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HomeMy WebLinkAboutBuilding Permit 14. 0495 E0 n OlOOOO I 0 > B2 � �- 0 o 5 OHO §■K�©2 ■ m q cn �� \ 0 § Er E2 Z � 73 73 0 m ■ a» Q\ / k Z � 0kkX � mk !f zm r n \ . \ .. imo &m& s% � b. M n : c %% § z g z qp. 7 73 r ° I . ` 000000 k k k k it 3 -0Cn r _ % z ,, 0 0 • nc §� ns n ■ m 2 2 § • 11— - z m 0z C) 0 -4 ■ z §A§ § m m ) ? m �� rnOO @ r m k - > im 0 fn \ 9 0 2 % r hi 0 2 X rn 00 °000 N , 2 § \ :;: 73 rt. g \ > m11M r \ -I 7 § � r 0 m k Oc PR! CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd . 4. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Q ilkitAND UTILITY CONNECTION PERMIT 114$4"w"" I White File �, 7� �'I MI�'NESO4t' 2 Pill. City I PERMIT NO. / Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS / /560 HI /244:114 Nrw 7 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID • OWNER (Phone) %�� ' 71 - Lio Vii/ �"� r(c. (Name) ke/I7 A-1- 15 f (Address) /-5.671 dip, 4 BUILDER (Company Name) &«E/ L (,�72- u 2..-/ ,,0G i am'/,`r►S N s l-LC (Phone) C k /& eY (Phone) (Contact Name) - /A) �e -,(Address) 9/Y 1 ) TYPE OF WORK ID New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ❑Utility Connection ¢ , ®„MisC .:. ,..5,4,e Ne--, t,.Viv4u, .K cgiq,', /2.a. CODE: .R.C. ❑I.B.C. i 3,..)0�`= Type oftConstruction: I II III IV V A B PROJECT COST/VALUE $ / Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hetet)),certify rect I also at I the i 1 uthot nd agent for the above-mentioned have ai•ntlhed i1 co•sanon on ill conforms toallexisting sch is to tate and loe best of cal laws and will pioceeedy knowledge uue and tin accoidance with isubmitted bm ttted plans ncI aim,awateithat the building official can revoke this.pi• :,,; .iS• hereby agree that the city official or a designee may enter upon the pi operty to pet form needed inspections X �lIPP' ���� � Contractor's License No Date Permit Valuation Park Support Fee # $ SAC # $ Permit Fee $ $ 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 $ G� —� $ ` / Gas Fireplace Permit Fee $ TOTAL DUE „ l This Application Becomes Your Building Permit When Approved Paid ( Rec t No. Date G fl,( ` - B , Building Official Date This is to certify that the iequcst in the above application and accompanying documents is in accoidance with the City Zoning Ordinance and may proceed as iequested This document when signed by the City Flannel constitutes a temporary Certificate of Zoning compliance and allows constiuction 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