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HomeMy WebLinkAboutBuilding Permit 14. 0687 n D' 0000 0 &0 , 0 O O MW o & o �q , k k en 0 "' Z •' Zo ■ - 0 ° 2 0■ % • a 0 iifl n' i� CN ■ A73 r 3 % • i 0 73 G 000000 , 13 ■ o \ z CJ 0 � ��2��� m o n % c) 0 > G)Q� B § c 2 m I ]2 rop CO z / rj x x 73 , 000000 & 5E § $ 21�§§ q z z C§-0ItQ • 0 © §;;;K 41 »§rnKF 41 rn § mmxi r 2 k m di 0 p� PR.1.-9; CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ti AN\ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ,7 / �� / 4 tri AND UTILITY CONNECTION PERMIT�rrNNEs°� PERMIT NO. �' I 1.White File I 4 . / '� 2. Pink City 77 t� 3.Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS A `--1LI- 53 Norl c- i -c, tI NI cc LEGAL DESCRIPTION(office use only) PID LOT BLOCK ADDITION /� Hui OWNER i�D h �Do �Cr) (Phone) l7 BO `uI (Name) (Address) f 1.4 14 53 E i O-2hLt ) kr.c:. i 1 1 N BUILDER �QSG C��U�'1 �l L (Phone) ��� JJ�^^��>bU (Company Name) �—� J11� (Phone) (Contact 1-40:)0 i- Inc,c rr , ,gC:h0 "� (Address) ) f-S-6-, N P>cj,�OV� �w SSU TYPE OF WORK 0 New Construction ['Deck ['Porche-Roofing ['Re-Siding OLower Level Finish 0 Fireplace ❑Addition ['Alteration ['Utility Conne on CODE: DI.R.C. I.B.C. 0 Misc: �j y© �� ; Type of Construction: I II III IV V A B PROJECT COST/VALUE $�1' Occupancy Group: ABE F HI MR 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 construction will confo. to all existing state and local laws and will proceed in accordance with needed submitted s. I inspections. that the building official can revoke -'s pe or just cause. Furthe �b agree that the city official r a designee may enter �property perform � � ' X Contractor's License No. Date Signature � Park Support Fee # $ Permit Valuation SAC # $ Permit Fee $ $ Plan Check Fee $ Water Meter Size 5/8";1"; $ Pressure Reducer $ State Surcharge 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 I This Application Becomes Your Building Permit When Approved Paid ��' TB Re p tNo. '/1 I1,1Date 7_ 1 / y Building Official Date nce and may his i certify that the in the above a temporary Certificatication and e of Zoningpanying ocompliance andaccordance all allows construction to coZoning manOrdB fore occupancyproceedCertificate requested. of Occspancy mustebe when signed by the City 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