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HomeMy WebLinkAboutBuilding Permit 15. 1060 § z 1u) I� ■ - *t§§ < 1111471j_j \> oDDDO 9 i z 2 2 / 4w L 2 5 l CL 13. < U. C.4 / z _ 22z L z 2 3 0 Z - a 2.- _ 2=_77 k / d 0 0 a aXIUax 2 § w 4. �0 � § § ] ���■ a� A & ® s 0 0 Z I- IX p �. OOoo0O § § & z 2 gy w � § o. / } ■ 5 z k .. U 1 0 U ma ag oF- O. - \ 0 2 m o r 2 1-.• co k11/416, k ^ a ©� § $ k§�J� z 03L � olg k2 k $ 2 ////// 0 re O o o U 3 v v 2 2 O 0 / nDateof PRj0 CITY OF PRIOR LAKE BUILDING PERMIT, C ' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Recd AND UTILITY CONNECTION PERMIT I. white File PERMIT NO. 2. Pink City Please a or rint and si at bottom) 3 Yellow Applicant '� 4 ADDRESS 3 ( CO C W b c)b ( u^ ,C ZONING(office use) �=( (`' IlL LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PIA 2Z9- �.J aa 7-6vCJ�� � - OWNER (Name) E_C-FE tom,1 ( c).21-- ( Z 1>, (Phone) 9 52 — 232_— 7OS (Address) ` GG (:).6'\ 'tea y_- 1 BUILDER (Company Name) 56-Q11'(4. '� ��..� � ,1 �J ibee� �� (Phone) X012 t 70 q • ".t�� (Contact Name) � �� ���.€ (Address) 3(1Z / (Phone) 1 4B5 , 37ZS TYPE OF WORK 0 New Construction ODeck DAddition OUt porch Connection ' e-Siding ['Lower Level Finish 0 Fireplace ['AlterationUtility CODE: ❑LR.C. ❑LB.C• Mise. —l U Ea. t) Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 4) . Division: 1 2 3 4 5 (excluding land) I hereby certifytliat I have himish informat'.n on this a.p' atio 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 consti is on will c.. for o all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official cad revoke this permit fort cause. rt - ore/he6 ,rt .y agree that the city official orfraa designee mayenterupon the propeity to perform needed inspections. X ' 'tgnature ..: .3e k ` ���lo 3 gg Contractor's License No. � te Gd Permit V. ation Date Park Support Fee # $ Permit ee $ , 1111 SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ /, Cr% Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ IN Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fire))ac- •ermit Fee $ TOTAL DUE $ This A p; a on B e Yo Bu' ing Permit When Approved !J // r Paid Recei.t No.,��j/%�j Date rW� B SU •= ti rig 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 when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, issued proceed as requested. This document b p. y,a Certificate of Occupancy must be Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake.MN 55372