNER 7-07m a nCi Pej PiefQ-r (Phone) qS1 t41-10 O J(O (Address) 1147 ZS I ) O `T O (CUoIImp nyy Name) A IS On S teri IOF (Phone) Q52 .L( . Sa a / (Contact Name) 44 p-e—ll nen J (Phone)Q S2_ L1( Sa a / (Address) 2323 �_E t' �/e. it(0 560(ici TYPE OF WORK 0 New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish El Fireplace ❑Addition ❑Alteration DUtility Connection Pep/at / CODE: ❑LR.C. ❑ �ILB.C. Misc: e .5 lit(dO Type of Construction: I II III IV V AB `� C oo Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ OO- Division: 1 2 3 4 5 (excluding land) I here• ;. that I have furnished•. .r•• :•+--:-•s 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 abo mentio-, .•- .nd di. •. .• .,..ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building offi ial can r:*�.q,0 i •e` 't'. t caus•�Furthermore,I hereby agree that the city offic' or a designee may enter u n the property to perform needed inspections. .i...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 .7q if' // ipt No. Z��� Date r zsl f 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