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HomeMy WebLinkAboutBuilding Permit 11-0859 E g 0 17131:101:1 -0 0 > En _ * o 11 0 § \ �\ \ / � ) / � / \k cn > a _ �) ® ` Z k % § \§ P $7 % t �® q ` w m 0 2 0 0 $ q \ NO § m 7 §§ ► 2 ■ 3 / 0 n a o m 0 / § f . . m 0 7 2 J>. m X R R I w O E o O - 4 E o mr > 2 ® K °° ?c %?& •u n . 2 0 2 0 m . xc m 0 _ 0 ! _ » % m -,ZIX -z m o = ITI , m % 0 i �� �, >000 0 § / % q \ k > ) ) Z . / 0 2 m — r -- p m \ I x � , • 0 q 0 i oc=e=o § � m 2 22 0 § -) �§ > WMMC0 0 r- -o((x q z agq�0 § x � X � E k ®z - q z r (*.INES:4'1` CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / AND UTILITY CONNECTION PERMIT 3( ' S t. White ink file PERMIT NO. /� 2 Pink City / .' ` 3. Yellow Applicant /` / V (Please type or print and sign at bottom) ADDRESS ZONING (office use) ` /.2 6 o CZ (>0___ 1/- e._r-- 1 v , t LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER R L l ^ 7 6 4 1 . 511 2 (Name) 1/C� 6 n Q _ e��� ( (Phone) (Address) 3 SS° 1 -k- 1 -k- Ivo 2- 2- o t o S go,[ / ma SSfi 0 (Company gy A - 1 y G f OhS �r' u C�1O r � C (Phone) 612 '"215 9 20 R Nam hone (Contact Name C e (Phone) � p [� p 6 (Address) 6 9 4L E r✓kiso A'vC.,_S R vJ ALT- n J..0 . TYPE OF WORK ❑ New Construction ['Deck ()Porch Me- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ['Addition DAlteration ❑Utility Connection / CODE: DI.R.C. DLB.C. la MiscP& I4L n � I P.cS IL / ac ea&sc LI/1400-. - Type of Construction: 1 II III IV V A B 0 Occupancy Group: A B E F II I M R S U PROJECT COST /VALUE $ 2 0 S © o t Division: 1 2 3 4 5 (excluding land) I hereby certify that I have Punished 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 , operty 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 c, 4 ev , i perm ■ t just cause. Furthermore, I hereby agree that the city or a may enter upon the property to perform inspections. ` !- 06 56 9 7. -3o -i t X / "�r ,,�t . tore Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5 /8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Cormection Fee # $ Plumbing Permit Fee $ - Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit 5 Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee 5 TOTAL DUE $ 1 7 9 7S-- This Application Becomes Your Building Permit When Approved Paid f'( 1r ) pt No. 6 0 . -_3(,i( 7 jt- Date 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 C.7oudifiiins, if any 24 boar notice for alt inspections (952) 447 - 9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372