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HomeMy WebLinkAboutBuilding Permit 15. 0499 on 0« n 000000 .1 o > z2 n n a 000 O ■ zgi "6 -6 z § i E > 0 a 21 rn > cEc_0 m m � 0 111 71 m m m ■ © © ® M � > z2Z § CD U '0 t -1 -1q z o� Q • 173 to � §§ = 0! » 7 0 o 2 = \ % o § » (A) fT1m r D - 0 % m 0 X 7i 0 (..A m ` § 8 8 000000 L -4 z 0 a m § tom / Ci) 7 4 2 ? -1 _ ■ m x ■ -0 n ■ Q.; in � 11 � ■ ■ ■ 03 m 0 n \ n k k _ a -\O 1 ■ m 0 0 Z =c/ = ' / § z : m o 0 r � � P A 0 z V :gl 0 4 \ m = oOQOQ / › k Eia0 § -1§ 2 . . � 10El9 ® Li r � : � k � � q m . !,3" --41m F - cnt� z ■ --Ir. r Q rlibt.fp ICITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,I, • TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v Iv AND UTILITY CONNECTION PERMIT -�, 415 ‘1111111117 //.../j 7 4,,,,„Eso' '' I.white File PERMIT NO. J z. pint; App 6�:�Q� (Please type or print and sign at bottom) 3 Yellow Applicant ADDRESS r3 ? ZONING(office use) 7 i�kOr, Cts' cle 3 1n1 LEGAL DESCRIPTION(office use only) / �, LOT BLOCK ADDITION PID &-S.-.4 £� ``f U I Y1 O (Name) OwNER ,�r Oh I SJ j OSS I l 1` - Z !G 63 )3 (Phone) (Address) 3r ,i 5` Ateh C i f c,• I l S SV BUILDER �� (Company Name) I e K l� o► �J►f� - sig -722s- • (Phone) �y (Contact Name) 6000 La()t)W (Phone) �o i l ` el(oe- 13 Net (Address) tib 1 eaf4- 7 '11 S4-ttt1- J pito u , Mid, si-/z ) TYPE OF WORK 0 New Construction ❑Deck ❑Porch ['Re-Roofing ORe-Siding ['Lower Level Finish ❑Fireplace ['Addition Alteration ❑Utility Connection + l CODE: DI.R.C. DI.B.C. , Misc. (hove 9Af%fi door heo,' up di, e Mt, T Type off Construction: I II III IV V A B ✓ '/ GooOccupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 1, Division: 1 2 3 4 5 (excluding land) 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 conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke just cause. Furthermore,I hereby agree that the city official or a designee gn may enter upon the property to perform needed inspections. X &C 00 17 ci 7 s/itto20i r Signature Contractor's License No. Date Permit Valuation ( 0 U 0- 0 0Park Support Fee # $ Permit Fee $ 4-7. 2_5 SAC # $ Plan Check Fee $ r7 e ,' 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 Pa � 6cA3 Receipt No. L ) Dat By .7.e.5.____ Building Official Date b �' 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 4646 Dakota Street Prior Lake,MN 55372