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HomeMy WebLinkAboutBuilding Permit 14. 1115 5 0 C15(0, n 010000 'D o > 2 k 0 0 0 0 =Iz0 88 0 m k om/ c m m n m m § m 2� k2k5E § 73 co k13 Oz _ qTo 2 011 ® z■ k > } o z R. § ---- -...Is/ § .. § •� R E til S� - > 0 0 ` m m 0 § 73 z q � \ § 12 ,. m ■71 RR 000000 ( ' X L m m mr IC 13 mr § \ m "Ti � � � �TI � rn 0 L o \ \ o0 0z r -n 0 \ § G 0 r o z 71 m r � � 0 ■ q0 C-- §0 _o •F e 2 . QCOooO . 42. • z 73 o iE o 73 �§ .4 as v � � © cm 0 §a m\ § mmZ 9 =_, - r E -1 § 0 of PRiO� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / x AND UTILITY CONNECTION PERMIT 16 ' 7:4(:°C �j ��'NESO�� I. white File PERMIT NO. -\t c 2. Pink City \ 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 159'/9 s ''Sl UiPa_ NL) 1SIS LEGAL DESCRIPTION(office use only) 7 LOT 63LOCK 1 ADDITION Js /-4. !(.l V/eO PID,;?5'15- ©o6- 0 OWNER (Name) ock.Y‘¢, /1401A VIA 42-rrilit CCI (Phone) 953 520(0 (Address) ( / / S L/rt.,,p V �G,-,.. N W BUILDER (Company Name) S W &`'a— (Phone) CA (Z?o 3 S zo ce (Contact Name) (Phone) (Address) /' TYPE OF WORK ❑New Construction apeck ❑Porch ❑Re-Roofing ❑Re-Siding [Rower Level Finish ❑Fireplac - ['Addition ❑Alteration ❑Utility Connection it CODE: ;III.I .C. ❑I.B.C. El Misc. Type of C r struction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ (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 ownei it authorized agent for the abov' .ned property a• t that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I a aware that the building o 'cial can r. oke this pert for Just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspectio :. ►L4P i [2AL' .': Signature Contractor's License No. Date Permit Valuation 1111 Park Support Fee # $ Permit Fee $ F SAC # $ Plan Check Fee $ '.1--1%. 7 O Water Meter Size 5/8"; 1"; $ State Surcharge $ -.5-0 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other (G, $ /^ Gas Fireplace Permit Fee $ TOTAL DUE Mia A II to.t..�� $ �J((,'f3 z�of This App• ti iii. :eco es Your Building Permit Wh Appr' ed Paid �� � eipt No. /z_T !/ r f Date /t0, s/../4--- Bin ding Uftie r Date This is to certify that the -eques,in the abovrt application and accompanying documents i in accor nee with the City Zoning Ordinance and may proceed as requested. This document when signed b e C y Plann.' constitutes a temporary Certificate of Zoning complian and al ws construction to commence. Before occupancy,a Certificate of Occupancy must be issued. P.' . 1 (o S ac— arming pi . ate Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 I