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HomeMy WebLinkAboutBuilding Permit 12. 589 . Z }( �u. ce 0 7.1 7,7% k \ 0)) w -11..; o - z 7 7 k § a wu��o ) � \ • / 00000C( 0 § / w ? -....,,s 0 A , / ® u L.: z Si ui N4 B -J Ma...., z 0 - W t. 0 c c I- § §�- . 1 0 0 w . la z & 2 ~� 1:: c $ \ 2 S 0 a °$I�§i a. f z 2 § uw § 2 o E w 2 a�§ w 111 § �� 000000 '� $ § § § / ©� >: ..,„ :11 0 b 0 0 / k T: w j 0 ( z 2 0 :! � \ k • Z o m w «-- k g O < Oz g u) 0 0 - w 2 W O 2 k �) § ` k /\ § / O • w 2 1 pc z R od o ?E 0 0 a. en 0 0 0 uu. U.§ D e O Q? « 0 a 000000 0 5 Jul 23 12 01:55p Kathy 952- 492 -6828 p.2 I ., p Rj -- CITY OF PRIOR LAKE BITILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7.3. "' 'i • to AND UTILITY CONNECTION PERMIT `� 4j. c I Whi le File C • 5iC I PERMIT NO. (,^ y 2. Pi nk City 3. Yellow Applicant lJ (Please type or print and sign at bottom) ADDRESS / r ZONING (office use) ) S S (( 7 II/ Uvas , - e J LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (awNER —/-- -b Y -- Sa 1.!/1 sv veti 0 (Phone) `/67d - c! r Y a c I V y (Address) (Companyy Name) JK -ev , K! v 6 ki Gf (Phone) qO� "l - / "' Y7e :3 n ` 2 (Contact Name) AI ' (Phone) I $ !� 4" (A — ‘ - / - )t e 3690 ,did f . 1 (� �V d 4'G16- r TYPE OF WORK ❑ New Construction ['Deck ['Porch te-Roofing ['Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition DAlteration ['Utility Connection CODE: ©I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I 11 111 IV V A B ��) Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ c Division: 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 laowledge 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 rev. : this permit for just cause. Fu . emaore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X lip .0 , ‘ ,/ / _ aii . /3 G & 3 /& 7/ /Id, 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 tt $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE 5 This Application Becomes Your Building Permit When Approved Paid --- , - S Receipt No. (<O 97 Date CAI y /a. By 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, ifany 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372