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HomeMy WebLinkAboutBuilding Permit 14. 0704 ■ 2� 1 co ti„ -I� �U. z _ � Z el/� 0 � . c � Osww■ © SaIIg � « �� a oOOOO ` / \ 2 � I .! 2 c....) d aA �k co 0 IQ 414 a l a i k k $ $ ` a ■ »■ a� \ $ 8 & ® A UJ 0 ilOooOOO � 2 w § U $ `�f. o o r Z $ w� � � a 2 i NJ 5\ _E z z % z o z U § § . # u.2 a 2k2� U. � � � Oc oe w I � z■ �� a ' kk k c) 2u.u. 'it � I E« o a OQQO@O o 0 2 u kO 0 / 1 � . r r h . Date Reed CITY OF PRIOR LAKE BUILDING PERMIT, [� O� PR/04, 7, 11, / TEMPORARY CERTIFICATE CNNECTION PERMITPLIANC E '' AND UTILITY\r...) I. white File PERMIT NO. 071" �, 2. Pink City ��nNBSO4 3 Yellow Applicant Please .e or a rint and si at bottom) ZONING(office use) ADDRESS c LA,ro ,\ P V LEGAL DESCRIPTION(office use only) l I// I�1 I l ,� ")/Z-60( 0 '� LOT 1 BLOCK / ADDITION t OWNER (Name) Pra S it (k BG,, I4 (Phone) b in (Address) / 3 b 0 '40h roder- Ctr- Ai r prh,r- t..k..„. IviN -3 i--z_ ___] \ B(cumompDaEnRy tAC. (Phone) 95L'fig' `tB'f�`1 ck ,, 1 Name) I I (Phone) (Contact Name) �`�vsor6TJ 3(Address) 3 S '�`�� I? 5 cN 3—1- ---] . , TYPE OF WORK 0 New Construction ❑Deck ❑Porch me-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ['Addition ['Alteration ['Utility Connection 0 Misc. CODE: ❑LR.C. ❑LB.C. PROJECT COST/VALUE $ 1 ' Type a Grou Construction: I II III IV V A B B E F H I M R SU (excluding land) Occupancy P A I 2 3 4 5 Division: , construction will conform to all existing state and local laws and will proceed upon on accordance race with to submitted needed plans. inspections.a e that the building 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 o authorized agent for e t y perfor above-mentioned antrevok property and that allc con official can revoke this permit for Just cat e Furthe� Lhereby agree that the city official or a designee mayenter�� -7 -_____1_6_2_-___Y__,�� J� 1 % �' Contractor's License No. Date X Adrallimmortar Park Support Fee # $ Permit Valuation $ Permit Fee 1111111M1111 $ Water Meter Size 5/8"; 1"; Plan Check Fee 11221111M n� Pressure Reducer $ Sewer/Water Connection Fee # $ Penalty 111111.1111111111 ■ Water Tower # $ Fee Plumbing Permit Fee Builder's Deposit $ Mechanical Permit Fee1111111111111111 $ Sewer&Water Permit Fee 1• Other I $ Gas Fireplace Permit Fee TOTAL DUE Inigtfailr • Approved Recei.t No. % —� This Application Becomes Your Building Permit When �1 B e"--A C. a - • Buildine O • fficial Date L. 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. Special Conditions,if any Planning Director Date 5 447-4245 24 hour notice for all inspections(952)447-9850,fax(9-2) 4646 Dakota Street Prior Lake,MN 55372