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HomeMy WebLinkAboutBuilding Permit 03.0218 5 OOH C) DDDOO xv o > 20 $ o 0 ■ � s-n •nm § s35 n 0 a © ° o ■fo E �to z k r m• m m ■ r � § k� � � t Z $ ! Q � o P 2e .. m o II1U co xi I 0) z I ❑ 00002 x qm m ►- ■ ■ � 3 ° \ \ /\ .2 OC §_10C '8 3 . ? q § § X § n§ zlz ■ 0 §z xn k d 07q W2 / / m \[ 2 \\ \\\\ / r2 o ] - § , ■ 00000 ❑ O � kxim0§ ' < � ` § NI • m > � NI4r C4z E \ \` r 0 � . i . f W ei . I • Q { as U I , P 01. •-e.• Alb aft eV't t Gel tlel • Vb 440 11.11, I • .PlO4P C. OF PRIOR LAKE BUILDING PIOVIIT, Date Rec'd , it ;- TEMPORARY CERTIFICATE OF ZONING COMPLIANCE U -4AND UTILITY CONNECTION PERMIT _ I g 3 4, .0. � ��� /� I. White File PERMIT NO. _ A 2. Pink City `'�I( 3. Yellow Applicant ��- r vv (Please type or print and sign at bottom) ADDRESS ( ZONING(office use) ''g-3- ioC� � / , e _zi LEGAL DESCRIPTION(office use only) LOT 2,BLOCK ADDITION, a /tJ/c //e7'- dd". '' i PID 25!5 91-1(-7]-0 OWNER J� (Name) d•E.Y S +U A (Phone) (Address) IMAILDER (fie) EC-eGi fi tromp c a---,v -7--,,e/„.32-•--6-,„-s. ,..,-2-_„..-c--- ...) 76 3 yZ S-_ t y.s--C ( Name) C '/oZJ f . °/ /.,---)--)t. (WO ( S) // c y) Z,W--Cl.4 -v/7`�(- iia L TYPE OF WORK 0 New Construction ['Deck ['Porch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ['Alteration ❑Utility Connection 0 Misc. r re,-416( r m PROJECT COST/VALUE (excluding land) $ 1./`7/ 000 I hereby certify that I have - 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 •.ove-m- :coned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am :ware . at the building officevoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the . ..-. t. .erform needed insp�,.t . x CC CO2(-- _3 2 - /a7. 0 Contractor's License No. Permit Valuation 500 ---- Park Support Fee # $ Permit Fee $ 23-j SAC # $ Plan Check Fee $ /5% 7-7 Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ City SAC and WAC # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit ee t $ TOTAL DUE $ p 3?.:2-7 This AI)!i do• . .' I. . Building Permi en •pproved Paid 7, $eis Receipt No. i/ g Date �-�L--'C3 D By Aliaid .`� 2 0 , Buildi t 0"t i. P to (J! 1 V-�J !i 01 0 3 eii- S 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 Occt;pancy must be issued. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 16200 Eagle Creek Avenue Prior Lake,MN 55372 u