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HomeMy WebLinkAboutBuilding Permit 15. 1059 J H r jZ 6.i2 W WSf zCW y , w OgtW WJ C9 oa id `'aVu. UCD 2 Z Fi ` e 000000 UJ U7 W O Ce S O N • aaJ W i z O y p �� F Ne �, O O 0 w o $ acr, " S © la t a. 3sWZ , ZWC O 0 fLaSmW a H fn Cd aSW a JWP ' W � O G Z I- O Qirt WW Wk', 0 0 re z a a a = H W % O Z J W Lu a YQ V I p Vh4 ' V ZI— 2 oL' J ,,I= F: qc 2 � Z 0 Z 0 N h G Z , i2O O C 4C ( 0 N Z a I-' � af' N = ZG = g JZ LL) co) W W L J W OW iu zW W O5 ., oa lz x cc ° a O a o 3 s u. u. u.ZZH 0O 3 c°) 0 5. v v cib a O a ❑ ❑ 0 ❑` 0 C) N0 0 5 (4.14,piEsolo) pR/°.p CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd AND UTILITY CONNECTION PERMIT ` ' Please ,e or .rint and si L _8 15- I. White File 2. Pink city 3 Yellow ApplicantPERMIT NO. at bottom) ,* ADDRESS S .(iY �j S L , 1 ZONING(office use) 1,- -, •IL* L 5-3-3 Z LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION OWNER PID (Name) ii 1 I S i (Phone) A/Z — ��� .' 7� (Address) � _ _ R '! ill" s �3 I (Company Name) (Contact Name) (Phone) (Address) (Phone) TYPE OF WORK ❑New Construction ['Deck ❑porch KRe-Roofing ❑Re-Siding ['Lower Level Finish ['Addition ['Alteration ❑Utility Connection CODE: ❑Fireplace ❑LR.C• ❑LB.C. Type of Construction; 0 Misc. Occupancy I II III IV V A B p cY 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 hirnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the ow Iabove-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 official can revoke this permit or just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property owner or authorized agent for the X that the building %ice, __� P P rtY to perform needed inspections. Signature Contractor's License No. Permit Valuation Date Permit Fee Park Support Fee # IIIIIIIIIIIIINI Plan Check Fee111.111191111110 ji.�� . Water Meter Size 5/8"; 1 1111111111111111111 Penalty Pressure Reducer $ �— Sewer/Water Connection Fee ## Plumbing Permit Fee Mechanical Permit FeeliIIIIIIIIIIIII _ i Water Tower Fee # Sewer&Water Permit Fee Builder's Deposit Other lu UIIIIIIIIIIIII Gas Fireplace Permit Fee _ TOTAL DUE iwkimil This Applica, r co ' Your : ilding Permit When Approved pproved Paid 40, ( • 7 •/ Date Recei.t No. � /� �r, /�.. ����� B 4. i — =�=iildi a Official ir 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 P� y,a Certificate of Occupancy must be Planning Director Date 24 hour notice for all inspections(952)447-9850 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372