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HomeMy WebLinkAboutBuilding Permit 14. 1239 - n O DOD z n n k 0 0 0 . 2 §■ Bv )§ 0 m 73 mo § R tel r 2 � � M E � 2222 m 73 z ( 2� _ l �"tri 41101 '414/lb � -I 12 m 00— �0 — ANz II. 7• § k0 -Ik - n 0z mm k% 2 k ■r e 7::) I -A 17 II % m z 2 0 0 000000 CA / xm § M �' �- § 17 E � � � � .� ■ „ § § � i_ § m ¥ n \ rn . SMC' > 000 � 6) C Z m - } § 1 'Y' r -nOO 0 % z ' m i � -0 § ,, § 7 I73 _ -'T 2 ° P _c m0 0 0 0 0 0 0 ti E2 Q21 � n § F. tt 0 § ai C $ \ 0 > mmz q m � - ■ ter 2 m 4r 0 • E O o O n 000000 0 )0 E0 r, n k 0 0 0 . c 0 gkk� ok z in k �SO/ . \ c m m n CI r k k 0) m E E•o z § 0 §� ttat * › k � �� � z73 § Co k 0 k . '� z § % / a > 0 m ■ m ■ r 2 -o E. % m 2 0 0 i. 000000 41 P § m m ` � C 'VCA * C1 o Z o nc � 0c 7 2 f ` . � § ■ 23 $ § m 0 co q . Qgo § § -I M en 9, \ m .t. \ k c c - / r % z m w v r o / M t 1 I m rri • 2c ❑ ooO x12 §§ — g.9 F. v ® ON © r m a rn � K A o _ mm % � - $ m _\ xi II p3 § , z -1 r §. o4 PRio CITY OF PRIOR LAKE BUILDING PERMIT, L/ Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1/ 3 / if-- AND UTILITY CONNECTION PERMIT 40INESO-st• I. White File 1-3 2. pink City PERMIT NO. `� /' 3 Yellow Applicant se type or print and sign at bottom) DRESS j66 Z 13,-1 L1 I e. n 1'c j t t-12L j‘.) - ZONING(office use) Piro`,) - L c Z-e_ IkA N S -3-7)_ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) BUILDER (Company Name) fri tiLe"2A Coili,sfrt.t..e_t'o u c. (Phone) G 12- Fc'1- - 64-13S- (Contact Lt3S- (Contact Name) D Cv y. K D"a rC.j'l LA,(C (Phone) (Address) ?Ili" Tc& 1ii r DK- ScLi.o.ri _e. GSIk1 SS3- -? TYPE OF WORK ❑New Construction DDeck ['Porch [Me-Roofing ERe-Siding ['Lower Level Finish ['Fireplace ❑Addition ['Alteration ❑Utility Connection 4; CODE: ❑I.R.C. ❑I.B.C. El Misc. „Pe of Construction: I II III IV V A B cupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ vision: 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 can revoke t '..•er- it it for just taus, F -hermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. � .. ' X —� 5c6�q 23- 1 ///3/ 2cS /4 gnature 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 # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Pft it Fee $ TOTAL DUE �f $ 7 / / This Applicatio : omes Your Building PeitWen Ap oved Paid ! Rete t NO. 7`��` 3. t Date f'-.3.. p� By < Buildiilei ii Date is is to certify thi the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document en 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 sued. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372