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HomeMy WebLinkAboutBuilding Permit 14. 1373 - 0 Ik w ■ ] 2 u § eww — z 2555§ ` « K 2aaa � o 41 r ' 0 § � 2 § N U � � 0 w 00000% w ■ ic.) / 0 0 Lu 0 w re 0 u. X o orti 41 0 COZ L 0 § § § z o P a ' z ■ §8I � � ' 2 t 0 i � z B z = xxz3 w ` $ - 0 k 0 a © $ w� . u._ a. Z a � tu 2 a. § $ ■ a. 2 NJ ILI ILI la � re 111 000000 § § 2 % ♦ 11- \ 0 k• § re OIQ 11.1w 1- § - S 5Q a 0 < p CO % � � a U Cl) ■ 0 ts §z § § w p- < 3 re z 0 < 0 � $ 2 © � W IL2 Cl) ce Kzx2 - Z Uml a k z0 k kj 0� Ili LU 0 0 ILU- ��2 § o re E OI § § 0 0 a 000000 U O 0 of pR/op CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd U &I NE SOAP AND UTILITY CONNECTION PERMIT 4'k I. White File 2. Pink City PERMIT NI ,� Please .e or 'tint and si: at bottom) yellow Applicant ADDRESS ZONING(office use) C.00 9 •(-1-i', j!4t YNi4 . �. L.-v , LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) V • A. ,e_A- a r (Phone) 10 (Address) J� � ��— O`7`7y IBUILDER (Company Name) s Ilki.,.. s 1 , IrAiC(ee-X-S-e, I (Contact Name) (Phone) l Di9q- o3-5 ` �i (Phone) �- 0,J\ (Address) Za C (.042S1-. bk. . A. 11.'e S 1 TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Rooting ❑Re-Siding ['Lower Lower Level Finish ❑Fireplace ['Addition ['Alteration ['Utility ConnectionICS8 .AyN�k, „ (Nn'1. 7CODE: DLR.C. DLB.C. ❑Misc. •J. f - dior Type of Construction: I II III IV V AB / Occupancy Group: ABE F PROJECT COST/VALUE Ott Division: 1 2 3 4 5 S U (excluding land) $ /Q/ �� I her.. certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owneror above l entioned property an. tra 11 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 an revoke this permit or . cause. Furthermore,I hereby agree that the city official ora designee may enter upon the property to perform needed inspections.hurized agent for the Signature — --�'2C.�1 Contractor's License No. Date Permit Valuation IIIIIIIIIIIIIIII Park Support Fee # $ Permit Fee 11111111111.11 SAC # $ Plan Check Fee 1111111111.1111 Water Meter Size 5/8"; 1"; $ State Surcharge $ Penalty $ Pressure Reducer $ Sewer/Water Connection Fee # $ Plumbing Permit Fee gIIIIIIIIIII 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 Paidanilli��'ei.t No. Date a�i„ Buildin_Official Date _ This is to certify that the request in the above application and accompanying documents is int1 when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. occupancy,and issuedCiy a proceed as ate offOc Tansy must bet a Certificate Occupancy must Planning Director Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372