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HomeMy WebLinkAboutBuilding Permit 12. 0750 • 0 a - n - 0 0 0 q OOOQOO = Q z _ n 0 © * . m §z0 00' 0 m z m4 § R km 7 m zr> Eoz 0 k �� 2 � § Z $ --4 P Z - / % 2 . . q z 2 1 0■ \ o o © , z ~ 0 A t xi r z k r 0 - CI 0q 2 0 0 000000 k z x n 0 ■ o m m m m ■r ■ r k - iQ §mix ro 0 Co ■ 2 ? m . @@■ 7373 §' m 0@ n 2 c ■ m • zz= = - z z - ti k m m q r\kk % q 0 A o 2 zmC 2 § § 0 $ w � §\ P § / p. k I m r F\ 2 0 m �' �' 000000 Q1MIn2 PO 2 - >mm0o ‘-r--- - % @ E-0-o � \ i Ch. P K\\§K m 0 > mm �2 q ■ > r m -4t 0 (? m r 1 oti* PRIpCITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT U (srj tiINNESO " I White File PERMIT NO. ,g- 2. Pink City , 7 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /cso /o)( Teo/ C- 1- /f/Gl/ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER -r" �/l,0 ,.40f s2 27t ? 6 7 /J v (Name) /"(' !tel- IC/ (Phone) (Address) v 0 /% 74(e( ( Alt/ / BU(Co II DER We... est 9I 1(bi'iKiOc�(Company Name) /Z ),, (Phone) (Contact Name) LeZ. 1 t C 6 // rr s (Phone) //7633 7ddo75! (Address) / 73 / 6 /e. t L((//O6'( %(/'e- eie-ti.-ev/r/`�.. l"( 4 / TYPE OF WORK 0 New Construction ['Deck ❑Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ['Addition DAlteration ['Utility Connection ?�7 ��� ��� ifS CODE: ❑I.R.C. ❑I.B.C. Misc. �1° C v v �1 Type of Construction: I II III IV V A B 7 0`t l Fy , Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ (excluding land) /62ee O 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-mentione ropertyand th all nstruction w ll conform to all existing state and local laws and will proceed ino accordance with submitted plans. I am ware that the building official can re a this permit�Aist c u e Fu core,I he eby agree that the city official ora designee may enter upon the property to perform needed mspe ons. X 0. /i / ' 6:s 723 2 l0 2 Signature Contractor's License No. u ate 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 $ 7 ? -75" This Application Becomes Your Building Permit When Approved Paid N 75 Receipt on 44,34 ,S--- Date Date 7/i ola,. By ---P.r..17_,, Building Official Date 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,a Certificate of Occupancy must be 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