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HomeMy WebLinkAboutBuilding Permit 15. 0671 a 0 e 2 o o ■ 0 000QOO k / \ m \ k 0 $�� �oo o �4 2 r zo m 0 tri % -4 -1 q m zrE1kg z ca -I9 Z $ =o _ P 0 v 2 § 7 2 2 m o ® z■ o g q 2 2 z 2 -11 / 2 z 2 2 r o 74 2 M X o XiXi 02 % z 71,- 0 00 _ Jx @m m OO000O � . $ J f Co w Mil> mr , 7 v . o . z ■ 2 mz■ M @73 ■■ § m © ■ / 2 z§ zz -z ■ 2 •. X 2 7 m r-11ao 0 Z § o / V. 0 Kcc z r '013 p x 73 111 4 . / eo .. m 2 E ■ ...\mm .i;:iI k z c � � TIm . 4 Ft 00012 �fr - cn k \ r o :, 01 PRI04 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd E,ANc- TEMPORARY CERTIFICATE OF ZONING COMPLIANCE U tri AND UTILITY CONNECTION PERMIT j'�'N B So� • �' 1.White File PERMIT NO. 2. PCity ( 77 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) / 538 7/khoG •tri LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID O (Name) (Phone)WNER �VC �Ky �il (/ �(�/ - 88''/99?(Address) `5 p , 3$3 r /l / '1 ro/e BUILDER V (Company Name) .. a_A..� (Phone) 5 �' zq-q j a (Contact Name) C!Ik!. (Phone) (Address) / i - ./ %�/',` . TYPE OF WORK 0 New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding DLower Level Finish 0 Fire,lacet)94/5 I DAddition DAlteration ❑Utility Connection . / CODE: ❑I.R.C. ❑I.B.C. 0 Misc: I A I I L _ — / •i Type of Construction: I II III IV V AB 0 Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 1 g©9 '00 Div' ion: 1 2 3 4 5 (excluding land) I -reb c. ify 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 a..ve-m nti,ned pr.. , 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'. revoke t t': just cause. Furthermore,I her-: agree that the city official or a dd�esig�n err I Y/ee may ent(eupon the property to perform needed inspectins. R `c�/ ature ��°�/ 50 `i r`�o/-/,,.y— , Contractor's License No. Date )1 Permit Valuation Park Support Fee # $ Permit Fee $ —2 C 7 J SAC # $ Plan Check Fee $ / /` / Water Meter Size 5/8"; 1"; $ State Surcharge $ t (et Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other c Gas Fireplace Permit Fee $ TOTAL DUE t /V75This Application Becomes Your Building Permit When Approved Paid 9 7S Receipt No. littiq Date �---/8 - /Gj BY Building Official Date 0 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,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372