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HomeMy WebLinkAboutBuilding Permit 13. 0917 Windows E O§ n 000000 0 a zg I $ o 0 ( 0 0 0 �kkkkk k m k m b' 5 xi 7 m r ■z 2 * \ \ > Z t - 0 -4 § z5 A , * » / -4 m 0 3 @ @ � © 2 7 q z § W 0 D. 0 0 x \ / - z ` < 2 . z 2 m 7 ,\ G / - o $ 7 `' N \■;Z: z » 00 OEOOEO m ■ m mm �� 5 � k K �� / oc -1 §E k § 7 \ , V\ . \ \ -n §§73%§ m 0 0 o \ § \ 0 �` �� I§§§ § 2 § i r @oo o § o a § �& a cq z s § 2 m t, • \,\ � § I 7` 2 c § w ( c ).- m \00000 K z \ o v ` k §k� d $, m f m \ z � § >mmzm • �__■ ®/ c ' c z Z K ¥ 0 ( ( '; . CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT r/NNESOle' I. white File PERMIT NO 2 Pink City /3 - 9/ 7 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS 5746. / So 4 e 7 c Q / SE ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER I / 5? 1 4 197 - 9 7? (Name) ,f 4 M S �C d l n (Phone) q (Address) 5 7 VS / S b 44 57 (. 7 Sr BUILDER 62/3 y L Y (Company Nam Pella Northland (Phone) ? (Contact Name) 15300 25th Ave N. St 100 (Phone) J O di Plymouth, MN 55447 (Address) Lie # BC645090 Ph. 763/745 -1400 TYPE OF WORK ❑ New Construction ['Deck DPorch CRe- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ['Addition ['Alteration ❑Utility Connection 8 window r/plavMeni in tr /1,x/1 CODE: ❑LR.C. ❑LB.C. Misc. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ 55 G 0 op /4 /4q1 Occupancy Group: A B E F HI MR S U (excluding land) 1 Division: 1 2 3 4 5 1 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 ons. ins ec �$CG�lSu�o j /3 1)( G.-----------:'"'I'''...5--AfN"--'"'"--- Signature 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 Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee I $ TOTAL DUE $ 79 7g- This Application Becomes Your Building Permit When Approved Date � �''' . Receipt N o 49 g '/l /.3 By �� nL — i Building Official 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 all inspections (952) 447 - 9850, fax (952) 447 - 4245 4646 Dakota Street Prior Lake, MN 55372 t Y • r 4 • i