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HomeMy WebLinkAboutBuilding Permit 15. 0355 JQ Lu Z ZN F ( 1-1 J rLre V t.." g VVa Z c02eWWw kl z a 'ti M uuO �IOz 1i 0000 ❑ ❑ 0 (cc n `n 0 o ..5 ti W cc x o IL N CI W �\ O ? ? � 111 Z°a c O w M ��;� Z Y Y z z U V 4 O a, 2 0 o 0 .< H d W W Z ce _ - _ _ _ _- 11 W N 0 U O W mrtAXOCmLL g Z v� V a. �V ~ =U 0 O Z I- O 4 J W Q J W W W W W a23wa2 �� v � Z 000000 k ' 8 O. W a a LL = 4: :1 i_• O �� 0 Z V YW Z ,a o 114 U O Y o IN F- " ' O < F- O °0 F. N N < r ' OI O z O O W F- p < F- ' aC z r't9� d Zci C0 0 UJ ILU J a5 z ►Z- Oza z ta W : he w re ` J A 174 J - K OC � Q C OV W In W W O7 ai21W- C O O O O V }% 0 Z v� G O u0.� u.i v� 0 C1 C1 5z 4 0 a 0000bK0 C) k0 0 .E. o \4 FRIG OF PRIOR LAKE BUILDING PERMIT, Q7v'Date Rec'd CITY "11 ti'erTEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT_/t� kNES 1.White File z. PI PERMIT NO.PinkCity 15--6-1S 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) L.Y.-30 NL LEGAL DESCRIPTION(office use only) _ , ` LOT BLOCK ADDITION PID o---- 2` 5: - t171 OWNEROWNER (Phone) (Name) , 6 L (eS (Address) Plc t( S It are L. /v t. 19('‘‘')r Lake) r>7 .S`S"'3) BUILDER (Company Name)Atli frif um c t-6 t-,'--)1 Ike,.i cf e.-7 4 n/ ..I C (Phone) `BSc,- ve De o (Contact Name) Te-PP P 64,4- (Phone) 67J-a/©-S 1d of (Address) SA5 -LwcfUS if a( St P-M3 ink/1e. Piu l n I ill it/ cc3c`I TYPE OF WORK 0 New Construction ['Deck [Porch 'We-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace ['Addition ['Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Mtsc: Type of Construction: I II III IV V A B ��J Occupancy.Group: A B E F H I M R S U PROJECT COST/VALUE $ /, 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 withsubmitted needed plans. I inspections.are that the building official can rev this rmit for just cause. Furthermore,I hereby agree that the city official or a designee ma enter upon the property to perform X ./� 8G6gG3Sa L/-JO—/S Signature Contractor's License No. Date Permit ValuationPark Support Fee # $ Permit Fee $ -'19 . I _ 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 $ Gas Fireplace Permit Fee $ TOTAL DUE $ 1 TIMM This Application Becomes Your Building Permit When Approved I Paid I-Ng W- Receipt No. [0,-b J Date By .1/Vt.l .c J 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 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