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HomeMy WebLinkAboutBuilding Permit 12. 1197 • e e O o A n \ § � / n 000000 k / n k K ƒ co vi t > k� k nn V. 8 "C3Z m 2 § Om o 10 f k > Z \B2B �� / co 0 k 111 CD 0 z 2 J 7 o ƒ 2 ; Z g \ \ \ :<- C / $` k k I \ -1 2m m 1111 000000 k ¥ Z ? § ;2 §� "$§r •\ \ • �� al z$2enc m 0 � - n @ - m §7§ m cok ƒ 71 \ � // k � � / 7 i 2 ri N > cc o m m �, o / . tEl � q m / E m .. , LI z_ 000000 f / °� � ' `�ƒ]k§ > / \ ,- v,,.._-, $ 2§§§22 € { § m m ��� , aM§e7 ki2 �� ` 2 �r § CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE R�oOS /U- /U. /Z. AND UTILITY CONNECTION PERMIT �� Q NI I%,w Viz_.- yI1V1V6tiO4t. White City te FilePERMIT Niliptgall p 2. Pink Ct 3 Yellow Applicant Please • or .rim and si.i at bottom ZONIN (office use) ADDRESS 3755 2 5L vi Et,,.) C i Rei Al- • LEGAL DESCRIPTION(office use only) PID LOT BLOCK ADDITION OWNER a (Name) E0 - e-/E 5TE/DE t (Phone) (Address) S . ---SZ-4--A1 V/& J Ci aCLE. N`11J BUILDER (Phone) l ✓�ZJ ? --A7Z a (Company Name) M �i't� (Phone) (Contact Name) -PZ 53• 7 8 (Address) , 271/b >C tI/&-) • E.' /4✓ '` 6 v TYPE OF WORK D New Construction ['Deck ['Porch ORe-Roofing ORe-Siding ❑Lower Level Finish D Fireplace ['Addition ['Alteration ['Utility Connection lkiO 0 Misc. CODE: DI.R.C. DI.B.C. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 construction will conform to all existing state and local laws and will proceed in accordance with submitted needed ns. I inspections. aware that the building 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 fort e official can propel and that allt uH-iciai can r vim- his for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property /O�/O---/Z Id GG3 Date X / _ Contractor's License No. Signature IIINIIIIIIIIIIIII ©_ Park Support Fee # Permit Valuation Permit Fee1211111.1111111111111111111111111111111111111 .$ Water Meter Size 5/8"; 1"; Plan Check Fee $ Pressure Reducer 111111111111111111 State Surcharge Sewer/Water Connection Fee # Penalty # 1111111111111111111 $ - IIIIIIIIIIIII Plumbing Permit Fee Water Tower Fee Builder's Deposit Mechanical Permit Fee lgIIIIIIIIIIIIIII Other UIIIIIIIIIIII Sewer&Water Permit Fee $ IIONIII i Gas Fireplace Permit Fee lUIIIIIIIIIIIIII TOTAL DUE . This Applicat W:ecomes Your Building Permit Whet Approved DssuraffisimEreist No. ae © /7i f// I0I6IZ.—. Bu;;"Official Date a iceq of ed. This must be This is 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, issued Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372