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HomeMy WebLinkAboutBuilding Permit 13. 1307 _ n 000000 . 0 a Eo n n $ nn § 0 ■ 2z o § § 24 k 71 m m JJ xi m E '20z Z k �-0 % , n §oqQ P oz z- it.s : �� § § q 2 o ■ § % �j § 2 (N° z Oro m m t1 0 r z 7 § 1 2 13 ` % z 2 § § I � J 000000 41 x mmm LIs � ■ ■ sem o -4 z 0 ■■ OS -10S ® X mis n "I!.). ■ § 2 f 0 �� § 77 � z rn 0 7 0 6 0 rt00 \ § -I § q -I U z ■ A A z •• ` `- z # m r v -0 P r_ m / 13 x q m • o n _ k0 . 000000 l• E. § a732 § § ` -,..:-__, L, > Q ■ mm ■ Q - E � � � � D 41 z P � � � o j in Ximx � I 2 m ■ � ■ � — m -1r z Or* F qt. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1 �l J� tli AND UTILITY CONNECTION PERMIT t Xt r +iNxeso'tt‘ L write File PERMIT NO. /� 7 2. Pink City / • /� D/ 3 Yellow Applicant PERMIT •`// se type or print and sign at bottom) DDRESS ZONING(office use) iia / di 9 Gv /GOr , ,�t/w Pa 0 LEGAL DESCRIPTION(office use only) �ry'J LOT BLOCK ADDITION PID0,S'(2I D023-029'7— O67-0 OWNER / (Name) A-�T y A," 14 k (Phone) (Address) YY e .— 1 BUILDER _ q � (Company Name) '5 14 I z c'n Ex p`I O tr e ‘ c- (Phone) ?Jr-Z-29'Z (�—/•1-7 (Contact Name) Z cWv•zJ IAN L at kit / f (Phone) S' r'W` (Address) V260 I VCJ S s,- /Ur eph 10, l.6-6., V(N TYPE OF WORK 0 New Construction ❑Deck ❑Porche-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection il CODE: ❑I.R.C. ❑I.B.C. 0 Misc. pe of Construction: I II 'HIV V AB as a PROJECT COST/VALUE $ cupancy Group: A B E F H I M R S U (excluding land) ivision: 1 2 3 4 5 I hereby certify tl t 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-mention 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 re e this permit for just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X - z ©G39-2,8/ //-21 -zall Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ IL/4 qc`- SAC # $ Plan Check Fee $ Water Meter Size 5/8"; I"; $ 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 Permit Fee $ TOTAL DUE $ /lei ''75T s App ication Becomes Your Building Permit When Approved Paid,'77 7� Receipt No. � 4�Q Date `/.DO�—/3 By,514-4-.-J .uldtneO trial Date s is to .ify that the request in the above application and accompanying documents is in accordance with the CityZoning Ordinance and may proceed a requested. This document en sign d b the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certs irate of Occupancy must b issued Piann.g %irectot 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