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HomeMy WebLinkAboutBuilding Permit 09-0622 5' 0 ci'& ~ 0 0')(0000 'V ~ ~ -(") III 0 J: 0 z_ al 0 0 ~ 0 en'TIz'TI'TI'TI 0 0 ~~ 2 n 0 0 i: ~~~~gg z m :::u mo 0 :u :u :u i: m :::u m 0"1'1 ~ :"l :u :u ;II; -r->I:z-t z en :t"U m m m z -0- en 0 en en -t~>~ p o:::u ~ -t > Z "tI - -t z- > -t -t m 0 - zo to cD 0 en en o z 0 0:::U S 0 -t "1'1 -t Z co :u > 0 ::!> ~ 01 l' 0 0 0 Z -t Z 0;11; "1'1 0 > 0 mm ~ 0 ~ z ~ :::u r- r- c C;J -I "1'1 "tI "tI ;.. J: 0 :u :u ~ m :u 0 0 000000 z :u 0 0 ~ m m m m l:"Uen~I:"U )( Z m m mr-i>,mr- -t c C 0C: -tOC: >iii en I ~ z ~ "'ll J:I: mJ:1: 'V (") en en m 'TI!!!:U:U:U!!! m 0 0 'V ::J 0 ZZJ:J:-Z :::u z J: ::! ~ m CD -t >Ii)go Ii) i: -f m 0 ~ 0 r-'T1 0 :u :::j ;U 0 ~ ("') ::! 0 Z -;11;;11; - Z c: ~ 0 3- ID Zc:c: r- ~"tI"'ll p m z :"l m 0 ~ ." ~ 0 ~ J: :u m ~ 0 0 c: 0 :::u < 000000 ~ en m :i! z :u Ii)"''''o~ ~ ~ Z >;0;00 ~ Ao 0 Ii) f:!!mml:li) ~ ~ ~ _"'ll"U"U~ .-1 i:l ~>>>c z >OOZ=i! ~ 0 _mm-t_ !11 :U'TI:U r- oof -t-- r- i en~ z m -tr- Ii) Date Rec' d CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ',5":26, ~/rb/)J) j(s T~, LEGAL DESCRIPTION (office use only) f;/f;()7 I. White File I PERMIT NO I 2. Pink City .O~ 0 (p" .., 3. Yellow Applicant . ~ '-''-''. ZONING (office use) LOT BLOCK ADDITION PID OWNER (Name) Sea j-I- OV/'-eIG l5".2t -1 - - . "d-i / IJM (Address) 'V ..5 /.oIJJ{; LL-L- (Phone) 1'5...2 ~-1 J-J 9/'1 (Phone) tJ.2,.;JtJ1 77 ~ 7 I~ /J11V. ~I L/ BUILDER (Name) /rpc-,x , /J/t1I { tjJfIj (Contact Name) (Address) TYPE OF WORK o New Construction ODeck OLower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) S '() .500 o Misc. (Phone) QS:1. -#/f7- /(,3# 7i. N. ORe-Siding OUtility Connection OPorch OAddition OAlteration 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 or authorized agent for the above-mentioned property and that all construction 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 this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. ~~-~ "'ztJ (, 33 (, 8':L.. Contractor's License No. $//3/ O~ Date Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ This Application Becomes Your Building Permit When Approved Building Official Date Park Support Fee # $ SAC # $ Water Meter Size 5/8"; I"; $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE $ - 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