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HomeMy WebLinkAboutBuilding Permit 13. 1316 4 a k § � r: � ■ � ■ ui § z66 < C.)z ki z 2a. \ \ z > k _ & aaa ] 2 2 w o o 2 ■ k o ❑ O ❑ c ❑ > 2 0 o WCL = 2 ri\ -I a § § � m E Z col I 2 St r. 0 0 0 § O Z � a■ CC3ra � Alli b © $ 2 § I� U / Z551- B U a 7 § � § § 5 � o zRC a � $ � a � __m� w W X k. O000OO , I § 0 § L %C4 Z ® a a Cg ix 2 ■0 IQ W ui LO O < U U. U \ / .. � a R § co -. §z LO § § § § «t — ' w ►i U.0 2 1-22S. � cc w , < § 0U w ■ w o � M4rR ■ ■ ■ 2 o /� § § z 22 �2Z ■ 0 § 00 a U az < 0 10000 O U 5 of p_ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd U AND UTILITY CONNECTION PERMIT 'NNEsalt' I. White File 2. Pini: City PERMIT NO./3 _/.3/', ase /.• or ,tint and si at bottom Yellow Applicant • 'DRESS 6 � at-kJ/weal �, /(/i •/ ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) o ^ ' C o i (ifor _� (Phone) /7 (Address) 6 ( C..CC4.itc.io j 5t, 117 /_ ee BUILDER • (Company Name) If':/�, t r' ,` P Y I" PC. _ ,11S d. -irl.�C. (Phone) ?tea-i/clo7-�` Vf/ (Contact Name) 0 ` Phone n�� (Phone) (Address) 71 oz i /0` ,47,/ ' gcoe TYPE OF WORK 0 New Construction ❑Deck❑Utility ConnectiPorch .11'4.on ORe-Siding ❑Lower Level Finish Fireplace DAddition Alteration ❑ CODE: DI.R.C. DI.B.C. e of Construction: El Misc. I II III TV V A B pancy Group: A B E F H I M R SU PROJECT COST/VALUE $ g'I vision: 1 2 3 4 5 (excluding land) i I hereby certify that I have banished 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 official can revok .is permit for st cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed ms coons. i ' X =.► i' : datoi!, , _ G 000(27 //e25`/..3 Ir.ignature 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 IgIEUFAMI This Application Becomes Your Building Permit When Approved Paid li-, B ecei4� l��Y Date Buildinit Officialar Date is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may 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 ted proceed asrequested. This document Planning Director Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372