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HomeMy WebLinkAboutBuilding Permit 16.0295 E c ❑ n 000000 -4 o > z2 A i o § ■ 0 ■ mz ' " � 0 § § -1 4 E r ° XI 73 0 E mKcEz§ m 27 g xi �© r ■ ■ r 00 ■ m E \ ■ � z § 0 d � / t 2a § -1 m § 0� 0 z§ q ■ O ] m . q o % @ X o C 0 xl z -I Z nx % a o $ , m m 7 r 0 % m 0 73 II 0 ■ o ❑ 00000 / _\ X 0 0 mrl>mr ■ 7 N E ? �Q2miQ o 0) , 0 MIR ■ ■ ■ _ m 0 CO) \ 0 k 0 K §§§ § _EM - m ® —I o > 22 - c § Z co m ,_ 12 -0 o �� m Ala kXI 0 Zi 0tji ® m 00000 , . / z .7-1110p ) r ...s..2_13 R.&. 2 V , P2 � .0 "I© ' • Z rn j m > mr��0 tri xim ■ � F r � _ § m -1r o on% CITY OF PRIOR LAKE BUILDING PERMIT, rTEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd 7.5 e -I AND UTILITY CONNECTION PERMIT 7 I,(b 0INESOlt I. White File 2. Pink City I PERMIT NO. /a3 L(/r//��j DRESS ease type or print and sign at bottom) Yellow Applicant J 4ral vP KO ' ' ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) I.a.A i II . Mi._ r (Phone) (Address) ila BUILDER Name-Injp111141411E- :(Company II "u sJ (Phone) 00)'7369-_,X/C) (Contact Na 1�'���r Arr.Ak _ Phone i ( Ilir(Address) 4 . 4. �/ Iva (Phone) Oar TYPE OF WORK ❑New Construction ❑Deck ❑Alteration Porch ❑Re-Roofing Ne-Siding ['Lower Level Finish ❑Fireplace ❑Addition ❑Utility Connection 4iiiii CODE: ❑I.R.C. ❑LB.C. 0 Misc. pe of Construction: I II III IV V A BCOupancy o p: A B E F H I M R S U PROJECT COST/VALUE $ / ( 1 . `�/ vision: 1 2 3 4 5 (excluding land) I I herebyce fy at 'ave 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-ment.. ed • o,erty 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 ca ,evo t s permit for just cause. Furthermore,I hereby agree that the cit "offici or esignee may enter upon the property to perform needed inspections. Signature ? , y--/-i--/ 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 $ /O i CO This Application Becomes Your Building Permit When Approved - Paid i(?�,,,C2.7 Rece ,,�jj//o��. ���r Date 4-4f..iG I By C 7 Building Official Date 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 Ill Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372