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HomeMy WebLinkAboutBuilding Permit 15. 0135 5 0c 1 n 000000 ; 0 > En n n a 0 00 . E § 2K@ � 8 z rn k m0 § r R " zx 3 � rc ■ z � ■ 0� m m m ■ ■ oz ■ -o § t -I -1 > J® qo P 0k ■ k § cn j k § \ > o m m m xi r 0 -4 -n m 2 0 o OO ❑ c ❑ O 41 m - m mm mI en m m r 0 - § D D OC -IOC 2 m x § ■ § _X § m 0 cn m i o > 000 3gm n A o riio0 xi L-1 . c % § z zcc z r 2 F m r -071 9 m / X73 I § 4. 0 C - 2 0000 ❑ 0 In § > § smmoc ` § R. a ® � % � 1 © \ 0 § no - a i q A m -nm � r �� 2 m -4 § 0 7S PK/04-1 CITY OF PRIOR LAKE BUILDING PERMIT, y9'_ C/Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2 , /l , /S cif AIN$ AND UTILITY CONNECTION PERMIT j.4'N E s04C 1.White File 2. Pink City PERMIT NO. /5" /35 3.Yellow Applicant type or print and sign at bottom) RESS / ZONING(office use) /V./a73 614 Zatlei (i,c4 '. 1E LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER /AJ /� (Name) Sr i.fined tY (Phone) 9Sd-VF —©/3"9 (Address) /1/493 CC,s e Alva/ e/i^cL "- 4 BUILDER ���� � / `! // (Company Name)KE'/;whit) dO 9C O S %Mt/i4®)44 (Phone) 4S/- 9aS evos (Contact Name) 014l dlK( (Phone) (Address) a 9/ EUtk S'i-� t c".t /� MA./ v�'$J ?7 TYPE OF WORK 0 New Construction ODeck ['Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ❑Addition ['Alteration ❑Utility Connection s. CODE: DLR.C. ❑I.B.C. Misc: /�1LYl/(tt) / �K2 ili e of Construction: I II III IV V A B pancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 4Y .5'4427 ion: 1 2 3 4 5 (excluding land) I hereby certi : a ave is. hed 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-m• i. .• .r.•erty,. that. 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 c r- • e is tom•. .. . ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X / ,ci/g 3 V5 3 a/y/is . _ e 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 Permit Fee $ TOTAL DUE $ This Application Becomes Your Building Permit When Approved ' Paid / 9. 175- Rece' t NO. .57 Date 2• /2../6- By Building Official Date 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 Iliigned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be d. 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