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HomeMy WebLinkAboutBuilding Permit 11-0581 o o n ONOC 7 0 D. 2 k oo 0 ®22m 0 z 0 xi \ � 0 0 0 3 �zep m m m n o / " / § § % §� \§ § § §\ n 2 -El Q 2 z- % t B g 2 0 % • 0 § § z 0 V \ Z k§ p 2 m A rt., • k rte\ r ^ I \ ) 0 0 I � / 0=2==0 \ z q 0 m \ �� 2 ® E ° ° ?2 § / ? & o'' _ | § K 0 m z2xx - 2 x 0 ? , q 0 G ] r-nR§ 0 § / 0 0 / k • 2 77 z § k$ f q 1- \\ g 0 } 0 \ o 0 i q / OD=c== \ 2 2 22 §§ . § R. D. ® �� E�� § E•1 $ A00�§ lb trl 0 ja mmK§ • m j ] 2 § m a 0 ii .-- PRI P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT U t r j 1'4NESOit* i. White File Pink City PERMIT NO. f 5 -t : ,... ) / 3 Yellow Applicant I (Please type or print and sign at bottom) ADDRESS ZONING (office use) '42-Y M' GI- li ly " Cao J).- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �1 (Name) ! 10 P a -, (Phone) (Address)s/1n -c._. BUILDER �, �,.,�'� Cr 7 - L (Company Name) r e 4 6 " � AP's 1-) eet. 1 �l ' "�- ' . (Phone) 932 fl- S f s (Contact Name) _ w..e-) 7- ^ (Phone) '2 "'Z 72 - s-'�57 (Address) i� 6S6! L-.-,e 1 Co,,,t,�, A40 -r TYPE OF WORK ❑ New Construction ❑Deck ['Porch -Roofing DRe-Siding ['Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Conne ion CODE: R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (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 1 am the owner or authorized agent for the above - mentioned pr Try and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building official can revoke s permit for just cause Furthermore, I hereby agree that the city official or a ©gnce may enter upon the property to perform needed inspections. s. X ,..A 2 JJ]] 1 /7 . 71 Signature Contractor's License No. Date Permit Valuation 7. ^09 Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ ' Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 5.—_ 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 ' JApplica •o ; , , mes Your Build', . • • rmit Whe Appro ' ed Paid Receipt No. r Date By Buildi ,..t2. Official :late This is to certify that the rcgi • to above a. • canon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when 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 issued Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372