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HomeMy WebLinkAboutBuilding Permit 15. 1423 0 J ''' t Z < N W i J LL. ce V IQ E ~ F- VW < Z w g5g J �, a ro O 2 W W N 2 • F- �• �. OW W < Z 2 C ` V LL LL U' W �-- 0000 ❑ ❑ L re to 1 0 o 4111, LU Sol a. L Zp KW O Mn Z z O 0 4 Do x I-Z IX Z _ xx2i 0 c N N 0 a 2xWxmx 0. 2 ' 0vi.. 0v N C C co X O J0 a23Naa. 2 4' w w z �`' • 000000 !� II cox. 0 _ > p J O < 0_ ray LU W Gk Z J a O ti v O •• LL v ISOZ O ZO W H' V 1- Ed. - J OwGI a- ZN ' 'LI a0 N O 202~ = W Y x x L a a IL. N Z F- Z � � < Wiic O re CC .5O O < V Oa G W Z u.gLL u.,2= 21- a ;<?, 0N O O c 5 ? a o a ❑ oo ❑`�❑ v c0 piuo CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE m AND UTILITY CONNECTION PERMIT /1 23' I ;I4iitzedit. 1. white Fite 2. Pink City PERMIT NO. is , /4-23 3 Yellow Applicam ase type or print and sign at bottom) ADDRESS ." ZONING(office use) cLi U 6 /1 h �� ? VC P'(SO LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID C;13" 2 .0030 OWNER (Name) ZA-Dck_� 11 (Phone) (Address) BUILDER (Company Name)101A t/ J3tJ1 d 1 r (Phone) 5 c 2- r t-I CZ Contact Name)5+-t, �`�a.t 1:1,e1 e Ar (Phone)6.1 2-i-43)--- Co 0 (Address)//(2 GJ , i/e-4,SUq le" PilfCL l fS) ,r•tc v,(L.e N/1 5 S%3') 4koruYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace ❑Addition DAlteration Dutility Connection 11 I ODE: ❑LR.C. ❑LB.C. ©Mist. 5 11 10, �1 l �hrlF�.O (�)tul � e of Construction: I II III IV V A B pROJEC'T_VOST/v/VALLUE Sq 7 S �_'� panty Group: A B E F H I M R S U (excluding land) vision: 1 2 3 4 5 r i hereby certify that ; ."ished informatio" _-his 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-me . •• property and th ,11 c - on will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building urn ' —: per urthermore,I he agree that the city official or a designee may enter upon the property to perform needed inspections. 4 '' �L:S9o° 7 1J/? // % ignature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ '/Lt, Water Meter Size 5/8"; 1"; $ State Surcharge $ I ()\) ) 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 $---1c, r This Application Becomes Your Building Permit When Approved Paid Receipt No. .5484- Date 84- Date ` ( . 1 ' ( By 8t4_Lt A.) Building Official Date to certify that the request in the above application and accompanying documents is in accordance with the CityZoning Ordinance and may proceed ais requested. This document signed by the CityPlanner constitutes a temporary Certificate of Zoning compliance and allows const uction to commence. Before occupancy,a Certificate of Occupancy must be issuedIts. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372