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HomeMy WebLinkAboutBuilding Permit 16. 0418 C) a k- 0 Q O X00000 0 $ �_ J � � C §zk�2§ Z m "10 n 0 0 0 0 m E Et7 z 0 -§ • Al7 m m 2 6 §0 r q q 9 z t § 22 �& bn § 7 0 \ -n © a 0 a z 7 \ \ IO 000000 / m 2 § 0 $7 � $�/ m q \ 222 2§ m 00 cn \ q too _ ,� 2t� §� K & z § r § 73 c % k k 0 cO m m a > cc 9 0 % 0 a z oe 0 2 - o ® 0 . . g 0000D 2 0 cn0m m k1313$® 2 Z ; c; 7 Q z a mrn 2 ■ mm r \ 0 � §i § - vof PRI" CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'do ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1(0 tv AND UTILITY CONNECTION PERMIT 5 5 4,'NrggOtr I. White File PERMIT NO.t i le 3 Pink City p 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 16, 6 --7 (,) /r16I y L orkc. PR .F.-:._ Pr csr L4-e.; A'1 N >S 37 z is LEGAL DESCRIPTION(office use only) LOT k BLOCK ADDITION &j(€_CtiL5ift/bSPID -o OWNER L� ' �en Cd. D. Avr,r j (Phone) (Address) (( fo?G /t\ 4 id)/ L1-fC OR SE BUILDER (Company Name) f- b c5 C d`5-6'. uG-1 On 1 LIC (Phone) 5~ -L-151‘ (Contact Name) Arvdy' /L TJ-5 (Phone) - (Address) "-g 16 041 AVC. /VW Ale.-- J'r ci y.4.e / M,/ SC.Q7 i TYPE OF WORK 0 New Construction Npeck ['Porch ❑Re-Roofing ['Re-Siding ['Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ['Utility Connection CODE: C. ❑I.B.C. ElMisc. Type of onstruction: I II III IV V A B500 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 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 just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. IX Signature Contractor's License No. Date Permit Valuation 5a 4:2© . Park Support Fee # $ Permit Fee $ C t 1( , — S SAC # $ Plan Check Fee $ —1 .5.4 Water Meter Size 5/8"; 1"; $ State Surcharge $ Z Sd 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 $ t(a^/_ •I 1 This ' 4 lic, ion Becomes Your Building Permit n Ap oved Paid ,"q4 Z9 Receipt No. lj' 1�/ ♦ 1 0 � II. Date .5., 5 .1 4,,, By ,.J d 5 .432Eh.. 1 ate This is to rtify that the request in the dove application and accompanying docu ents is i accordance with the City Zoning Ordinance and may proceed as requested. This document when si. y t} .City Planner constitutes a temporary Certificate of Zoning co pliance a d allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. c or Date Special Conditions,if any 24 hour notic for all i spections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 . .- ,._.,„.•....•_ •.. . .-'•' ' - - - -''''' .--' • •• -. , ,..... ...,., , _ . ...-__._ -., ._ _ - - •-'''- '• - • ,,:-.,,...,•,_•.-•-•-r:,..',,,„-,._,._• ..,._,,,_.-.- ''- . , .,.._ . • - ' . _ , • '' .•'• ''"....-'. ''-'' ''"'-•.'-. '-'...- -' '.• - --__ . - ' '''' -•'•. _ _ •• .•••.'_:-...,,..-;,i••••••..•..:)..,•-.:„J.•-• .•.,-.i.,',i 7..''.'..r;i.'•!1,-,-.••_•••' •"-. .' - . . '.-' .'' ' .' '''-' ,; .:'....'• -•.' . i..-. --•' ,A_.. ',,,,,--' ,„. ''..'•..,,•'.i -----•-•'- •' '..--'-' ''-='-..''.'''-',.-.•..;.,-..'-,;..,,i i i-'..--.,,.'-•'''.' 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