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HomeMy WebLinkAboutBuilding Permit 14. 1074 5 CI -(17:1)-.): 1 n 000000 -0 0 a 20 2 0 a § 0 0 c qzVP 71 . 00 z mI �ki/ x 73 xi 73x s m § ■ § 94 m z om � r � nn ® Z $ % B-I P 0� 10 H oe eti . 0 > . 0/ . § -1 0\ r %'a *a k z 0 73 7J X00000000 kil 41 m § m m m13Co $ mm \ co f § o o ( k � ■ � k � m §_ n § 0 � e _§ > 000 0 §_ n m 43 0 0 0 rm §§ ■ 4 0 § 2 i § ^ icc P \ V o § kk r xl mn§ 0B ! _ D £K ` §- Z ? 2 § § v ® 2 � R. "o 'a -o ® , VI \ z � t m n p » mm4M § \ _,53 ;a m� r 0 5 000 11 (P 0 0000Oo o > §o n n a § §fl K . 0 q2$$�§ z A m/ • CZ r ' � � m 6 �� � Zk ■ § . § % 0 § 2 * 22 . § , m§ : % 2 § § 7 ft!1 �i © � . % m 2 0 § ( . \ , 000000 / \ § 0 0 ' \ MIT . ® 2 . 2 � n B ? j q_ § ■ § � § m O n § 2 m G q • 000 o . m t 0 0 , . r2OO x q 0 \ z r § k P.n CO � � � \ V. k § • _ 0 \ . . r , - ■ < ` OOoDQ _� ET.§ 0 k . t k�mm§ m % k zo ƒ r m C) _ 0 2 q " t � 7 � A r . . . . § A . k § B 05- 1PRIo7 -( t 7S� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE `t. AND UTILITY CONNECTION PERMIT /V. Z. /1 j*NES°� I. White File . Pink City PERMIT NO. /)/ / / / i / 3. Yellow Applicant (f4//� (Please type or print and sign at bottom) ADDRESS . ZONING(office use) ,--67?!:g CV 0 • f LEGAL DESCRIPTION(office use only) • LOT2'" BLOCK J ADDITION l,hkebdiA--- 8 4 , ,„-Thi,1J/j PID , ,W9... S'' 0 OWNER _ - - (Name)— (Phone) (Address) BUILDER II__ J _ (Company Name) PO/air ISci(�le�2�S �l'C- , (Phone) 7fa& - t$—e(C1 (Contact Name) c JLL)t/t 76 3 3 70 00 79 (Phone) (Address) /103 O J 6 c/!/n c.if `�/e j/i /y 1ID /SCiv4t,stw i.v... /(1, s'':1-'3.J?' TYPE OF WORK 0 New Construction ['Deck ['Porch ORe-Roofing` ORe-Siding ['Lower Level Finish 0 Fireplace ['Addition pAlteration ['Utility Connection ' A • CODE: DI.R.C. DI.B.C. 0 Misc: _ _ Type of Construction: I II III IV V AB Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ l "Oce, Division: 1 2 3 4 5 (excluding land) 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-mentioned pro.•rty and that all coction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke ,.permit for just ca/F'i,erm• > I (reby agree that the city official or a designee may enter upon the property to perform needed inspections. X Imo/ �4_ _—�!, , /3c-63F0?7 e l — Signature Contractor's License No. at Permit Valuation .--- Park Support Fee # $ Permit Fee $ t 7 SAC # $ /1 ii 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 $6,,,7g./0 _ .....--- This This Application Becomes Your Building Permit When Approved 454 '17/: /7.„SReceipt No. ��J Date / By Building Official Date V. a �f S'>4 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