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HomeMy WebLinkAboutBuilding Permit 14. 0586 E O O ' 0 000000 "0 0 a " n CI 0 0 0 00 0 ■zK� �8 Z nI % § q » c -8 o § r R 7473X . s r ■ z : ■ ■ �� m m m E 5b ■ o ■ ■ -0 § t � -4 Z It - 0-4 P Z- e w 0 ■ ( (A n z § ul z ■ li 0 Z \ z 0 x b 0 r ■ r Q . k z m 0 O 1_ ❑ O ❑ OCO J mm2 ` | _ . mI ■ -0 0 ■ V. * E \ k0Q0 � 0 C 0 m § q / ` 2 § 2 c 0 ° ■ > cc zK r O Z # m . r P #o o x g m 0 0 000000 N § X22 § § § > ® § "0 "0 "0 § ° m 41 2 mt21 0 \ ko 4 in 73 -rix r2 0 -Iz - m qr � (o'c PRio* CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .&. Z� 4 � .. x AND UTILITY CONNECTION PERMIT • U t"'djA,HE5o4r' I. White File 2PERMIT NO. /4- 50 6. Pink City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS2-0, ZONING(office use) S6� T v. i I A,a� at -C- LEGAL LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER ke) I'l ct r�V - ,, (Name) (Phone) (Address) —KW 20 m ', ' heaSC h s£ n BUILDER DOC Ie �(��-S �— (Company Name) t�C (Phop (Contact Name) '-) �`- ei'`�`�` (Phone) 6/2"--3.0‘- 9 I¶' k (Address) (7 7 2-1- T YP E -TYPE OF WORK ❑New Construction Deck EPorch ❑Re-Roofing [Me-Siding []Lower Level Finish El Fireplace ❑Addition ['Altera ion ['Utility Connection CODE: itI.R.C. ❑I.B.C. ❑Misc. 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 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 official cane'rr. it for just cause Fur. -more,I hereby agree that the city official or a designee may enter upon the property to perform needed ins ectiions. X ,. cc 2.,-160,4-z. Axe 3l J,fj Signature Contractor's License No. Date Permit Valuation 4-000- -©00 Park Support Fee # $ Permit Fee $ 1 0w_ SAC # $ 3Plan Check Fee $ CO.95 Water Meter Size 5/8"; 1"; $ State Surcharge $ z. , - 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 e444.3.9 1, I . +4' $ /T r. 9 S This Applic. ion om; Your Building Permit t•n Ap y t ved Paid /9' 7J7 17 Re ipt No. I/71 Date D b l ` . � 3: .Lill "uo= .a - '_ Date This is to certify t at the r 1-ucst in the above application and accompanying docu •nts i in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by e Cit ',nn e constitotcs a temporary Certificate of Zoning co plia e and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued %'n 1.- 1 • (4 'lanning 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 3 G f 4 if t 4 ill