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HomeMy WebLinkAboutBuilding Permit 16. 0369 ƒ 004 O co2E. 2 � -n k 8 K4 2 n a 0 0 0 c �t373 moo z m 2 � � b r. . � ■ x 3 "lrc ■ § ° 71 m no RI n ■ m E § ■ c, z § Co � -o / t � a > -I m 0 , . �0 % 43 o q ! z § o § 0 z § z � § k % o » I' 2 m 77 r o 3 I . k z xikk oOO ❑ cO m ■ mm ■ � ■ * ■ . . E - § a 0 mr -40 | § % f ® / 2 71 § § 32 § rn 0 Co , 2 m • ° 2Ez ■ -z ■ 0 ` 7 0tvl _o z � zXx ■ Z • ) C Po m � � � § 1 § 2 m 2 0 2 _ m 000000 , � mk7 K � Mn §�®_ 0— iiii, t m qAr z m § n > 00 4 m . Mq r -1 § r. 0 ■ OF PRj0_ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE L� AND UTILITY CONNECTION PERMIT ! - Z&..�� �'NNESO�P I. White File PERMIT NO. // Pink City ` (P / 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) / 70/ 61/ beer -CI 1d 2._ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER A^ 'o_ (Name) Pl i 1 k� M 9 f i til (Phone) Wel' S C'S-` tae CO (Address) /7 a(p y ( - fl i IS 1>1Z BUILDER • (Company Name) j 4 b e ar s i.,-u c:7-(o r, 5'V('i e.e5 (Phone) (1?-- '-1 7-3 S a 9 o'Z (Contact Name) 1V1.G v I&. r> u bet ri (Phone) (Address) 5-5-3 ci 1-1-191N Qui rl 6- ..5E_ pf t;it L-ciis TYPE OF WORK ❑New Construction Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ❑Addition ['Alteration ❑Utility Connection CODE: DI.R.C. DI.B.C. ❑Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 35'C20 Occupancy Group: ABE F HI MR SU (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 r oke this rmit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X,, ;' 693I53 y--740- ice Signature Contractor's License No. Date Permit Valuation 4000 , - Park Support Fee # $ Permit Fee $ ` ©-�. SAC # $ Plan Check Fee $ GOO T5 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 $ ( -7 ` . 9c This A'! ati t Becomejour Building Permit Whe Approve Paid /7/ 9.5- Rece o. cr..5-� // Date -, 24, /4. By �>N; ,Oft- ate This is to cS ify that the request in tl�above ap. - -nd accompanying docu ents is in ac rdance with the City Zoning Ordinance and may proceed as requested. This document when sip) . byte City Planner constitutes a temporary Certificate of Zoning co pliance an. Glows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. " -ening Director Dat- Special Conditions,if any 4 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 • r ��� Jjr L yg g r s W s' t m M1 t ...� ,.. @ g tgS ,qs y t, Vm 6 ekV is