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HomeMy WebLinkAboutBuilding Permit 13. 1095 = 0 o)%1\ $ n * n 01110000 17 0 » n \ / 73 Ak �71 kk m � kkki �9 r � � � � �§ M �% 'Nip qq CO Z � to / @ 9 > cn m 0 -= Z- \ _�• - a qz z Z2 o z q , z R % \ r z m m � � k 3 CO § z / m mm - 000000 W * x - m m . ■ � ■> mr % 0 K ? m RC2. C)C E ƒ K q �$■ � 7§ m p co % 0 ' 300 0 _3 m 2 $ m 2 2 2 - Z c / k ot. § § Z x xi o c 0 gi m Pi z z 000000 11 i 0 0 > 0§ > ■ mm ■ o ^ rn E � � � ® 0 m0 � 4 ," > mmz7� b, Ell E -f r. 0 ` N y5 ❑ ❑ 0 0000 ❑ ❑ = O > Zn n a 000 '� 3 0 Az �in- 00 z m 73 m � o r- o X1 71 7 \ 3 "' itc3z -+ m 7J y 0II r • m m t m z SZOZ Z to v ki si D 'i —1 rn O p ZO c , m > I. % cn z Z ,<, o ._ 0 = -1 ! m m LI 0 r X m 13 4 1 z Z n n iii' �N. 0000 ❑ ❑ A '� x m m m 3 -0N * 3 � -, me Dmr xl co o o % i3 m = 3 - c� vi C CO:44 -a 5 0 ` Z LEI 73 73 Z x x - Z X 0 x �o m -a D O 0 3 -1 m o 0 rZg � _ C O Z m � vv P m A x I m '� °c 0 - CJS tin m 0000 (0 1 L • y Z Dm0 if mOo 4 =.,- ,,,a• ° . o m v 0 `^�1 '11z IIP N 0 D0oE m E � � -Ir -I 1 Z — Z m D r of PRto CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 7 ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE `O. Z ,(3 t: x AND UTILITY CONNECTION PERMIT 44NNEsOi� I White File Pink Coy PERMIT NO. 1 /05' 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS /� ZONING(ate use) /5) 1 1- ;/1x;.-, ( sA - ra,, (itiC', Pc :7Z/ L,ice / 4/"/ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER.-9.1 ^N (Name) (L c.v�. G �.d't/h c,�.et (Phone) CO 1c 3-6 Ze- ;-Qg (Address) BUILDER (Company Name) k .S C .it- L . JW S (Phone) . � 46 7 -5.d (Contact Name) /CL-r-1-1. y C-5/0, 5p, a 1 `' � ! /(Phone) 4 S I^3- �- I 1 a' (Address) p 6 . �e� / l C L b v. ///to ,,,t'1 e.,./ 5 c' 1 TYPE OF WORK 0 New Construction ['Deck ❑Porch oofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace DAddition ❑Alteration ❑Utility Connection CODE: DI.R.C. DLB.C. 0 Misc _ Type of Construction: I II III IV V A B /0 © i Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ CEJ Division: 1 2 3 4 5 (excluding land) l I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct I also ccitify that I am the owner of authouzed agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accoidance with submitted plans I am aware that the building official can revoke this petmi cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections X --_-- jo •-3- /- Signature Contractor's License No Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1", $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ I Gas Fireplace Permit Fee $ TOTAL DUE 1 $ This Application Becomes Your Building Permit When Approved Paid i`( - Tr Re eipt No. 7< a O Date /0 - 2---(3 Building Official Date This is to certify that the request in the above application and accompanying documents is in accoidance 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 Prior Lake,MN 55372