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HomeMy WebLinkAboutBuilding Permit 09-0487 0 ~'1 0 o~DDD "tI e > -0 0 :z: ~ 0 z_ 0 en."z"''''''' 0 0 ~~ ~ 0 0 o 0 s:: ::jZ(l)~OO z m ::0 me > ::0 ::0 ::0 !: m>c co m ::0 m 0." ::0 ::0 ~ -r-S;3CZ-I (I) r- m m Ul m Z -0- z (I) ::!" r- en -I~>~ 9 >a 0 o > Z 0::0 t -I -I -I "tl - -I z- hl ~ -f m 0 - zO 10 ""f > - o Z 0 S cD o (I) en -I Z 0::0 -I ." co :xl - > (5 ::!S; ~ (/'I ?' o 0 0 Z -I Z 0" ." 0 > 0 mm ~ 0 > Z :xl ::0 r- :< r- 0 ~ -f ." "tl "tl ;.. :z: 0 ::0 ::0 ~ m ::0 0 0 000000 Z ::0 0 0 ..., m m m m 3C"tlen~3C"tl ~ >< z m m mr-~>mr- -I 0 0 OC -IOC en ~ C:i Z ~ "tJ x3C mx3C " 0 (I) ~ (I) m .,,!!!::O::O::o!!! m 0 0 ~ "tl ::J 0 ZZxx-z ::0 Z :t ::! m lD -I >(i)00 (i) 3: -f m :::!. 0 ~ 0 () r-."oo ::0 ::j ;:a C -f 0 Z -~~ - C ~ 0 a OJ zcc Z r- Z :-1 m ~"tJ"tJ 9 m ~ ." C N 0 .... ~ :t ::0 m ~ 0 0 C 0 f~ ::0 < 000000 en m :i! Z ::0 (i)"''''o~ > Z >:ii:iiO R- c (i) ~mm3:(i) ~ ~ _"O"O"tJ~ ~ Z ~S;S;S;0 0 >ooz:;; ~ _mm-l_ !T1 ::0"'::0 r- -4 -1-_ r- i enz z m -I~ (i) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 2) /''1 ]c::() T"~. f\.\., r: ')'\,--, ~ Date Rec' d 1. y 4/ 1 White Pink Yellow I PERMIT NO. 0 Cf. 0 4fJ 71 I ZONING (office use) File City Applicant LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) ll'.) Lb (:'- (Phone) tfof7 ,~.? i"3 \ --... \ \f".-., (Address) BUILDER ' ------ (Company Name) t~ l'fc,{'I'^J\\.J(( -:--- ~ P-i'(\!\ ~.j (C' .~ -t .. ) V"\S i Yv C 10'-1 (Phone) CIS Zp. t! '7 '( s '7 .$ (Phone) SA""" '- (Contact Name) (Address) / 6 8:6 I I\.'-'\. ~ i=--. ~ r--' If' I Q v. ~ l ,-'-I\~ ~ TYPE OF WORK 0 New Construction ODeck OPorch ~Roofing ORe-Siding OLower Level Finish 0 Fireplace OAdditlOn OAlteration OUtility ConnectIOn CODE: DI.R.C. DI.B.c. Type of Construction: Occupancy Group: A B Division: I E II F I III H 2 IV V I M 3 4 A R 5 o Misc. B S PROJECT COST/VALUE (excluding land) $ U I hereby certify that I have hlrmshed m!()rmation on this application which is to the best of my knowledge true and correct. I also certify that I am the lJwner or authorized agent for the ab?ve.mentlOne....~d.lf.C operty and that all clJnstruction Will conform to all eXlstmg state and local laws and will proceed in accordance with submIlled plans I am awa. re that the buildmg offIcial can revo"~Js perml! for Just cause Furthermore, I hereby agree that the City offiCial or a deSignee may enter upon the property to perform needed mspectHJns X /~//")/'~ ~l ~.z -0 1 // Signature Contractor's License No. Date Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee I $ Gas Fireplace Permit Fee $ This Application Becomes Your Building Permit When Approved 8uildlll~ OffiCial Date Park Support Fee # $ SAC # $ Water Meter Size 5/8"; 1"; $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ Other $ $ ThiS IS to certify that the request in the above application and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThiS document when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be isslIed Planning Director Special Conditions, if any Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372