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HomeMy WebLinkAboutBuilding Permit 15. 0378 ƒ CI A) % 0 OO �Occ 6 0 > zg § > 0 2 § 2 �kkkkk k �/ r m m , ■ � � §§ 2 $ -I -at21 r2 q § . . 0 - -1 m P � z 9 z coB - > . . . bd Ul n z § � . m m 7 2 r § - q � -n "13 • z 2 § § r \ . O ❑ ❑ c ❑ O (r) mmm E 3 G e nc � nc % 2 § ƒ n f z = xx73 IA= z 0 } ~ n - __ ' rteoo 0 § 0 V / > cc rZ r te § P § z R m 0 0 : , \ - 40000O • E § > zzn2 _ K ©O) mm � Q . � kk - E § § � � ■ � � -n - m r � 0 0)fcO2 2 0 n D n 000OCII khi k \ § _�� 0 $-& gym 0 0 > K � , ; 0 . s micEz2 2 �o m § >Eoz z $ q� ■10 �� ' -i / / n � �/ � �k °\ % o . 2 q i 0 z §■ % n § _ \ xi r- k k itz / m o 73 XI UI % m z, 0 0 J x m 2 000000 k * ? y '0' M 2 i t m r * cn m G \ §E�� k ■ Z _ m n 2 2 / > O O C) z 7 2 2 ' m zxx k / 41. k A §§ z m m M / 1111 / n � 0 00000 0 (_/ 02n >�k §§§ oq z 7 2 m� i i 1 ¢ p:, E. i k2 of PR/o+P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd A.. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT L[..D4 4%,„„Eso.o. I. White File Pink city 3 PERMIT NO. t 5 3763 3 Yellow Applicant lease type o print and sign at bottom) ADDRES , )9'.5-- / �L/ ZO (office G use) Prig 1 5—C3 7, J' SD LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID • C3('© get <Ds,f 5- 22 / 4-t4 iN r- (Phone) 6*/... ;z 73`7-2/ (Address _ 7 UILDER om y Name) wrt11.T (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction eck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Addition ❑Alter on g ❑Lower Level Finish ❑Fireplace ❑Utility Connection CODE: A I.R.C. ❑I.B.C. ❑Misc. ` Type of onstruction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Division: 1 2/ 3 4 5 (excluding land) I I hereby ce '' that I ha hirni ed-,-. rmation.r this ap ication 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- tioned proper a - al,constructio will c.hirm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building otTci can revoke thi .er• orju cau ,..;;e i•o i■...i•-- . .• i ce may enter upon the property to perform needed spect ins. X - l ,, ,,,,----- Signa e Contractor's License No. Date Permit Valuation -'F...1 `�_ Park Support Fee # $ Permit FeeSAC # $ Plan Check Fee $ (10 "�"�j ..-- S Water Meter Size 5/8"; 1"; $ State Surcharge $ Z_ - . 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 App atii Becomes Year Building Permit When ppro d Paid '�I• is Pt Receipt No�l� 1 �� Date L_` 2_(///S---By y Bui din_ D to l This is to certify th, the r'quest in the abo ._r •. accompanying dock ents is i, accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by /iity nner consutu}cs a temporary Certificate of Zoning c pliance.nd allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. ;; �/� ,l - ,. (. ,.Pia"- .Pla -g .� w late Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 # t� T r =r .r x r *,'a� a, tri' ''d �d I � ri r �'�...; a�' �•� � �3.-3� d� s. 4 } d r ri t r F ,, � f`�1 � y Q -.n is Y/ d .« t w ' y �� � �a•�a r-� "' � ,we�,�cx tom,. .:�. � 6y„ Egg, -e,z^�o.,-r;_ .rEz r � �^�• ,..,£ _ �` - r S 8