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HomeMy WebLinkAboutBuilding Permit 15. 0464 J us z 1N JI- ccu. cc W ZWUi < �` �g �_ a 41 W � 111 ul ~ 0trlE, � Z Z [., W N W 0 l YORit • N Oy Q aaJ m c 0 w 0 z _ I z z O F I. C d F 0 0o0Q 0 a� 0 '' W Z cg Z - ___ _ z W N C.) 0 a mIUi Z a0 C4 0 Z 7VF OCAW W Z x C4 a a23v� a � v v z 000000 °e °c4 o = i a o. a f- J Z O Z V � t�,� W W %Z V O 0 w g � u.in. ..,1 c a 0LI z z z w FN- < 4 W O Z F- o a Z N t- I- J cy 4.re � CO Z °z �� �Z o 0 0 p L) Cy 0 W 0 Ou.Ou.Z �ivi 0 O 0 0 1. 0Z < P.0 a 000000 CO O c) --17,.... L uF TRI0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd . TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ��/���/� AND UTILITY CONNECTION PERMIT en •rx,,,iso<' , While i 2 PinkCut y }/../PERMIT NO. "§„,� 3 Yellow Aptartale (Please type or print and sign at bottom) ADDRESS I ZONING(office use) 1 16 9---v S-1-; 4- e-© S E LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER p�,4 j (Name) rrH'au M rl V`Y "J1 © (Phone)\' _ ) `�3 "'��1 (Address) 1.. 1 0 \2—V S� L , 1 r c�t '� \ V.X mq S S 1—?a' BUILDER ,pt t, r (,� /\ (Company Name) .N e V Q) .,\t SQC ,1\CO .. (Phone) D 1 d' 4 Qt U—. a a4 (Contact Name) !'n\ IA k S(21 V-1 (Phone) n lo 3— `S\y 3^ c►3 S`j (Address) e.0 . LU 3( Da ` ) (2--c"y CS i M4 SSS - 3 *--)Lt TYPE OF WORK 0 New Construction ❑Deck ❑Porch Chine-Roofing DRe-Siding ❑Lower Level Finish D Fireplace DAddition DAlteration ❑Utility Connection CODE: OI.R.C. DI.B.C. D Misc. ^'�_._--___-- Type of Construction: I H !HIV V AB PROJECT COST/VALUE S )d/ ( . 0 C Occupancy Group: A B E F HI MR SU Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished inhumation on this application which is to the hest of my knowledge true and coarct 1 also certify that I am the owner is authorized agent for the above-mentioned property and that all nnsttuction will confirm to all existing stair and local laws and will proceed in accordance wish submitted plans. I am aware that the building official can yoke this permit for use cause Furthermore.I hereby agree that the city offe'I or a designee may enter upon the property rn perform needed ins inions X Y ��\ 'Sr-� C.Lp 3 o 3 0)3 S --) i 5 Signature Contractor's license No. Date Permit Valuation Park Support Fee # $ Permit Fee S SAC # $ Plan Check Fee S Water Meter Size 5/8";1"; $ _ State Surcharge S Pressure Reducer S Penalty S Sewer/Water Connection Fee # S Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee S Builder's Deposit S Sewer&Water Permit Fee S Other S Gas Fireplace Permit Fee S TOTAL DUE I S This Application Becomes Your Building Permit When Approved Paid 7I?5 Receipt No. i2C-7 Date -5—)3L—/ - By Y1,i....------ Bu 1 Win -----BwWmg 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 i Planning Director Date Special Conditions,if any 24 hour notice for all inspections(95214{7-9850 4646 Dakota Street Prior Lake,MN 55372 ik)1 e,a C,a.\\ N\Wa.-N Nevi".Sr —26%—u4 3--q 3 S y curecoy\i-rs\