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HomeMy WebLinkAboutBuilding Permit 13. 221 E O 0• C) 000000 11 0> $n n o k 0 00 . 2g � �Bk © § m c c m m n q k r % nix h. m 2� \Eaz z ■ �-0 t .4 ®§ -I m § Z k ® ■ n z o z ■ ri % 0 K z - t o . , 0> 7-1 0 1 � (1 m m m r o < o \ �� 71 R R 1 000000 x § m m C 37 ® E 'a E w c o o am c§� c 0 2 ? m i § ■ § x § m 0 s 0 co $ 2 m 2 © � � »Boo $ z m _ 0 z ∎ `. r - 2 2 a q c r o U m § -a$ P �' m / = � m N 2 0 ► - W Cr AOOOOO { _ ■ Q > 0 "220 ) § ® c§13§© i ri\\ ; 'N q n > mm 4 - q11 ■ �r 2 � f 0 m o pR joy 75- ti CITY OF PRIOR LAKE BUILDING PERMIT, 7 . Date Rec'd N T EMPORARY CERTIFICATE OF ZONING COMPLIANCE " AND UTILITY CONNECTION PERMIT 3 --.2j�.�j' t. wt, kit' FCiik ry ' PERMIT NO. / 3. Pic 11 (Please type or print and 3. Yellow Applicant sign at bottom) • ADDRESS ZONING (office use) yea q e.e ___, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID O n gv 'I (Name) I�11�'1'\ �r.7A/ It CLUtt (Phone) '71 - `75 - /Q/ / (Address) 1 13 - g 0 ij `0 E. &-i a-4_4. 6 7a BUILDER (Company an Name . ! 1 ! : (Phone) — - t2 -1 �O (Contact Name) + (Poe 51- `j g Li- 9,14 ` 40 (Address) 7 �.o ' ' +v m N S !� JJ y' ( customremodelersinc.com TYPE OF WORK 0 New Construction °Deck °Porch Roo �- fing °Re- Siding Lower Level Finish ❑ Fireplace DAddition °Alteration °Utility Connection CODE: DLR.C. DI.B.C. 0 Misc: Type of Consiruct on: I II 111 1V V A B Occupancy Group: A B E F 11 I M R S U PROJECT COST/VALUE $ 1 560 • I Divisions: 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 true and correct. I also certify that I am the owner or authorized agent for the above- mentioned property and that all will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official revo this permit for ' cause. ore, I hereby agree that the city official or a designee may enter upon thyperty to perform needed inspections. X e !2 o v /7 •/3 S' tune 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 Pee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ • This Application Becomes Your Building Permit When Approved Paid R: it NO. 7 7. °��'J Date — ,).. - 1 , 5 B j - uilding Officta1 Date This 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 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 an inspections (952) 447 -9850, fax (952) 447 -4245 (646 Dakota Street S.E., Prior Lake, 11Iinnesota 55372