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HomeMy WebLinkAboutBuilding Permit 11-0762 (7 ❑lyk0000 - 0 0 > 2 m 5 ( n x * 0 cn -I o 0 3 �zvziTCO 0 m ° � m n o 0 7 >a m m 0 n o D o 3 r 3 z m tb f-- m m N ell m m z a z O O AA (-I -I Z G) O z _ ro V/ O D T 1 u) 0 z z . z� 0 M cn �� • 0 1% z n m ni O 0 P. > 0 m z _ m 2I O O o 000000 Z r m m v C/) v -- 'n m m m m mrmDmr * - c $$ c --r z ° ° m Crrr mx 3 - 0 cn 4 z O v . x w m 0 ■ 0 'g O N 0 zzSS�z 73 z S o C m m -a >O00 0 3 -1 s m ao m r -n OO 11 '1, v a Z Z 7 7 Z r � O c r v -° P m m O Z T • A 0 S m z m c y 0 000000 1 y m o mmom -J TO ° s z z > 73 53 0 m Re v 0 rnmm30 a' D m�� To z Dmm z-n , t=i n �T -1 r 1 • m -I z p r m -4 r 0 Jul. 11. 2011 3:54PM No. 0908 P. 6 oei SPI% CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v AND UTILITY CONNECTION PERMIT 44NE I. While rile / 2. Pink Val PERMIT NO. ! 1 7(0, Z 3 Yellow Appliearr , (Please type or print and sign at bottom) ADDRESS - ZONING (office use) 1U0 C am.b r( d ® Ct LEGAL DESCRIPTION (office use only) • LOT • BLOCK ADDITION PID • O e 6 ©( so ►� 44 - 1 - 4s-� L • (Name) 9 (r (P hone) (Address) 9C,Q a 190 elm . • • BUILDER `` ,�� � p �� \I (Company Name) V k/ 1 V\ i \ ( (Phone) 2 ' 4-2. (Contact Name) lr ► l V e V H. LStRiy" (Phone) • (Address) �1o(d G1h � 'r 1N • • TYPE OF WORK 0 New Construction I]Dcck ❑porch ' eI Re- Rooting DRe- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration DIM ity Connection CODE:.QI.R.C. ❑LB.C. ❑ Misc. • — - Typc of Construction: I II III IV V A B �' 1 S ; 06 Occupancy Group: A B E F R I M R S U PROJEC COST / VI�,Cyl3 $ Division: 1 2 3 4 5 (excluding land) • 1 hereby certify That I have furnished information on this application which is to the best of my knowledge true and COrrect. 1 also certify that I am the owner or authorized agent for the above•mcnnoned property and that all consmiction will conform to all existing s tale and local laws and will proceed in accordance with submitted plans. 1 am aware Ihit the building ulriela can r 1 Ice this It forjust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. ,�' .� 2_0U3ZI i/(( /( Signature Contractor's License No. • Date Permit - . Park Support Fee # $ Permit Fee $ SAC # $ • Plan Check Fee ' S Water Meter. Size 5/8 "; 1 "; $ State Surcharge S Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee S Builder's Deposit $ Sewer & Water Permit Fee $ Other • ` $ 1 �(✓ Gas Fireplace Permit Fee $ TOTAL DUE I $ ' This Application Becomes Your Duliding Permit When Approved a Paid Receipt No. Date _By a .,,, _ Building Official Date This is to certify that the request in the above applkation and accompanying documents is in accordance with the City Zoning Ordinance and may pmcced ra requested. This document wilco signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constrttclion to commence. Before occupancy, a Certificate of Occupancy must b issued. w Planning Director Dale Special Conditions, if any 24 hour notice for all Inspections (952) 447 -9850. far (952) 447 -4245 4646 Dakota Street Prior Lake. MN 55372