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HomeMy WebLinkAboutBuilding Permit 14. 0391 0 n � QOO z_ n n n 0 0 o . 5 A � ■� °k z m z m/ o a o � 73z 3 ri- ■ z � ■ § q� % r 71 m 73 X m B % E � z § O� / § § IA 0 Z �� � ZX q BrD � Z 2 § § O ❑ OQOO M § m m mrl > ® � 2rn © § \ � � � � zz � � x � ! Q m -9 § o9§ Q _s m q U � � � zxx z r : § z (hs m � � � ° 0 r § . ' 2c ❑ OOOQ m �. jas k > zziO§ �� � -c � "a -gm% � kk2 �§ > mm �_22■ z § wr © o1 PR,...) * CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd „...1,,ANs, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �' AND UTILITY CONNECTION PERMIT 1pNEg0 1.white Pie PERMIT NO. J (' 2. PrCi �..��4 / 3.Yellow /Applicant (Please type or print and sign at bottom) ADDRESS /) ZONING(cffice use) ©7 l 3 /Ia )9 , �6 N 6. ld.. .44_, elle 5'322 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID AZO/V OWNE) 2�;�7/, ��n. 4e#2111.I'e:44)' (Phone) 9 � ' d2,0 ' jU(Name) (Address) 7,220 8.'u-"' #36P-o, 1Lz��7R-� 55 93 9 BUILDER (Company Name) w 1 - 41..4.GPrt; (Phone) 96,2 ' ?' F (Contact Name) ,� 1 (AGS!,-) , ) �J , (Phone) c�/ -,l�� (Address) /2 7O) " J?ca','u-C d„., c /i(�/ 'S�deh,1 ,4r, ,07o2(J TYPE OF WORK 0 New Construction ❑Deck ['Porch We-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace ['Addition ❑Alteration ['Utility Connection CODE: DI.R.C. QI.B.C. 0 Misc. Type of Construction: I II III 1V V A B 2 D�• --- Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ J Division: 1 2 3 4 5 (excluding land) I hereby certify th• 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 anent for the above-mention .f operty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I•.. aware that the building official can rev this permit for just ermore,I hereby agree that the city official adeesigneee�may enternteru/pone the property to perform needed'. r •.ons X Alt / �✓ &3 / 7�� I nate *nature Contractor's License No. 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 $ 7f 75_ This Application Becomes Your Building Permit When Approved Paid 75Receipt O 7/ `� Date ,,_V,Z(}�/f(.. By t' �.T , 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