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HomeMy WebLinkAboutBuilding Permit 16. 0202 E ❑ O ik n n 2 J o § 0 0 = 2 2 2 0 § 8 B � k r 71rAl x 3 MPCE2k m $ 0m § t :Al k Z %B§B P o - 10 "4 ■ t. § j D . § U 0 Bg © 000 /% 0 » © m m§ 0 7 ; % m 72 2 . -1 \ m n, -. c/ OooO ■ MI1Imr P % ? A 2mn ; 2 cnz 2 C r k1 ■ § zk m 0 co 0 A 0 , s0g § 0 _E z \ z ® 0 § c rzxA - z c 00 rz � � m 1 ■ Uo m 000000 i N z xi R. 0 Kmm�Q § $ \( ‘i::: z� �� _� § A 2m -,53m rn s X73 r ct z ■ -4r 0 of PR�o-u CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd .� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z / / AND UTILITY CONNECTION PERMIT ✓ / 10 y'Hfves°ll" I. White File PERMIT NO. 2. Pink I // /5 �j 3 YellowinkApplicant City ( �/1� of �/'(1 e type or print and sign at bottom) ADDRESS / 5 07 C o iir) LA / Avt A/F ZONING(office use) )5 a LEGAL DESC TION(o ,cc use onl LOT BLOCK ADI ' ON /j)Ø41) 624n wt, PID 2.5—036"-Z6 -® OWNER fl art f Q Cr p (l 5 (, (Phone) 6 / '�f T/� o . 5a 3 y (Address) / 5 5 p 7 C a l in !' 74 le C► ! V r BUILDER (Company Name) Pella Northland 15300 25th Ave N. Ste 100 (Phone) (Contact Name) — Plymouth, MN 55447 (Phone) qs 2/341S• o y 7 (Address) Lie#BC645090 Ph. 763/745-1400 J J' TYPE OF WORK 0 New Construction ODeck DPorch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace DAddition ❑Alteration ❑Utility Connection J CODE: DLR.C. ❑LB.C. ❑Misc. l G W/RQ�(4j re pia u,-r�Q n.�s /Aof Construction: I II III IV V A B 10) 1/41 C ,4 f panty Group: A B E F H I M R S U PROJECT COSI'/VAL'UE $ 0 b b ision: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge tale 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 for j st ause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. `4 �� 8C0/ 50 po 3 /151/ 4 Signature Contractor's License No. Date Permit Valuation Park Support Fee ## $ Permit Fee $ 6D SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ t° ✓✓✓ Pressure Reducer $ Penalty $ 1 ✓ 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 $J 0t , This Application Becomes Your Building Permit When Approved Paid 104- 6.0 Receipt No. q6,00 Date 'l(/ By c -. 5...-- Building Official Date 3 d gb ✓J 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 is tied. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake.MN 55372