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HomeMy WebLinkAboutBuilding Permit 15. 1272 CY ƒ o n OCOOCO 0 g § › 0 222 0 Cif "n 2 g CIm 0 �4 o 0Cn m Z *Ekz Z �� 2 k > k k §®� © z- / 213 » o 5 • k 0 % o > > mm ■ § 7 T Ili k o 27 o ■ 0 ] ! bc1 ❑ 00000 0 NO -4 41 74 k 0 c mei > mr 7 ? . � 2mm , k -0 2 m k § ■ � }k m o co 7 n A 0 > 020 0 Z -4 m ol o z Ni r � �o zr 2 2 m > c c z . c . St o r � � p § R x ■ rn g 0 — 4 - ttc00000 2 B �xi 73 0� � � 2 tm > 0 � �-013 � ® ' 4 in kJ),*rnrn_m s11 � - � -ICt z In -Ir Q ti7���L`o CITY OF PRIOR LAKE BUILDING PERMIT, v ,f Date Rec'd ts .i i j } TEMPORARY CERTIFICATE OF ZONING COMPLIANCE cf i AND UTILITY CONNECTION PERMIT //_ 'vivEso J 2. FCity ile PERMIT NO. (Please type or prim and sign at bottom) s.Yellow Applicant1�r /2, ADDRESS ZONING(office use) lC,eo u....4 -1L.,-1--- /- CkkJ ' /Z LEGAL DESCRIPTION(office/ use I LOT BLOCK ��AY� �TI011T, x 214-ze �Q�S�- /4t 1./i( 4 4j oW1vER. L (Name) — A1C Ig �� (te a�� , (Phone) 6 t - 2 7 6� ��'-� hone � 'j ,� (Address) /9 'C C Li e � . ,. e(,;j BUILDER (Company Name) t)- 6i 6A).-s1 E%y--- ( c - -5.,4 t 'j C (Phone) 65-/-- (,L() 'c9&8' (Contact Name) ' -)t-i e.1 / (Phone) 1*�Y7 0 ( 5% (Address) (3 /S �l e-1-x-y- 5 -/ ,',.../e...-eGv et) SS i t 7 TYPE OF WORK D New Construction ['Deck []Porch ['Re-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace ['Addition []Alteration []Utility Connection CODE: DI.R.C. []LB.C. I Misc: 141,p1/1-e--e— 7 W s,-, 'J:J s 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 $ 7 6�{c �" Division: 1 2 3 4 5 (excluding land) above-mentioned herbyminethat at I have erty and nwied 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 official menconform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building permit just cause. Furthermore,I hereby agree that the city official ora designee may enter upon the �8 Property to perform needed inspections. x „,, suture ZO 0 y3 t / tO-/4 s1�� Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ ^5' Water Meter Size 5/8"; 1"; $ State Surcharge $ 1 (�J ,l/ Pressure Reducer $ Penalty $ I ✓ Sewer/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 $ This Application Becomes Your Building Permit When Approved Paid /5” IC Receipt No. 3/5- Date /0 f 5/ /3--- J By Building Official Date �P , l This 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 wsigned 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,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372