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HomeMy WebLinkAboutBuilding permit 09-0951 0 O(0000 - 0 o n -n o co q § > g k\§ K r>c 0 x k om o % § 00 w ( m z 2 0z � g � % t �� q 2 /Q5Q P z -I m o lb u) t 0, \ › j § § $ m Q / j • m m i 0 > z 13 X 13 ■ -1 F. 0 3 x z 75 0 0 » o x m • 000000 m § m m , – 0 ■ -o cn *cam » \ z Cn 0 —10 _ cn § ) 0 ƒ § )k Ti z 0 % \ } � I- %00 - m ] p P. 03 I EC r 0 2 71 - � 17 -o P —� . m $ k 0 ( . n i m m E n § / 000000 i 2 z 0 20§ �; R. \ §§) §® m Z m§ nn § • 70 mi 7� 2 w� m ),- 0 /PR jp� /� � �, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE o AND UTILITY CONNECTION PERMIT ` 1. White File PERMIT NO.9' 9 s 2. Pink City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) • 1 4743 +IDLE 1 DG L . TP,AIL_ ; PpiIOR LAKE; M- 3 - 12 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PIED OWNER (Name) ALL .A-1 G L 1 Stil E- t2 (Phone) G12. 226 • t-E-39 (Address) 1474 BP1tpuE RIDGE T , 0.,It_ /...1E pi")1O1:3 LAKE M11 5312 BUILDER (Company Name) AM L° K CQ t R u en Oy-1. (Phone) 9 52 • Wait • 1200 (Contact Name) V-e t -e R { W•L SN (Phone) 92 •8t$a • 1200 (Address) 7 GS AV S. ST1E 22 3L[7O I,...tGTb,, M f•t 5S43I TYPE OF WORK ❑ New Construction ❑Deck ❑Porch pRe- Roofin ❑Re- Siding ['Lower Level Finish ❑ Fireplace DAddition DAlteration ❑Utility Connection CODE: I}i.R.C. DI.B.C. ❑ Misc: Type of Construction: I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 12 • Soo. ° c' 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 am aware that the building official can rev Ice this permit for just se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X . ,/OW 2o16 11/1q j09 Signature Contractor's License No. Date Permit Valuation —Z_ S-� D-- - Park Support Fee # $ Permit Fee $ 74 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ (_ -1-5- 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 $ 7C- .. This A 'cati � Be . • :.,. , ' , g Permit en Ap roved Paid ?[o - i Receipt No. 51' Z ci ii I( ( © Date it/ 19� By /2Q Buil. • • Official ate 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