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HomeMy WebLinkAboutBuilding Permit 15. 0420 0 J W Z 1M ~ v re Vt3WWR W � 55 = L. WWN` ) 020 c JV WU �itiW W ?kg) ...: L ❑ ❑ ❑ ❑ ❑ ❑ > krN ceo 0 N Q \, LL w O a. A. w . z J z » Z m cc O W 0 c ! E2 BQILJ 0 U V 4' S z a' z -- zsz = W N H S 0 , 0 C.) GW. Z = W � Z = N Z A" \' JWa JWP .1W W z IC 0 aa50a. 2 W Wla— W lg. 000000 ��MN 0 0 rtAC 1 X ce Z w o a v Y LeO O QO X p H V \ ? I o z zO ° o W LL ,, w1 a a d� N Z (1 < z - Z ,c N W W re Ce n J W 0w la W Z o0�12yz /- 2 O O O ata 'L) U N G 0 U. U. 4. 3iiw 0 3 U a a 5z Q 0 a 000018(0 (..) ❑ 0 of PR/OR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd( c. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE U x cv AND UTILITY CONNECTION PERMIT 44,NESOit' I. white File �r. 2. Pink City PERMIT NO. t s-_ A-21c 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS i ZONING(office use) 5 300 e !of tie 71 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) BUILDER (Company Name) DtiOtitli v15-��1-1 0►� I-VI ( -- (Phone) (Na ' y S 7 ,q I(-c (Contact Name) Ou v� e/ rti Y (Phone) `1 5 - 4/ ? -[ y (Address) (-5,;,7C G 4-In S 1- L-i J. LA-/e k? 5./ e. t/ M✓t/ C.Coige TYPE OF WORK ❑New Construction ❑Deck ❑Porche-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ['Addition ['Alteration ❑Utility Connection CODE: R.C. ❑I.B.C. ❑Misc. / a Type of onstruction: I II III IV V A B PROJECT COST/VALUE qJ 5,0 , G/� Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certi' that I have furnished in a.i 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-mentio ed property and that al, c ns ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official.an re oke this permi�,just se. urthermore, hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X 'r_ / ►- Signature Contractor's License No. Date Permit Valuation ..Z��© Park Support Fee # $ Permit Fee $ -14. 1C SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ 5— -- 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 $ -11-1>r- .This Applic, 'in ecomes Your. uilding Permit When A!,ro d Paid Receipt No. 4 ! i Date By .R'! Bi iIdinl_.'- . D. e 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. ins 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