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HomeMy WebLinkAboutBuilding Permit 15. 1066 g 0 n ooOCOO 01 o a 22 A n \ oo o . 3 mz � � z m z m0 k r m � � E. z � 73 k -� % t -1 -I > 1) § © § o P Zk ICS si■ k § T. . -z 0Z xi k11 0 § 0 m m m 073 tz z 7 r ° m / o m 73 • o o Oo ❑ cOO 6 � § M ■ -R ■ gsp -c 2 u, o OE § � oc | .4 2 ? -a ■ § m z M o co k \ M 54 § > 000C) ZP 0 k q J / $ X2 § 2 c § 0 $ m i P § i 0 \ o n _ ....co .... Cl) 0 X00000 J1 , E ■ QII � n§ • ` a R. > z ,- 73 in - i ri 0 O § A •h X, � 7 � ) rI _. � 5 z m \ \ � � 0 C.- or. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE tly AND UTILITY CONNECTION PERMIT �'NivEsor° i. white File I PERMIT NO./6—/06(,7 I 2. Pink City (Please type or not and si 3 Yellow Applicant P gn at bottom) ADDRESS 'Is ' J L„,__ ZONING(office use) /77 U(I' �L G�i1a' LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) / (Phone) - ZGO - 0n-7 (Address) (T7 4 3 111/C --fes-t..- (Company ) l�'� r r�'�t / � Com an Name lc- S 4 V (Phone) �f -4��v p f'/ (Contact Name) J (Phone) (Address) TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. [ Misc. 42;1 S S�'wt<< ,J.— Type of Construction: I II HI IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby certify that I have burnished 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 -mit for just se Furthe- ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x /SC 9sf6` r 7--/o- /S-" Signature / Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ 7 SAC # $ Plan Check Fee $ ik.,/k.,Meter Size 5/8"; 1"; $ State Surcharge $ r t � [-, _Pressure Reducer $ Penalty $ ewer/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 $ l//25 This A.. • . ', :- ome our Bu' g Permit When Approved Paid Receipt No. I Date d ," B /r. A, d g 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