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HomeMy WebLinkAboutBuilding Permit 11-1283 e O — n o 0000 B o a En ( D 0 00 0 § I B �3o = m k � / § ƒ �m �) ®�cEz ■ ok § r m o§ f Z§ % § B § 0 pl GI q \ _ -I o o 2 I� 2 ¢ n z z § 73 § k � k § z x 'n n > o . - § 2 r § % % , % k k 0 o z n n OOCeEO q q mq 1 m�� >mr 3 o z o c 0C _1q[ 2 * E 0) it 1 a c I X 0 mI■ n CA m ; \ ® P > 000 0 3 k \ m § j / $ $ / / ' c 2 } � �� �_ b \ k 0 ' P �' • = m I C 0 N CI < 1 000000 2 § 22$ § 2 - § o ® (mm § — \ § 4 h � � Wiz- z k WI w r 0 / \cJ \e‘l\C - - ©f P1o(1 t1 (p3 R Ip� 9 CITY OF PRIOR LAKE, BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1 Z9 ( I h � N to AND UTILITY CONNECTION PERMIT r 'E5Q � 1. white File PERMIT NO . { 2. Yellow l o C // ` / ��3 I 3. Fink City (((JJJ (Please type or print and sign at bottom) ADDRESS i ZONING (office use) 19 ' L.9 Bridle P idy Tr. N I LEGAL DE (office use only) LOT BLOCK ADDITION PID i OWNER i v n ^ � O �- (Name) -61 Vv\ LX- P)V� 1Q Aci.. / V' (Phone) 2 - J ' = t =7 (Address) 1 1 7 L - ' i d I e R i a Ti r. l P r or La , ,44 j 7 2 BUIID a me) o�UClv I 7fJ I `l'- ` hone) �l: (Phone) Q��_Z - - 5(c 2 (Contact Na e) .. h V\ I-L l i z) U L( Y (Phone) �) 11 1 (Address) 7-6 GCJ Rkt e -I-- ` I v4 4 ..,- 64 vet 4,' ,`V 55 3 �' 3 TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace DAddition DAlteration DUtility Connection At el G i � CODE: ❑I.R.C. ❑I.B.C. Misc: e. o r - ef , 1 © w �2 vve t I Type of Cons I II III IV V A B Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ ,l , Cx Division: ( 1 2 3 4 5 (excluding land) 1 hereby certify th4t 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 pr.. rty and that all co struction 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 revok er . it for just c . Furthermore, I hereby a ee that the city official or a des may enter upon the property to perform needed insp X 2 © �`� r � �i27 1 i�Z3�l Signature Contractor's License No. Da I Permit Valuation 2.5; Park Support Fee # $ Permit Fee I $ f) - '7J SAC # $ Plan Check Fe $ / t Water Meter Size 5/8"; 1 "; $ State Surcharge $ Pressure Reducer $ Penalty 1 $ Sewer /Water Connection Fee # $ Plumbing Perrrtit Fee $ Water Tower Fee # $ 1 Mechanical Permit Fee $ Builder's Deposit $ I Sewer & Watex Permit Fee $ Other $ i Gas Fireplace permit Fee $ TOTAL DUE )) ( t, 30. p $ 79 73' 1 /; This Ap d[ ati.n Becom : Your : Iding Permit When Ap oved Paid z eceipt No (p 7f i Date /2 . i. 7/ Y ; // 3d /( Buildi Official Date I This is to certify t 1 . t the req -st in the above application and accompanying docume s is in a ordance with the City Zoning Ordinance and may proceed as requested. This document when signed by • - City 'l.�'�ner constitutes a temporary Certificate of Zoning comp ante a allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. i lb 1 .A 4 /fi/./v 11 I l P ,i °!R'7SR7 D e Special Conditions, if any our notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 t t t _ _. _