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HomeMy WebLinkAboutBuilding Permit 13. 1091 a n 000000 U 0 > E0 2 0 n O ■ -ng -n1111 0 § o §4 k r 7 k k k 3 �§� EZk m xi cn n� trl r m m m ■ ; E0z 0 - � q q a 2 $ -1Q > Q P | 29 I 0 % u) § Z � m 1 CO � z ? m q § -n n 0 ° z ! % r 0 z ■ co -n73r o 3 c 11 -0 II ` W e = 4. m \ Z xi 0 0 i. 000000 /73 73 70 0 \ 200 X11 > mr co 0 c -imc » 7 CO M . . \ ƒ zZMI - Z 7J m , ] . > 000 0 ■ q q U z r 51 zxx ■ % 0 71 m 1- -0D P / 11q z E m g_ 0 �_ 000000 Re z 022 ' Re § § � k� � � � § § � 7 � —I 0m m z -Ir © • o4 PRt04. CITY OF PRIOR LAKE BUILDING PERMIT, Date Re 0TEMPORARY CERTIFICATE OF ZONING COMPLIANCE U Illi AND UTILITY CONNECTION PERMIT 4%/vNE soil' I. White File I PERMIT NO. I 3 2 PCity �� w //t�// ase type or print and sign at bottom) Yellow Applicant /U ADDRESS _5-3 7 O ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER Aix., (Name) .. > (Phone) (Address) /5-378 c2, /J ,/J_/ BUILDER ` / (Company Name) (,.°✓/t-f-v` .Gr.a4• At__ (Phone) 9S-1— 416f'll V?-1—Z (Contact Name) jeLpei (Phone) 6/.,Z- 9/6 ?7 9 y (Address) 9'77/ / / so TYPE OF WORK 0 New Construction ['Deck ❑Porch Re-Roofin ❑Addition DAlteration g [Me-Siding ['Lower Level Finish 0 Fireplace ❑Utility Connection 411ou DE: DLR.C. ❑LB.C. 0 Misc. e of Construction: I II III IV V A B panty Group: ABE F HI MR SU PROJECT COST/VALUE $ ?t5"60 Q p i 1 2 3 4 5 (excluding land) II 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 1 official can revoke thi mit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X LI�� .4—. Y3 6o /C/V/'3 Signature Contractor's License No. ate Permit Valuation Park Support Fee # Permit Fee $ SAC Plan Check Fee $ Water Meter Size 5/8"; I"; 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 I{ $ Gas Fireplace Permit Fee $ TOTAL DUE This Application Becomes Your Building Permit When Approved Paid 9 Date j,-7,i-----7 Recei.t oh.0.0 //2.2– B 47 _-- Building O icial Date , 1111 issuedis 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 n 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 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