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HomeMy WebLinkAboutBuilding Permit 11-0453 5 00 0 0 O§O=OO U 0> E ° q §§ 0 2ƒk § § k m � \ PO cz§ 0 P 73 3 m �c E k2 m x qk % I n n m 0 m B -4 2. Q 0 § o� 2 o� z hi ICI • t ■ - } > j --I 0 Z z Z 2 Q a & : 0 d § \ § x o 0 z q 7 0 z ° XI ~§ �� = TI MI .. ( . _., % m 2 0 0 ❑o=O=o J\ Z x qq m . . § �m�C� c z oo nc�0c ; E1 , =2 = 2 x§ m n v 0 \ \ �,„ m & \ I z== m z X 0 x ¥ >000 0 ■ m ƒ r -noo 73 0 \ co > cc o r c \ / 7 \ o I k c 0 C -- < Eceo2e o m . , o } > k k mm3 � - a. k A >0 v z x_00 -- -- ._ � E ! -- — k ri co >— z w� 0 4\.) ts --4-3 W - )9_-)s-- 04 P R / 04) 9 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec 'd '(---; AN TEMPORARY CERTIFICATE OF ZONING COMPLIANCE `� AND UTILITY CONNECTION PERMIT l4 'NES° e I. White File 2, Pink City PERMIT NO City 3 * L17 . Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ' L' i j S G rw 14 .et 1 ✓c , S w LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER L - (_,/( f/� q � (Name) � �7Yl /1_E y YI (Phone) cis) ` IL jO ©-' (Address) 39/ S (-3 n Qpi► -1 h T✓ Sc-t) BUILDER i i / (Company Name) A 4 ..I. _ _ . • . if •LL.' . _ ' ._ . (Phone) (c.5 1- L /& S/ - C) 3y (Contact Name) ) (Phone) (Address) . SW / S S * /a-) R - 0 / /,t Q , ill /V S 7 5 ' f YPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing DRe-Siding ❑Lower vel Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection e./VY1.0-0-e / CODE: ❑I.R.C. I.B.C. 171 Misr: ) LA) C./An (Q.Ow / / 061,3 6-4 - Type of Construction: I II III IV V A B � Occupancy Group: A B E F HI M R S U PROJECT COST /VALUE $ V non /�LJn Division: 1 2 3 4 5 (excluding land) 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 ant aware that the building official can revoke di' rmit foist cause, Furtherm i, e, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. a1/404 40 a 6, -1 — 301/ C igna j Contractor's License No. Date Permit Valuation I Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 7 75 • This Application Becomes Your Building Permit When Approved Paid 7 9 1r I Rec ipt No. (p Z96 Date (o. 7, // I B 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 S.E., Prior Lake, Minnesota 55372 --• * 1 • * • • 40* 411 . NM 4 1Ib • ni