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HomeMy WebLinkAboutBuilding Permit 14.1374 ■ 2 _/ . ■ ■ ■ i_ re 2I 5z 0 kl k v - 0 � w & I J k � Sku.Ik - § 2 | ❑ OooDO . 2 § Lig !� li (Ai 2 §§ � 2 2 / EE §§ƒ. § C.)z ) § b Z- 2227 § c r V _• 0 szurz k ` _ §.i © ,� A ® $ a§$■ a � § § � E oQOOOO lig & k � .31 I z i= 0z ` ¢ § d § 2 =2' '0 z z 5 w o o 0 w e P ■ § u.� 2 z /k2� _z W \ / gut LT4 41. o■ § §3�� 2 ® § w q & re k . A � § § 22�2IT■ 0 o E3■ « o a OOoo o V \ k 2 u 0O / J =I- 1"'F Va GW 1V) � z � v � 55g7 v wz `,,,,< W ucoOmWO i t' - 000000 > co �� I C0) 0 h. 0 pi cz UJ a. 11. 1 m w z ` 6 YYZ � = c O W D t c7 0Qu. J 0 U V 4 W P- 0 O C9 < F. a� W oG N C) d m ce= W mmLL 2 W W O a 0 z � • jWa JW �. 0 G Z f- O ci a23v) a2 k 1111al Z W W W cky QC 000000 : ao' re O z a a u. _ o ~ W W144 • O O) < V c) V Q OC O , C) O IX Z° v O Z V W N < 3 s 01 - Na- z0 ww w w z5z ~ N I J q1. C) < 0 a 0000 C.) k0 ❑ _ of PRIj� CITY OF PRIOR LAKE BUILDING PERMIT, (Date Rec'd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT U �j 4•NNESOl� I White File 2. Pink City PERMIT NO/4-, /3 - 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 4691 "'Ras bex( "eco '(\) ._ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNE)R-366 , cl-e_rivn`tr\--3 (Phone) 95D-4119-14 ,113 (Address) �I� BUILDER (Company Name) IJ CN—QC?::::/tj - (Phone) 1.051-D(94- 1 k (Contact Name) (Phone) Lerf o0� (Address) \ J Co. i`C,l` ULs\- I7ase611e, Innuv ss 13 TYPE OF WORK ❑New Construction DDeck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish CI Fireplace l ['Addition ❑Alteration ['Utility Connection ?e n1a� 4 L�rdSS c, )tom .QixI5711 CODE: ❑I.R.C. ❑I.B.C. ❑Misc. Ope/C\10 �. Type of Construction: I II III IV V A B 'v;913 eb 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 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 ntioned property and 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 n revoke this permitt cause. Furthermore,I hereby agree that the city official or a designee ma enter upon the property to perform needed inspections. X 4 BC.13C Italy Signature Contractor's License No. Date 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 $ This Application Becomes Your Building Permit When Approved Paid 111' eceipt No. b y Date 11, ,,((t 1 I r 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 an 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