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HomeMy WebLinkAboutBuilding Permit 15. 0762 I O 0 l< 2 n n t' / \ k k k 0 a) v � � 0 m 0 Ca Ca m Zm >C_I C_0 M $ k s J I � � � � � ;�� � z g ; m2 ■ � amo ®� ® PI z.17n m 0 k k •- 7 m q Z 47 2 m m m 2 e z § 0 �_ OOOOOO 5 $ klEflg e 17 0 2 ■ �Im� $ n nc2inc , it ZI ° z —, r z772-2 XI 0 11 0 0 o P S...:) Z 71 m >O 0O _® - 7 m / z 0 1-121 Z W 8 m t , a _� 0 ►_ 2 - § C R. I) D. Z 00000; 1:1: i ZZn riss; / 0 cmmi § > 00g 0 - MM \f E i � r 0 m of P '',) AR/o4. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd .� `. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .._ tv AND UTILITY CONNECTION PERMIT 7•S• /I \iNtrEsOtP ZS White File PERMIT NO. 2. Pink City /j1 -D/��/2 (Please type or print and sign at bottom) A3 Yellow Applicant f/(/(//J ADDRESS l •75us , ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID0?� tag—©yo—� a OWNER �� G •� (Name) k 0 / 5 / / .S de (I (Phone) 7 S 2 /10/1. . of7 f 7 (Address) / 7 ! 3 / 51./4 c i 1 14V C BUILDER J (Company Name) Pella Northland 15300 25th Ave N. Ste 100 (Phone) (Contact Name) (Phone) Q$2[ 3 V 14 0 y 7' Plymouth, MN 55447 Phone (Address) Lic#BC645090 Ph. 763/745-1400 Jo Ql, TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ['Fireplace ❑Addition EjAlteration ❑Utility Connection p R x 3 �.n w 00olQu fieri-i(J in CODE: ❑I.R.C. ❑I.B.C. [ 'Misc. / n 1 4 14 Ar Type of Construction: I II III IV V A B r Y Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ (O (i S rs 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 permit for'ist cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X �� i 8( 4VS010 1 /21/ S Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC Plan Check Fee $ q 4•1 Water Meter Size 5/8"; 1"; .�✓ $ State Surcharge $ Pressure Reducer 1 $ 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 $ Ice TSV This Application Becomes Your Building Permit When Approved /�� /� I [ / I Receipt No. 1 a I Date 1 .1 v 1 By Building Official Date I • 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 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372