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HomeMy WebLinkAboutBuilding Permit 14. 0292 J W ZI � ZUVa Q LI. W C92WWy 2 Q o 61 WN i D D re W O 2 v 0 ON Z » < W pZ o w aF OOg � 0 �Q d LU 44 6 0w = rere _ a- 0 0 ILall a V) Ca aXLU a = z N �! JWJW( a23vsa2 WWW o WLT.WZ 0000 ❑ ❑ v c w ..<= a a LL J F- Z o Y CW) z < W 03 Iv go Z " < 3 r, a ce Z O W F- P. 1- h- 4 004 ILO N o la a' Z fZ2�� -I La U u = u0 O p ce p U a G O u. Li. u. . r) U U 1. 0 a3 ? O D ❑ ❑ ❑ ❑ ❑ C) D PRIGI �, 1 CITY OF PRIOR LAKE BUILDING PERMIT, ��// j;; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd .421111111101.e;(7' AND UTILITY CONNECTION PERMIT I WhitenFile PERMIT NO. I ease I or tint and si_. at bottom 3 Yellow Applicant ADDRESS Q� Z C�[�J p (Q D j N i (j) js , , ZONING(office use) tu LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) li i _ I or st nil (Phone) (Address) 2..,. .,9 BUILDER (Company Name) --, �', d ALL.._ t V . 010(Phone) ...z^ Viz.. /7&Z- (Contact Name) i.A • (Address) + , U , A. 1-.") (Phone) VI L- 71.'3- 4 3 Z. TYPE OF WORK 0 New Construction ❑DeckOU ihty C nnectione -Roofing ORe-siding Lower Level Finish 0Fireplace Addition Alteration CODE: DLR.C. DI.B.C. Type of Construction: I II IV V 0 Misc: 1Q Occupancy Group: A B E A B Division: F H I M R SU PROJECT COST/VALUE $ 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-me kt ned properly and that all constructio, . official c.,. conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building pemut for just ca se. ,R, , ',., I.ereby agree that the city official or a designee may enter upon the R � r Po property to perform needed� ons.' -W- tgnature ` Z. Q y i G.. Contractor's License No. Permit Valuation Date Permit Fee 111111111111111 -_ Park Support Fee # 11111.11111111 Plan Check Fee Water Meter Size 5/8"; 1"; PenaltygigEEfalIllIlllLPressure Reducer $ Sewer/Water Connection Fee # Plumbing Permit Fee IIIIIIIIIIIIIII Mechanical Permit Fee IIIIIIIIIIIIIMI Water Tower Fee # $ Sewer&Water Permit Fee ©_ Builder's Deposit $ Other 111111111111111 Gas Fireplace Permit Fee 5.1111111111111111 TOTAL DUE gallanyNalA This Application Becomes Your Building Permit When Approved Paid T� �— Date � Recei.t N•. s - // MR „„„,-------,T17-----.Official Date This is to certify that the request in the above application and accompanying documents is m accordance with the City Zoning Ordinance and may when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, issued. proceed as requestedOThis document p cy,a Certificate of Occupancy must be Planning Director Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,limy 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372