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HomeMy WebLinkAboutBuilding Permit 15. 1160 ƒ 0 0* 0 0110000 -1) 0 a 2n n n ¢ O 0 z � -n 0— 7374 x 3 �K�Eiik se m-nogg[2 c)2 % �� � 0 k g �B11B P C §1 \ ii, h › \ z a k hi 0 z 2 Z % 0 0 » © Ok NI 7 § q r § 7 .aa. _ mm "o 1) z 2 § o O ` � � z q 0 0 , 000000 �{ 0 \ z § 0 . 3: ID01 :E ■ 1, it 2 % 0 `IW XE2m2& .0 n V. E C/ - 2X77--§ § z x 0 \ w W r- 11 - z k 2 t „ ® , §§ z - a § m / m . Cs) 2 2 m 000000 § Qg � n§ \ )0 ri 1,1212$ - 55 q p, » mA» m xi -nxr - �K z m -i r. 0 of PR/04. CITY OF PRIOR LAKE BUILDING PERMIT ` / TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Rec d a Q m AND UTILITY CONNECTION PERMIT l t (�� kit'xESO I. White File 2. Pink City I PERMIT NO./57/60 I (Please type or print and sign at bottom) 3 Yellow Applicant ADDRESS } O ZONING(office use) C, e.clar-t. pG ) C* S/, LEGAL DESCRIPTION(office use only) �. 4,41,, 2144-C�3 - LOT BLOCK ADDITION �=-* PID ' OWNER `� (Name) I L CA�f l S (Phone) 1 Z-,%— 9/E32-1 (Address) 0-1 ) 6, 0 CR r4C w O C BUILDER 71-....e..1< 11..„0, Z \ (Company Name) o__ J to,,\CJ e ( _ (Phone) to 12_ 2-7 2-— Li q o ?� 'I (Contact Name) �f^1 (, _ v Go"/ (Phone) 7Co3_ 3S-CD— (Address) �0?9, 30f� Sk_ N wevc) -ct <-e_ M J^/ 5753 TYPE OF WORK ❑New Construction ['Deck ['Porch Ake-Roofing ❑Addition ['Alteration ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ 9006Ga Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnis ed 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 o rry and at all nstruction 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 rev e t permit riust use. Furthermore,I-hereby agree that the city official or a designee may enter upon the property to perform needed— 22insp.. tions. i X C3 `� 2I al .51/ � Signature Contractor's License No. Date Permit Valuation Park Support Fee # Permit Fee $ SAC # $ Plan Check Fee $ 1 Sr Water Meter Size 5/8"; I"; State Surcharge $ 71i C _ssure Reducer "1 $ Penalty $ Sewer/Water Connection Fee # C $ Plumbing Permit Fee $ Water Tower Fee $ Mechanical Permit Fee $ Builder's Deposit Sewer&Water Permit Fee $ Other $Gas Fireplace Permit Fee $ TOTAL DUE $'77 C 2 This Application Becomes Your Building Permit When Approved Paid (-- 07,..„ ? ?r ecZtkg _ I Receipt • Date G c Z • I S--- I By I Building 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