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HomeMy WebLinkAboutBuiolding Permit 14. 1035 n OOOCOO u o D. En n n a I 0 VP x iip k Z k 1 co 0z e 0 j -n cn n z z z k % S ` Bo o §; t 0 , > 0 m m ■ r § 7 % m o X � .1 z 73 R R po2 000000 0 -i 200 011- ® ■ ■ r 7 2 E U m 2mn . \ ■ n ` %E2 ■ § }� m O 0 ■ -4 zozx - z ■ z x 2 2 / 0 . ,� z 2 k 61 E �� k U rn 0 �� O ❑ OOQ E � k . §m2 § § § < r -o -a - © ›�FAE � � - �Ej m § .n ■ -4@ §oz .. .-1r Q 0 L C) 000000 = 0 > ZA n n 0 0 (n -n T nm O C v-4 ev > o 73 m � 1' 3 r� czg m y n� � � D _ Z y �oD0 O y Om -� v - z O E•a` a -i m C C • ` 7.1 m N .1 z Z ( \/ 073 gni 0Zo Z m4 • mO rv ' _ • m 0 7J 73 Z ,3 °° 000000 41 m m m m -13 CA v Z 0s D fm) C ri m " -1 F zzzz z 73 z 4 m m 0 Z r r -nS0 - q ea 0 e z �� -� r A 730 = m • C A � m m )100000 Li E z 0liT0k,, • < ^ Cmo '0 •;vz `> ,5X10 \f` m 41 ztil 0 m555v I m m'O ; OF PRic+P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9 '3/ x AND UTILITY CONNECTION PERMIT �, (\‘')\- �° I white FilePERMIT NO. / / O�A'NE$�� 2. Pink City 3 Yellow Applicant (Please type orprint and sign at bottom) ADDRESS�]j ZONING(office use) . 11 -).--V-- ILIf\v,' C (2_C_L-K LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER C l`(Name) �V\i' \ \ ��r � /� / (Address) '-'3')-- 1 \ ),,, s V\\J\� C\(l CL 4 (CompanRy Name) 2V\`Z C-- \\J 4 CUV t \tti,L (Phone) / -S.) 43'70 b (Contact Name) .--\ v - �S` `^- (Phone) (Address) S7 C3� --11-.)--- , rA(OrL 4,.K. AA, _s---s-- --?. / TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing PR€-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Misc. `� �� Type of Construction: I II III W V A B PROJECT COST/VALUE $ // Occupancy Group: A B E F H I M R SU (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-mentioned property and that all onstruction 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 evoke th' it r jus use. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. / X Date Si afire 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 $ This Application Becomes Your Building Permit When Approved Paid : pt No. ( d Ala Date 9 ) ? l 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 Prior Lake,MN 55372