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HomeMy WebLinkAboutBuilding Permit 15. 1322 E 0 O st, n O D0D0 "o 0 ) E § n 0 kx x ` . E ma§ mk § m m a SG tz r n mmx m ■ � � E2z g § -� § t -I > -1 CD m k® § Q P �k q 0 § . q z z § ■ ¢ §1 bffl 0(_) 73 0 C---__. % m 2 § o . 00c ❑ O m mmm Cr ■ -a ■ ■ ■ - E ® in ° 00m -100 7 ■ ■ mxs n481111' Co • { cn i \ > 0000 E 0 m r -n 22 c % § aZ 2 z •S cc r Z # in r -0 -o P m 2 ■ o wan § m- „---"n & c n li ] cOOOOO ( Q 7 X22 §§ sk:IC\1 0 © � rnmE0 N \ t A \ \ � 0 \ § n ammzm in 55 -n73 -IF 2 -1i B m al of Fido. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE0 i.. v. /x AND UTILITY CONNECTION PERMIT 3. 25- y,NNas0S' 1.white File 1 2. Pink City PERMIT NO. / - 13-2 3 Yellow Applinup (Please type or print and sign at botto�m)��t� ,. ADDRESS ccG 4 c-- ��/1!4( ' ozio r 12,41 i-- ZONING(office use) pg tun- L GiLe r-vi' {-37Z- pQ13 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID -5-... dig a a34-0 OWNERf7 r)I y O i'J it (Phone) 7(1 22_ 3'/' 7 (Address) (/ 3 Se-3‘/ £-O v f i I v i3- Alit ,S • '3 c kii i) rr7 7 BUILDER 1� �X�e�-�4rLj 1 b12- 716 J J 2] 1 (Company Name) 1) r" (Phone) (Contact Name) �7 pO D 6OhJ (c•�, 1,� (Phone) 5' A (Address) Y O £U x( �) k7'er t Z-V y `N 5-1-371 TYPE OF WORK 0 New Construction ODeck ❑Porch {2}Re-Roofing Effie-Siding DLower Level Finish ❑Fireplace ['Addition ['Alteration ['Utility Connection CODE: I.R.C. I.B.C. D Marc. O• Type of Construction: I LI III IV V A B PROJECT COST/VALUE $ q 00 Occupancy• Group: A B E F I M R 5 U (excluding land) Divvision:: 2 I 2 3 4 5 I hereby certify that I hay flunish,.inh ion 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 prope a.d tha , c .traction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building official can revoke this.: for. e hermore,I h: by agree that the city official or a designeemay enter upon the property to perform needed inspections. X /:l �6 6qittl) 161x1 1r W ignature Contractor's License No. D to Permit Valuation Park Support Fee # $ Permit Fee $ `' cc SAC # $ Plan Check Fee $ Water Meter Size 5/8"; I"; $ State Surcharge $ I (7° Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # —s --- Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 75• -S This Application Becomes Your Budding Permit When Approved Paid 1 S. 1s- Receipt No. —r L4 Date h e'2.:b, ,V By 5 ^-✓ Building Official Date This u 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. i Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9950 • . 4646 Dakota Street Prior Lake,MN 55372