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HomeMy WebLinkAboutBuilding Permit 14-1351 g 0 O X 0 171V0 0 0 0 1 o > En n n. i kk K . ® -n-- �azca �p § 0 2q es A / 73 73 x m 3.c C 0ioz m 73 M O� q 2 ■ » Q P o■ h QR » § . m o ®� �- P. & bi j3 q co g z m . §§ % P. 0 z § 2 �� k t o a 2 , m • q r ° T % m o xl xi § o X z � 4, c -D /*c � •c M q m• m 4 ■ ■ I.- nc -1nc 7 § K ? m § ■ § z § n ■ C m § n zzxMz ■ z = m1.11 U z r n O ■ 4 ? [ o § 2 § Vil i 11-o P m # o « § m § / ƒ § @ ❑ O ❑ OOQ -C: i\'q --- 73 Re z C � -nn§k -o-0§ © �U .z � hi 0 m � -1k � r xi F. ■ -I § Q CPRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd A • TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ! �✓ I a `� AND UTILITY CONNECTION PERMIT tgi NESOI. White File 3 Pint ApplicantPERMIT NO. te ,1---.1: 17 3 Yellow (Please type or print and sign at bottom) ADDRESS !x"303 gi, � �S w/€. ZONING(office use) jro' l-ktQ wV 51772- LEGAL 7 - LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER Ick 24, ,,/ k (Phone) ` lf� - �J C%—1 (Address) v BUILDER ) r (Company Name) ~ I' 'V� v � v (Phone) 763-) 5/K---0 !. e.-) (Contact Name) L. 4 ' ! ' oi2/ i1 (Address) TYPE OF WORK ❑New Construction ['Deck ❑Porch e-Roofing ❑Re-Siding OLower Level Finish ['Fireplace ['Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ (excluding land) Division: 1 2 3 4 5 I hereby certify that I e burnished information this applica ion 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 pr.. .ty and that all constructi ill confor to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke t, permit for just Furt r re,I her by agree that the city official a designee y enter upon the property to perform needed mspe�ms. IX / / Signature Contractor's License No. 0 1 Da 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 $ 7c7,--7 7 �� This Application Becomes Your Building Permit When Approved Paid `q' R pt No. 5.--.7 Date /2.,- C a' , /4f /B � Building Official Date f 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