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HomeMy WebLinkAboutBuilding Permit 15. 1289 J su 3 1IT F j� ■ w ■ t w - le v ui II 0 kskw C.7 klk \ §k��k0 2 \ , ❑ 0000 § j� / ct o o w _ wo z §§ z ® \ 0 w §/0< / / / �� �� �� w " S 44 c �� U §= w � © � 0 a / k 2 | m0I" = 0 % aX7■ aX o o 2 q 000000 \ k 0 III re cu Z % r % 2 2 0 W a a I X w w •, 2 ■ I-- -- rt re 0 z z 0 \ 2 z o S ¢_ v 0 co@ „ce 2 ® � � z � < I- §� 2 ■ � § ■ � �w � § w W tt g .0 u. ye" 0 O 2 k gi § § .0 u. SIL ma k o . 0z a 0 a. 000000 U 0 0 / �� PRI�� /3= /g732 $7s- 75 �� CITY OF PRIOR LAKE BUILDING PERMIT, U : /k ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE C--- Date Rec'd AND UTILITY CONNECTION PERMIT r.'N . • ESY 2.1.WFhitenk F' �;ilrye PERMIT NO. , 12-� lease 4.a or.rant and si,i, at bottom 3.Yellow Applicant ADDRESS 17( 3-- ,2 C,'/d6 ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER / I (Name) 04 (/'r/l '/" U t/ sl (-6 L r q / (Phone) a/2 - S�Q 16Q(7 -7 (Address) 1 / l 7c id, t C,,---‘ (e 7)/ Z.,46, ;'-1/✓ SY 372_, BUILDER iit/C19U �U/ t/ (Company Name) 770 - 9Dl (Contact Name) (Phone) rh��� �7 ` (Phone) (Address) 21! (//'i" �-L 6 34.6,, (/3 6 4/ Gw/ 414/ TYPE OF WORK 0 New Construction ['Deck DPorch ORe-Roofing ORe-Sidin DAddition DAlteration DUtility Connection g DLower Level Finish ❑Fireplace ODE:.�LR.C. ❑LB.C. KMisc: L /4-c--/ v Li j ( •- of Construction: I II III IV V J4 ccupancy Group: ABE A B / MR SU PROJECT COST/VALUE $ /,,-t2 �/ Division: 1 2 3 4 5 (excluding land) I hereby certify that 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-mentioned 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 rer,Thereby agree that the city official or a designee may enter upon the property to perfonn needed inspections. /363-6(447 x Signature / d -/S--�� Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; 1111111111111111 State Surcharge $ Pressure Reducer Penalty $ 111111111111111 Sewer/Water Connection Fee # IIIIIIIIIIIIIII Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit Sewer&Water Permit Fee $ 11111111111111111 Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ This Applicata, .Becomes Your Building Permit When Approved Paid Recei.t ► ,. ( . 11. /I/ (4, z,0. 15" Date B 7w��,° ..cial Date / is is to cern that the request in the above ication and mpanying hen signed by the City Panner constitutes a temporary Certificate of Zoningcompliance cument is tn and allows constructioce with then to commence. Ordinance occupancy, issued. may proceed as requested. This document p cy,a Certificate of Occupancy must be 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