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HomeMy WebLinkAboutBuildig Permit 15. 1386 I 00 n 000000 II 0 > En n n § § 0 O ■ -nE -n � 'n § § § $q E r g x x x s mitrcaz§ L z om § r § m § Z -a % 0 -I z- ■ § . § 0 _ t o 0 § z n\ % 0 . Dr k o _ m m \ r 0 J t in 0 2 M z mR R 000000 m q m m A ■ � � m ■ TI k 3 mE » 0E 2m © § K f -n § ■ § 73 § m 0 0 % 2 0 f 0 > O 0 § q z m = J z z §2 xi • E 2 2 1:41 r §ou P m it 0 I m Q - gi gi0 — % O0000 — n 71. o m , Ai b0 0 MMM30 --- � \ z AIfiP ri f o E q m , § � z -' / / cn z ■ -4r 0 OF Pit-- CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE S ti AND UTILITY CONNECTION PERMIT ii, (at, / 44,NEsOlP I. White File PERMIT NO. 2. Pink City I L .(36 6 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS/, ZONING(office use) �/7 3 4e1/)/Y>4)14 C], Se • /2 15 0 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITIONPID a� �1"' 'O4 0 (Name)O` R :)Q4 1 t (Phone) 9S2-2'iD-7 f (Address) 572e //1 0 C-1-1 &et BUILDER _-,")0 t /,� / �S/o"s, (Company Name) A i (Phone ) (Contact Name) 0 , A .4 ='r=� (Phone) �f� (Address) /33.5- ml'^ .UIe4d/1t c,l/LAS TYPE OF WORK 0 New Construction speck ['Porch ['Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ['Addition ['Alteration ['Utility Connection CODE: I.R.C. ❑I.B.C. 0 Misc. Type of onstruction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 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 roperty 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 du perate mit for j . urth more,I hereby agree that the city official ora designee may enter upon the property to perform needed inspections. X G ,8G &?73 �6 //- /-�/ Signature Contractor's License No. Date Permit Valuation 3 coo Park Support Fee # $ Permit Fee $ p gQ)•Z 5 SAC # $ Plan Check Fee $ 5- / .3( Water Meter Size 5/8"; 1"; $ State Surcharge $ ( M 50 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 $ (41, It ` \ ` C� This • ,is• on Becomes Your : :..•• g Permit en • .proved Paid VII, I 1 Receipt No.3 14" I Date 11• X01' t S, By C h) Building Officia Dat• This is to 'Any that the request in the move application and accompanying doe ments i in accordance with the City Zoning Ordinance and may proceed as requested. This document when s'ii.'y .City Planner constitutes a temporary Certificate of Zoning c mplian •and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued tel1 (C �• - t Planning Director ate Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 . ,R y. � _ rs) r d•�,L i a � • • s.' A • cl :s 63.rfi""L k 13, • SY e mss ... � E G F ik.tom, t �S { ,y E g,✓r „s