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HomeMy WebLinkAboutBuilding Permit 15. 0409 n O 10,0 QOa -0 o > E 5 OO 0 ■ � ■ l '' § m 0 2 § § M Mi2Eg§ i § 01"0.„ k r k m m - 2 u) -40D.0 : 0k Q � % § § § ,..1 O z 9 O� 2 k 73 $ ■ p 2 m& % § 2 - % o / z _ � r o X q2x OOOocO � ■ / m � � > mc 41 zm o is m ■ ■ n Eta ? 2§ 77 _$ q i N % . ) Cn2 \ in G m �-n §§ \ A • /, 2 / §RI k � ; - \ © k ■ f,14 § c xi c ❑ OO $ 2$ § Q xi § z -o-o© m R. o c -0 < Ak\Eg » » mm _4_ _ tm � ■ r ■ § PI \5- z m 4-PR `� PR\� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � .7"9, 15 U 1 AND UTILITY CONNECTION PERMIT drr ,tQ' NN E S� I.White File 2. Pink City ✓. /I PERMIT NO. `cc.� 4- 7 I 3.Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS Li0gY a al Bri4e ( /j LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER �p 1� �Y�e � �� D 7 .39,-; 1-7 / (Name) esti � (Phone) 1,C (Address) 24()CI 15 \Ja jOr j-30150 c r AIF E BUILDER (� IT VC i"(�UJu J (Phone) (Company Name) ( QCT✓La 8'8"1 (Contact Name) n .1 JJJ/ �,( (Phone) (Address) I - h \Ce, VN ape, owl h X�C y!11Q.) ' `t4. " ' 1 TYPE OF WORK 0 New Construction !a eck ❑Porch ORe-Roofing ORe-Siding ❑Lower Level Finish j -• -place ❑Addition ❑Alt •tio. ['Utility Connection CODE: EILR.C. OLB.C. 0 M'S0: Z -- '.—A�i' Type of Construction: I II III IV V A B DO 0- �7 Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ I Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished inf. ...tion 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-mentio.,•, pr..erty and that all onstruction•• conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can r- oi•- ` permit for j /use. ., .. :..ore,I hereby agree that the city offrcialQr design Yy enter uI/on the property to perform ne•. d', • _ X .iil/ af/i/,j K/' �L(} : `�t(JsS� '�'`) I,qWir � �� Date Si:.•ture Contractor's License No. Permit Valuation '7--e,00, -- Park Support Fee # $ Permit Fee $ 'L 3 -1. SAC # $ Plan Check Fee $ 41 , q4- Water Meter Size 5/8";1"; $ State Surcharge $ t ` 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 diebel, 51''�45- V2:2—, IG This li on Becomes Yoif Building Permit en provedPalVX Receipt No. Z 3 a 1 Date K q,`r— All BY ��r' in.Official Date This is to c that request in the above apptication and accompanying documents in ac rdance with the City Zoning Ordinance and may proceed as requested- Chis document when signed b e Ci ?loner constitutes a temporary Certificate of Zoning compli ce and ows construction to commence. Before occupancy,a Certiffcate of panty must be issued. 1 I arming Date Special Conditions,if any r notice for all inspections(952)447-9850,fax(952)447-4245 i4 ' i e �.1` a ..." ,... L.,_-.,,,-,,,,,7.., ,_:....-