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HomeMy WebLinkAboutBuilding Permit 15. 0644 n OR0000 I $ t E0 E cO O ■ _ ■--n -n 0 o - _ s ■ ■�c m m nrn� C k �cs � � ■ o� k X737 Z %�k � �§ hi n z 0 z emu 0 — xi - z -40zI1 > 0 g z 73 0 P"® a 7 ■ r § . t 0 73 •�_ 000000 m X00 ■ -0 ■ s ■ 1 m = mm �� mE27.Mc t * = § § § i ■ mx ■ n c Co E ■ � § ■ tea § z x b 2 § f 7 > 000 0 C 73 ri -I m Ulm ® 1 r � m9 C % q t �� � III, r p 0 k k n F31 c 0 I \ m 000000 C P t §73730 U m 2 � � 7777§ � \ I § 0 73 - - § -Ii 0 I PRJo* CITY OF PRIOR KE NDate 'd TEMPORARY CERTIFICATELAOF ZONINGBUILDIGPERMIT COMPLIANCE Rec'd UTILITY CONNECTION PERMIT l5 I. White File I PERMIT NO. I Pell City f� (Please type or rint and si 3 Yellow Applicant ` (lJ P gn at bottom) ADDRESS © (JOOC'at ..tom . � .---- ZONING(office use) Z---4ii/t&.) -S-5-3 Z LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION SID OWNER (Name)_ A E-- / �^ (Phone) i(ol2-16(^��� (Address) c.( Cf✓ UJ ) C e � (...4 .- , IJ t^^32 BUILDER �`, (Company Name) w..L' —A► is. .rL T (Phone) (Contact Name) ' s" 14 #{c5,' (Phone) 1(z ( — 4'V/0 (Address) Ai TYPE OF WORK El New Construction ['Deck ElPorch Re-Roofin ❑Addition g GRe-Siding ['Lower Level Finish ❑Fireplace ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B ? Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ it 431C Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnish rmat so on this application which is to the best of my knowledge true and correct. I also certify Mat I am the owner or authorized agent for the above-mentioned propel that all co . uction 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 revoke t. . rmit for just se rmorc,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature CJ Contractor's License No. Date Permit Valuation Park Support Fee ## $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ 1 State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ 1 Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ This Application Becomes Your Building Permit When Approved Paid q"7i` 1-17,5--- R eipt No. Date 6,is' 7$ 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 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 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