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HomeMy WebLinkAboutBuilding Permit 11. 1058 5 O O\ 0 0000 - 0 0 > E § 0 a ' kk C j kkVoo 0 m k /1 / § m m§ m z �b• § z ' a/ % t -I -I q 2 $ §Q�Q 0 2- w -1 m _ o f k § a ) / z § 2 § z ° n \ 3 § / k m m r o 3 z \ § x 0 \ OOOOe C)- m m m c § "V CA \ -I E D Q �� § \ 2§ K i m . m ! J 0o! m p 0 > 0 z :I \ � / k / -n § \ z g a o z / 2 } m § § k § \ = m m q 0 0 m r ri | ; ti 2 2 - @3n R. 0 3 -� & mmc0 E 1 :7 - 13 II pip 0 > PSiE §�akk z 7 q % - X � r- K qI / | r Jul. 11. 2011 3: 54PM No. 0908 P. 9 cro!iii, Irsfo OF PRYOR LAKE BUILDING PERMIT, Date Rec'd a TEMPORARY CERTIFICATE OF ZONING COMPLIANCE L7 AND UTILITY CONNECTION PERMIT • 4.4...O0. t. Wkihe rile r. Pink my PERMIT NO. l '(DS ei 1 Yellow Appliom i (Please type or print and sign at bottom) ADDRESS ZONING (olficc um) • • '4- -4 1 t (--ec, d ac) 44- LEGAL DESCRIPTION (office use only) . LOT . BLOCK ADDITION P (Na OWNER 13 .' U S .5 (Phone) _ V 7 7 3 d 1 (Address) 4 / L / 7 A X11 h ) v? dJ CSI / BUILDER (Company Name) Ki-COS ‘6 6 , i 1.-- -M.-. (Phone) 9 Si? - 4r 3ky- (Contact Name) i (Phone) '?' " L'g' _9 7/8 _ (Address) ,1360 S U CC/ d-c) J f-- 9 J C) Id. /l 1-m,fu S S 3 s TYPE OF WORK 0 New Construction DDeck ❑Porch Roofing ❑Rewiding ['Lower Level Finish 0 Fireplace DAddition ❑Alteration ❑Utility Cortnection CODE :.(}T,R,C, DL B.C. .. 0 Misc. _ _ Type of Construction: 1 T1 Ill' roc V AB Y(O I II ) O() Occupancy Group: A B E F N I M R S U PROTECT COST/VALUE $ Division: I 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 cerreet. t aho certify that 1 am the owner Or aulhOnztd agent for the above - mentioned property and that aU 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 revoke this permit for just cause. �� Furthermore, I hereby agree that the city offciat or a designee may enter upon the property to perform needed inspections. Signature Contractor's Lice se No . Date - Permit Valuation 7---S ©4" _ Park Support Fee # S Permit Fee $ 14. , 5 SAC # S . Plan Check Pee $ Water Meter- Size 5/8 "; 1 "; S State Surcharge $ S - Pressure Reducer .' $ Penalty $ Sewer /Water Connection Fee # $ '_ Plumbing permit Fee $ Water Tower Fee # $ '-----. Mechanical Permit Pee S Builders Deposit $ Sewer & Water Permit Pee $ Other ' $ Gas Fireplace Permit Pee • $ TOTAL DUE $ 71-15- This , i : ' � � n Becomes Y our Buildi Permit proved Paid 7 -7 — Receipt No. W 4146 Date l o / (t By tz . ' Ai' _ !3 1 I •' ildin OlOtl'tciell Dal Thu u to certify that I c �"'�' a ve applicalton and accompanying documents u in accordance with the City Zoning Ordinance and may proceed as requested. This docOment when signed by the City Planner consIItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Dare Special Conditions, if any 24 hour notice for *II inspections (952)447-9250, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372