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HomeMy WebLinkAboutBuilding Permit 15. 1196 5 � / � C) 000000 •D 0 > E 2 0 g 0 77 0 0 O ■� z -n171i o § o PO 0. ° xi x_tn - 0 / m . � , Eoz z 0 -I -4 % „it 2 -1Q> o . I o■ 11 ƒ j 2 . m Z 0 \ 70 / z$ 2 q 0z o / $ % 0 a > 0 ® 2 = § r § 7 7 2 m ƒ n z k 0 0 G k $ z m § / I O00000 ƒ \ a o Q o ■ m ■ s ■ -o 7o I c _1mc @ 2 \ NE ƒ m ��CA \k2�\k / co op rn 0 6 0 r a § § § m§ z rr �oxi c 0 � 0mm 130 . ` 13 < q iE 000000 R. > z Q3171n§ 2 camm2Q L" -a71 li 7 0 m00 - m tmmz - A, ,, ,- - r _ cn z ■ -Ir Q of 1911°. CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ,dam /,l5' AND UTILITY CONNECTION PERMIT �&ESo�� I. White File PERMIT NO. 1 s- ity#‘3. O`P 3 Yellow Applicant `/ type or print and sign at bottom) 'se DRESS 2. pink City ZONING(office use) 3 70 0 6/e-&-b---A/ — r ' � LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER , (Name) ViB '7"t 2 < L (Phone) (Address) 3) 1,4<;,-€'© A`..--t-e-6-21..., /i i X. is / -ec.ts¢— - BUILDER tare bb ` (Company Name) ii 1 'E Lit c.,----pc,S7 (Phone) liI'2" 2f2 - 1 17J-e_ C. (Contact Name) /S/�', Le) e1/ 1? , G (Phone) y l� (Address) Z L (,c; f j jo et) f.cy G- 11 2 f , 5'' (.41. TYPE OF WORK ❑New Construction ['Deck ['Porch be-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace CODE: ❑I.R.C. ❑I.B.C.Addition ❑Alteration ❑Utility Connec �-„- ❑ ❑Misc. e of Construction: I II III IV V A B PROJECT COST/VALUE $ panty Group: A B E F H I M R S U (excluding land) vision: 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 can revoke this permit La. ust c e. Further..re,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature . Contractor's License No. Date 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 C $ ff$ This Application Becomes Your Building Permit When Approved Paid `r Rec t No. 30Z1-- Date l a.. I.` By Building Official Date 11 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 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 ,tied Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372