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HomeMy WebLinkAboutBuilding Permit 15. 1006 us 2 1k § § � eE � � 2 2 w X555 ` < 2 aaa§ @ 2 1:44. §�22q 0 ■ W -41-13 U ■ i0 E 2 © OOOOOO 7 r CC _ § N B LU CO { Z § 0 z § « . z0 0 p. r,.. P 0 0 B K ¢ & 2Eix § � 0 c 2 cz co m3 § §k3 o IU oz § ag§ tea § 2 2 } Z OCOO ❑ O —� a 22 x § �le ' & k § , � o « g U LU Lu • IQ 0 o § 5U 0 < o wk Vi 0 a $ t 2 -z 2 ° 6 6 U) © © fx ■ § d 2 «25 z g ret 0 « o � 1- CO 1- § ■� - - a . § § § /uj u U S.. Si 0 0 u.u- p � O 5 a « 0 a. 0000A0 U . L ,�Jlyenac)- y pal©.2. 4A-ILt C en ofi Pr% CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT ;ri,,esce o I.White Fik z. City PERMIT IN^JDD.63 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) / /O c7 9 J1i�As <A ke OR, P(Li>a. LA , nu/5.1"3"7 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER \ (Name) 70 r1 1JO1�1 TCOih1 115 (Phone) (Address) t 4014 1IAAs Lage CJ,Q. P2I oil. 1 ,r4Xe i)1 N 653-7a BUILDER l (Company Name) R� •14 v,-* Co lr$ P.uG41 OA (Phone) (Contact Name) SAM\ e. k AQ uA 1 A 14 s (Phone)143-105-aX y (Address) I 195to CI&1 e, TYPE OF WORK 0 New Construction DDeck DPorch "we-Roofing DAddition DAlteration e' - g ORe-Siding ❑Lower Level Finish 0 Fireplace ❑Utility Conn coon CODE: DI.R.C. DI.B.C. 0 Misc. 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 $ /0i X04 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 n revoke this permit just cause. F r hetmmore,I hereby agree that the city official or a designee may enter upon the propertyto � perform needed inspections. X • SC tal 3oD5 8--ag-15 Si tune Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ PIumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other –$ Gas Fireplace Permit Fee $ TOTAL DUE $ 7,5 75— This Application Becomes Your Building Permit When Approved Paid 5 -7 Recei t No. )Caeettlegut, g728/j� Date 6 3.c..-s.s(>/ By �j k.C� Building Official Da te CA/ This As 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