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Home My WebLink AboutBuilding Permit 15.0612 k3] ■ wLca ■ - lj W■1 §ki\k� ' t q og o § © o » . cc_ x 0 0 ■ L 2 § §Z I § o M -i f; XX L.,. tel ., z § 0 § k k oe � � � �� 0 0 a t ` CO 0 0. § = w � � I A k | .4w < _1w ■ _j Ili 2 § L x 2 �_ OOocoO k k z 11 a a 2 I � > ° ■ li \§ z 0o 7 \ % _ § 2 § z § •• $ § § $ Z �§ 0402 0. •2 < 16 •8 w / ILt CO z - ° 25 -1k W ■ § § � w o � ■ IX LU z 0C)*222 E / § $ 2 / / $ 8 $ 0 22�■ ■ ■ 0 ■ aa a E53 a o a 000000 0 O a / co PION, CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd i TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (! ) Ay AND UTILITY CONNECTION PERMIT . (S • +�""Esot" t. White Fie PERMIT NO. 2. al City I — /\/ / .I (Please type or print and sign at bottom) Yellow Applicant UI`I/111ti✓_ ADDRESS IQ© D / ZONINGOC (office use) 1LIV { J Pry(e 1i-, CC,Plcle J , 12-{SD LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID D. 0 ' (jt'- '0 OWNE(Name) 77n/n/ a—terror? Pi II n (Phone) (Address) /1/8 9/ ice/X/e /T. C'GReLk- SE Pr, cr Lctg-e BUILDER �C� �� n �^ (Company Name) nil o 0-F-- f rtq (Contact Name) �o n /,�S c (Phone) 95-.1. 888-y8 8 f � �� , (Phone) 6/..2- 388-�8 7 9 (Address) 01W0 3SO9 /a.$ may'' /3 'urn r'v,de/i#A) TYPE OF WORK 0 New Construction °Deck OPorch Re-Roofing ORe-Siding g ❑Lower Level Finish ❑Fireplace CAlteration ['Utility Connecti n CODE: ❑I.R.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V A B • Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ 985-a U O 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 this ' for jus use. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X '' 0z QC /77 g 5-1 6-y-/ Stgnatur Contractor's License No. Date Permit Valuation ,, Park Support Fee # $ Permit Fee $ 47q, ` SAC # $ Plan Check Fee $ /// Water Meter Size 5/8"; 1"; $ State Surcharge $ 6 Pressure Reducer $ Penalty $ �/ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ BuiIder's Deposit $ Sewer&Water Permit Fee $ Other $ ' Gas Fireplace Permit Fee $ TOTAL DUE $ 1IC This Application Becomes Your Building Permit When ApprovedS 7/q.. 25 Receipt No. , I Paid Date (e-g-/5- By I 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. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 • 4646 Dakota Street Prior Lake,MN 55372 q 4 1- LI?