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HomeMy WebLinkAboutBuilding Permit 15. 1241 0 • � 2 � 222 0 Ki n * 0 0O § 0 / : k 0 0 s m > c_ CO m r �© ® 00 ■ m z > z ° s .. § � 13 § t -I -I Z $ -Q � Q P 0zp ■ ` 0 § > . 0 % m 0 § q Z 0 k tri \ rkf � m _ 4. mIP liA) 0 73 73 z 0 0 z 000000 mm mm ■ � ■ * ■ � c) -I z 0 0 me , mr § § co ? 2 . x m m i -0 0 0 ; ; n ■ _ 0 0 ~ -1 b > 000 § 3 -I m q 0 o 0Z r � oo z FP 0 2 2 $ m § 14-o o m r. 2 d• a 0 msOoD000 W / z. K -A � 8 �> k ®§ a ■ is- q z mcc � q rn > mm � - '3m ■ � F -4ct z m -1r o r`,o1 PRI o� ,� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT '((Di (mac lc jk,„E soI.White ll 2. Pink City PERMIT NO. `I �- ' 1 3.Yellow Applicant 41!(Please type or print and sign at bottom) CA (Gl� ZONIN G(office use) 1voos' sw LEGAL DESCRIPTION(office use only) rrnnI l (� LOT BLOCK ADDITION PID (-_ ,)-c' V � "' 0-45 0 1� In di 'n1 -I1 Od)R & I ' V A K/ (Phone) �V J 2 . 22-1 • - (Address) 6�(fl �� V o 4`-C) .Qj U 1VV 1' 14 V Y c t p., " J . 31 2 DER (Company ) S-e1a.. tOO11Yl ry Com an Name � (Phone) � (Z '��)� a �� (Contact Name) (� M�/. . `I .44 n 1/ ` n ((Phone)0_02_1_91_,1-1Z210j (n/ ' (Address) AA V O 1�,LQ (/ Or LS t V sr, DLA k U I (AI Y I`� C " —4-1,l1) TYPE OF WORK 0 New Construction ['Deck ['Porch ORe-Roofing --Siding ['Lower Level Finish 0 Fireplace CODE: ❑I.R.C. iiip::1 ❑Addition ['Alteration ['Utility Connection ❑I.B.C. ❑Misc: Type of Construction: I II III IV V A B �/ Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ (�` 1 O ivision: 1 2 3 4 5 (excluding land) I hereby - 'fy that I have mishe.t ormation 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 abov. enti. . ..erty.1. . .t. ..nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building offs.al can re i p- , e. Furthermore,I hereby agree that the city official or a designee may enter u on the property to perform needed inspections. X / ii 0 o cam. of , � ola 1-6- to - a : Contractors License No. Dat Permit Valuation Park Support Fee # $ Permit Fee $ ----11.4.,--is--- SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ [bp 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 $ j1S This Application Becomes Your Building Permit When Approved Paid / Receipt No. Lil ....- 2. -t, Date ll 'O' q 1 -1 BY i,t e./ 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 hen 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 ed. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372