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HomeMy WebLinkAboutBuilding Permit 14. 1158 E ❑ O C) 0 0000 1 0 > E � � � n 0 $ 000 0 § ■ � � kk k _ mo § R k ok m �� kZkg § k\ co 0 \ _V .111.1.111w -I -I12 IQ > 0 0 Z � Z �) 0 xi �� o ., > 0 2 ) §; k z § '. • m m -o 0 > o 3 N 33 ¢ § -o t �.. % m 2 0 0 000000 _ 73 RI m m m ■ � � ■ t � � �. g > oq z 00 © a ® 0c _ = s mzs -0 Co■ ) c) 0 I z Pm i � zx7 zr k z n m P - Q / I M �� Zq o 0 | 4— $ 2 000000 . � o ■ m QM73n2 �� ® -. / / k k � � -o ® sA �� 41 2 . mkk -§ 41 z0 » mmq@ ...1 2z xi E -Ir 0 CITY OF PRIOR LAKE BUILDING PERMIT, Date; Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (c;i---PR/04. AND UTILITY CONNECTION PERMIT U z I. White File PERMIT NO. pd-"C �. 2. Pink Cit ��NNES�� 3 Yellow Applicant (Please .e or .rint and si at bottom) ADDRESS ZONING(office use) , �� 3c w/15 �� 4-r� w LE AL DESCRIPTION(office use only) PID 3� LOT BLOCK ADDITION OWNERre A e a ,e. (Phone) (Name) -' (Address) 30 2.-`1 L9 ' i!/ 2°.;/ e...,0;`.✓L oevid BUILDER 's�s�72Gl4b'�.c (Phone) �ti63 �y�--zOd'�_ (Company Name) ` 31'3d (Phone) 7 — X..� (Contact Name) � d Ma ��� �yz 7 (Address) Z...4( G.,k a�► 41,CC r New Construction ❑Deck ❑Porch ie-Roofing ❑Re-Siding ❑Lower Level Finish CI Fireplace TYPE OF WORK ❑ ❑Addition ❑Alteration ❑Utility Connection 0 Misc. ..o CODE: ❑I.R.C. ❑I.B.C. Type of Construction: I II III IV V A BPROJECT COST/VALUE $ .e Occupancy Group: ABE F HI MR SU —___ (excluding land) Division: 1 2 3 4 5 [ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building 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 i �authorized agent for the above-mentioned canannevok this per and that allc cons toperform needed inspections. official revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property O /` /G� 13-cLf3slg� X _' /111111111P-- Signature Contractor's License No. Date Park Support Fee # $ Permit Valuation Permit Fee $ SAC # $ $ , $ Water Meter Size 5/8"; 1"; Plan Check Fee State Surcharge $ Pressure Reducer $ $ Sewer/Water Connection Fee # $ Penalty Water Tower Fee # $ Plumbing Permit Fee $ $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE Recei.t No. .7 This Application Becomes Your Building Permit When Approved Paid Date ,' B IV 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 an may proceed as requested. This document be when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,i Certificate es Occupancy must 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