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HomeMy WebLinkAboutBuilding Permit 14. 0277 o O n c'ODO ❑ 0 a E in 00 0 e 'fl s � � -II 0 & o $� A n a 0 0 0 3 =iz ■ 00 m m �o § ° xi s � r � ■ a � ■ �� P .011111,4 m z o ■ ■ § t � � Z •$ >r-C P Z - B o73 § IP cn © z § g ■ 0 z � 0 ' m m \ 0 >r z> 2 1 qr o 3 _ / m o Xi 73 73 0 0 c 000000 X q 2 m 1110- .'1 ■ -acn ■ ® -o E -1 z a a m� � ter- r nc pn 7 2 § ƒ § � � 7� � � z � } C' A 0 I rn § 0 xi § 0 § Pil > CcZ r 2 z « r � � P T § 1 2 11 §0fn § ■ m ❑ 00000 \ Pli z 73o �� �� �o $m F °• z'n § � I§ nn - 53 � xi � -1r - B"42m ic-PRI0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE r=7ANDUTILITY CONNECTION PERMIT 44NESoit. I White Fie 14,02-7/ 2 Pink city PERMIT NO. 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 31 cl o w v 0 D b ,c-k 17r ti/tJ Pc'i) LEGAL DESCRIPTION(office use only) 6 / LOT BLOCK ADDITION PID t25— 53~7'- (` OWNER (Name) C✓i IL s • wt i "--P-�€-- (Phone) (Address) 3 ( c D (,J cTO 0 1 e.,_cJC-. Dv-_ /lam IA/ BUILDERp 'i ( - 4 /(CCompany Name) (Phone) & S 1 - S 1/ ' G' q 79/ (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ❑Deck ❑Porch EA-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ['Utility Connection CODE: DI.R.C. DI.B.C. 0 Misc Type of Construction: I II III IV V A B PROJECT COST/VALUE $ � o 6 Occupancy Group: ABE F HI MR SU (excluding land) /Co Division: 1 2 3 4 5 t I hereby certify that I have furnished information on this application which is to the best of my knowledge true and con ect I also ceiufy that I am the ownei of authorized agent for the above-mentioned property . that all constiuction 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 is perlus cause Furthermore.I hereby agree that the city official or a designee may enter upon the property to perform needed msp•cttons XyL 1. ` Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ r741, SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ 5 03 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 $ ig, r75- This Application Becomes Your Building Permit When Approved Paid (,: -i .S' 6 Receipt No. 171 ff Date Li i LB ./ Bye Building 0111e al 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 Ceinficate 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