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HomeMy WebLinkAboutBuilding Permit 14. 0808 � 0 n 0 0000 -0 0 > E0 0 2 � '0 '0 0 2 0 -o-4 M -i § e c m o ll 0 r ri 73 X m � � §� kZ \\ 7 t . -I q > -4 m 0 Z- 2 k * > 2 © z 0 z 9 q 10 k g \ O ■ Z N °& \ "v1 o 7 r 0 tk 00 ( � 000000 M - m ®®111.11 . 312Cn § ET .�/ c c � � � iii gym § x175 § m o § Cr— CnO k -a E \ > B00C) - m 0 R 0 2 § 0 / ill 0 a w ,�� > Cc P r Z ƒ 0 / r. 0 _ x xim gm 000000 Q _ § > zk02 ■ mm ■ o > Q c � � � a 241 .‘ 111: 4 Fn - § m -I Z - F. § -1r 0 of PRio,rti CITY OF PRIOR LAKE BUILDING PERMIT, v Date Recd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE J--� • ( 4— AND UTILITY CONNECTION PERMIT �,1VNEsOlr I. White File 2. Pink City PERMIT NO. 14, Q E) 3 Yellow Applicant se type or print and sign at bottom) ADDRESS ZONING(office use) 4.1411,0\ q Z°� �i ,U 1rnC'�r� L to I� LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID Name I nn) f60',Z J9 ` (Phone) COIL— � � U✓5 0 (Address) '—1 li 7 C G, Y, L„-y, J . (CompanyBName) All C(��fi; L DER � - 4Jy-ICF` c (Phone) "15 t gPg Lf [p ©t_/ (Contact Name) ..- lig - (Phone) % 4s LA L(e s (Address) (02,0 1 t1 I 'ea:2 cp ,))yr6v f i [ Sj''5 - TYPE OF WORK ❑New Construction ❑Deck ❑PorchRe-Roofin Ree-Siding g ❑ g ❑Lower Level Finish EJ Fireplace ❑Addition ❑Alteration ❑Utility Connection 4iu CODE: ❑I.R.C. ❑I.B.C. Cl Misc. e of Construction: I II III IV V A B 11 l Jl i—� pancy Group: A B E F H I M R SU PROJECT COST/VALUE $ J1�S ivision: 1 2 3 4 5 (excluding land) I hereby cernry that I have banished i r anon on this appli.• . 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 tha ., onstruction will co. • , to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit f. JO'cause Furthermor. ,-reby agree that the city official or a designee may enter upon the property to perform needed inspections. X ___Ae•-c71/Mii _____61....,7....../.7_ "50P4) . Signature Contractor's License o. 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 $riThis Application Becomes Your Building Permit When ApprovedPaid �� C eceipt No. q-..?7"------ Date 7_Date i , y. Building Official Date 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 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.110 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