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HomeMy WebLinkAboutBuilding Permit 15. 0288 E c Q n 0 0000 t0 0 > § 0 2 © © ■ 0 ®nzioo 0 § 0 o4 § r .g 2 § § C mAGEg0 m m n73 � k m m , m z § E � z z ■ i % ■ o § m � �� �$ (— z m 2 73 0 r k 7 Cil -n 'a Is O V % m 2 0 0 000000 Zi x q mma -atn * ® � i k co Q 0c PInc e ■ § m ■ ■ -0 0 ■ % 2m ƒ § lb 2§ J2 � § § 2 2 \ oi _. / $ rmXX c § § - 1 § 9 -a P m § ■ § m S_ 8 ` i 000000 /l 3 2 § a22 § it 1 E ® cAmmE ® m \ 0 .r.: 'a P1 70xp r § cot ■ -4r o Pxj y<S' �� O CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd tiN TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT NAT ESo 1. white i C 2. Pink City PERMIT NO. � 2,08 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) /6653 / nr rz,i �('d LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNE(Name) 3 T L I J iq- (Phone) /S1-y?S-6S6 3 (Address) /6o'6J /ih'lldc 1/.i' ' Yr�or �,a & 1;1A/ BUILDER � g (Company Name) >1$ L.i 'on(4QA -/i/> ho4 (Phone) �6c '/- S Vier (Contact Name) 1.17/k /1/M4444 (Phone) (Address) Q/ Z.:ilea. 671 S/ 401,4 /L/ 55-07 TYPE OF WORK ❑New Construction ['Deck ['Porch ❑Re-Roofing ['Re-Siding ['Lower Level Finish ❑Fireplace ['Addition ['Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. MMisc: G1 ij4/JLtJ % ���e6/44,41d4 Type of Construction: I II III IV V AB //// Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 77 6436 Division: 1 2 3 4 5 (excluding land) I hereby certify at ave 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-men;. p!- d that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official 'r' ' is ps�it just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. }, ature Contractor's License No. Date Permi 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 / Recei► ► O. Date 4.1, 6 /S By f§ir 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