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HomeMy WebLinkAboutBuilding Permit 15. 0623 CC - us z 1k 2 :3 ■ u. ■ § vv � I k. �o. 0. 5z z 0 & UlLUto z 2 2 - CC CC z z § § rU � � ow CQ OOOO ❑ c o S ' L _ � rt N 0 C3 I a � � IFF, la k 0 t LU az D2 « z § . L E 0 ooEr 01 2 La 0 z te 2 _ 2zz # .�► 13 / § k k S a siwwm = �I & Z § QA § _iu 2 SZ 2 a § § � a � - �' 0 0 '` z' � Oc0O ❑ O %, § § IL k 2 ha �, �0 / z / k IQ Y 0 z 0 ° x �• k ■ § Y Oz - z 2 k i 0 �2 a Z0 § 2< zk \ § 0 0 2 � � � � � % �� iu -- L Rz ■2 < W § § g 0 E 0a kILI o UJ u-u.u.2Ik 0 o U U §$ a 0 z DOOO$O 0 o E .__..........._.. of P1144 CITY OF PRIOR LAKE BUILDING PERMIT, A ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd is M AND UTILITY CONNECTION PERMIT �` w.�� 44trEso�V t White Fite I PERMIT NO. / 2. Pink City �" (Please type or print and sign at bottom) 3 Yellow Applican In ADDRESS �d�0 v;1!� fr l ZONING(office use) LEGAL DESCRIPTION(office use only) �"` LOT BLOCK ADDITION PID )-S'- (a ' of D OWNER (Name) ® •aye (Phone) �� "607-6S D (Address) �i 4 rot), ,,- • d BUILDER /� ---- I (Company Name) 1,41i0.er>.44_ i----.�'1� e','0#`5,1I J (Contact Name) A,L� �'p�G(dk{.� � ` (Phone) ��ol—�.�g—�.5"7 7 `/ // (Phone)75 —770 —4/0 (Address) 1107 WWtc4 i,rr 5't c .e.._ )40 13) Veti,(4,`r�v� /1v 5 J 17` q TYPE OF WORK 0 New Construction QDeck QAddition QAlteration ❑Porche-Roofing ❑Re-Siding QLower Level Finish 0 Fireplace ❑Utility Connection CODE: D.R.C. D.B.C. 0 Misc. Type of Construction: • I II III IV V A B • co Occupancy Group: A B E F II I M R S U PROJECT COST!VALUE $ 1 ©(I, Division: 1 2 3 4 5 (excluding land) 1 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 tam the owner or authorized agent for the above-mennonpd property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building Official ca e oke this permit f just c. se. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. 1366.34-9/5 Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ LOC SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ 00 Pressure Reducer Penalty _ $ $ ! Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ _ Mechanical Permit Fee $ Builder's Deposit $ ........ Sewer&Water Permit Fee $ 1 Other $ Gas Fireplace Permit Fee $ TOTAL DUE � r 7:$ This Application Becomes Your Building Permit When Approvedr """ � Paid V Itecei.t No. ,rte Date (0• (C— By 0.4..k..../ - _.- 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 � 9 Planning Director Date 24 hour notice for all inspectionsSpecial Conditions,if any ( 52)dd7-98511 - 4646 Dakota Street Prior Lake,MN 55372