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HomeMy WebLinkAboutBuilding Permit 14. 0553 JQ ut Z Z u) 6cwiLu) a Z 1 Y 25552 o w = 1p 02W � 4N , Z 0 sd a• l L[) W 0 IT. 1i. V W Z o T • 000000 o w 7 O t�tRljj V 0 W = u0. N Cogr w Z » a z o O w M - Z YY = 0 U V 4 O fi F- re 00L � F, d W j r. S , Z IX z � = = z � w h a+ C.) S 0 w m W � m a z rn j v 0. _t1W _jZ (i; W ox Li,W Wz...— i . >: 0 twwoC• Sn O1Ia° z a. J qu.W 111 — Z 0Mg� MIW UOa p WO u0.� u�.? r �'1- O N5z Q 0a ❑00 ❑ 0 0 r . E00-1- PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT C-17- /If � yjNNEs�gt' I. White File PERMIT NO. 2. Pink City t 4 _ 's—s 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) - -17fg 1 �v is — A v - • f-f S.© LEGAL DESCRIPTIION(office use only) / �� LOT 3 BLOCK / ADDITION 54-n11r7� `s'- A14-fort PID 025— ygq— o ..2-a OWNER . L60 4L.FR610 (Phone) ! .5-2.- 4%," 066,5 (Address) 17/ .1/ /1.,.5 ✓ B ,, DER (Company5 —� Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK.New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding OLower Level Finish ❑Fireplace ['Addition ['Alteration ['Utility Connection CODE: .C. ❑LB.C. IDMisc. i9 K 3© (7 ..A Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I have burnished information on this app . 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 . .petty and that all const 'ction will c• form to<11 existing state and local laws and will proceed in accordance with submitted plans. I am aware thaiv the building official can rev, is permit for jt /a,t.e`urthermor I hereb agree that the city official or a designee may enter upon the property to perform needed inspe ons. X //• ' - 1` Si: . re Contractor's License No. Date Permit Valuation '000.- Park Support Fee # $ Permit Fee $ -2-72-‘ SAC # $ Plan Check Fee $ ( 3 , Water Meter Size 5/8"; 1"; $ State Surcharge $ l /'_ _ � Pressure Reducer $ Penalty $ �v 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 $ 370 . ,C -, G4 9 /4 This Application Becomes Your Building Permit en pproved Paid 37e3, �j Receipt No. 'l/. :IR • Date 407 if By RO-- ____ifzj . Building Official ate 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. �r'd Yard iia vvci.nee approved ,.../ % (6:77— M. /Y-4`'f C Yesa/r*F"on Plannin• 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