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HomeMy WebLinkAboutBuilding Permit 10-1124 5 __ : 0 ❑X❑❑00 - 0 0 > 20 71 71 CA 0 n 0 vn - nZm 00 0 Z 0 -%' p; O O O D 7 73 73 3 CD � mrc3 m N �O cIsi c m m y m = 5; Et Z cn v ), > Z v �0�G) O z� tri 4. D 0 - m Z O z° b 4, o . : ^ O n n 0 u - _ , 0 71 z - U z g$ -n n mm 2 NIA r v --1 kAi 1 -1 x -n m 'O m x O O — T 000000 a O x �� z m m m _ - 7 -- J 3� O -1 z m p O ( m j c .n 0c xZ mx3 '9 0 Co 0 o C 13 2 0 = ZOO - Z 3 Z ^ m 5 m D -I 0 b O -I o 0 — r T _{ c O Z = m r— r v-o o m A 0 Ct x m O • C 0 r O N m 00000 0 d R. D O Nm m 3 m A v • Z Dn0ZT ' m x "x�c •s cn Z z m 1 r 0 • 1, ra'P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd A. , ' i/ r TEMPOR CERTIFICATE OF ZONING COi�TPLIANCE `-" AND UTILITY CONNECTION PERMIT ������ / IVIt E 5 ° I. uniito 'Flit PERMIT NO 2. n flip ( ( �• t !Z Yolk Applicnni fPk aw type r print wad r rt at b ottrrm) ,-----..._ ADDRESS ZONING toffee uso) 2 g5 3 5p-„ 4,14‹ )441 _ LEGAL DESCRIPTION (office use only) LQT BLOCK ADDITION PIE) • (Name) f 1/Ul'd,4� � 6 5/) 7l /J /7Gr (Phone) 4 f / (Address) Zee ., - r oe '../.1 ./er e -/ear •} 5 7 - BUILDER (Company Name) ,./24/41146../ 7G ,,, " G 1 6 (Phone) 0 3 - 9 1 - 1-- ( - — (Contact Name) . '1 1r / (Phone) (Address) /7 ?,5 i' , � t .4 / / 1"447./ ve ,4,/ 93 TYPE OF WORK ❑ New Cottsiruction ❑Deck (]Porch Rc- Rcxlfing Q OD :met iding ❑wet Level Finish. El .Fireplace ❑Addition ❑Alteration ❑Utility Connection. ' CODE: R.C, ©LB.C. ❑ Misc. Type of onsteuction: I 11 111 IV V A B �,, a P® Occupancy Group: A. B E F HI MR S U PROTECT COST /VALUE $ /•- —� c Division: t 2 5 4 5 (excluding land) 1 hereby certify irtat 1 have rvtn;ahcd information on this application which is to thc brat of my knowtedcic tn+e and ec rreet. 1 Mao certify that I am the owner or authorized agent for the above•tnentioned x• and that all construction will conform to all existing state and 1nc1I laws and wilt proceed in accordance with submitted plane, tam aware that thc building d o e ofaciat can pc , .'t , jt , au<e. rurthermnre,1 hereby ages that the city official or a dcsigncc may enter upon thc property to perforen :heeded inspcctiotui, R :e.. Contractor's License No. its .t .• .. .. • ' ' aluation 2 5 ce p _ Park Support Fee # $ Penult Fee $ -1q, - SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1, "; State Surcharge $ 5 • -- Pressure Rcducc• $ .1. sewer./water Connection Fee # $ Plumbieg Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Bvitdcr' Deposit S Sewer & Water Permit Fcc $ Other $ ; Gas Fireplace Permit Fee $ TOTAL DUE S .-1. 15 C/At<C_- _O 12_ b I Thi .» t, eomcs You Building Permit NF i App red Paid ( Cc. Receipt No 0 ,1 d Date 2^ 7--1 o B t i3ailditi f • ac This is to meaty that the request in thc show application and accompanying docu mints is in acerndance with the City patting Ordinance and may procccd as requested. This doeornCnt when signed by the; City planner enimititteg a temporary Cettificnte of Zoning compliance and allows construction. to commove. Worn vet lxtnry, a Cereificate of Occupancy must be issued. pinrnin Dirt *oi _ Dntc S ICCial Ckmleitions. ifnny -- _ 24 hour notice for all inspections 052)447-943K Ma (952) 447 -4245 4646 Dakota Slrect S.I:., Prior Lake. Minnr:•ota 55372