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HomeMy WebLinkAboutBuilding Permit 11-0949 0 00Q00 11 0 0 § Q / ■ :6 � � �k oo z m f 22§ 0 dm r m ■ § ■o ■ o� to r m m t Z �@ -® z — % \ )§ 1 (A§ z 2 z 2 % $ m m w § % � � z 2 1 . o �� tm 0 r §- ~ 2 moo I 000000 % z , R s� ■*s� 4 ] k §§ ifr mE m m 0 ` � �- §- x § z f r § § xx § § ' m C e j I rm ■ 4 eu � c o k, tvi 0 0 r p — 0 r cn @ R § 2 ■ 0 ■ k | . ) 0 000000 0 CI M o11 �n§ -4 i E 7 &m k m2 rn m �k. rts » »mm m .j 0 - § § § i 0 of PR j pp CITY OF PR LAKE BUILDING PERMIT, Date Rec'd A.. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z-1 g AND UTILITY CONNECTION PERMIT 4 l'' kN E So I. white File I PERMIT NO. / / . 94 11 z. Yellow City p licant g 3. Yellow App ` (Please type or print and sign at bottom) ZONING (office use) ADDRESS � �„/)� �31a )1 -1(09 eit h; l /0:1i .E. P LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER c t o vQ'rN (Phone) I T (� ^ f jt �c ,1 Ssy�p (Address) Li aCa Qv aaa-, A0 S , Y�rv2op 1,' ...( PI AJ BUILDER ( Ph on e) `� 1 f 1 ^ `� �`� (Company Name) g� 6...r� ° t, V r� c Q7( .) _ y�TC3 - � 3C�� - -� �, f h C �� (Phone) (Contact Name) I /� Ss 31 (Address) w) (oQ ofjo-C� S.E • P, - aY TYPE OF WORK ❑ New Construction ['Deck [Porch ,. N e- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connectio CODE: DI.R.C. DI.B.C. ❑ Misc: 11 // g�� Type of Construction: I II III IV V A B PROJECT COST /VALUE $ (`� Occupancy Group: A B E F III MR S U (excluding land) Division: 1 2 3 4 5 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 official can revoke this peen t fo just all Furthermore, hereby agree thatt the city official or a designee may proceed er upon the property to perform needed inspections. aze that the budding 'D©(03LI /01 9 - /`t - 1 X t �� Signature Contractor's License No. Date P - : ; I aluation Park Support Fee # $ # $ Permit Fee $ SAC $ Water Meter Size 5/8 "; 1 "; $ Plan Check Fee $ State Surcharge $ Pressure Reducer Penalty $ Sewer /Water Connection Fee # $ Water Tower Fee # $ Plumbing Permit Fee $ $ Mechanical Permit Fee $ Builder's Deposit Sewer & Water Permit Fee $ Other $ p Gas Fireplace Permit Fee $ TOTAL DUE $ 77, 7J �/ This Application Becomes Your Building Permit When Approved Paid 7 q 11 I R ipt No. 6 `1(j B Date 2 / el . 1 f 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 req e s a pa il d mu be when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, 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