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HomeMy WebLinkAboutBuilding Permit 15. 0474 J X Z JfF" i= 22 a ' WW — W zoc W � �o5gg J Z14, W� O $ WWn >0 c -N� RoE5W < v O � � c3 z a � 2 Z .9 0000 ❑ > m o m / J a x ` �1 O N W 0 aaa , ,' LL sq Z YxZ CO c 0 z o 4 x Z x Z — x x Z Z j H d W m re x x mV d N c0) a z x W g x 4. I a mo vi0 co a0. vg J W <notw J W W W Z X O aa �NdX W W W W LL, 000000 c) c) x Z r--- co a LL = ' /) Q H Y 0 < V O W 0 Z O Z 5o o a - w co OZ 0 _Oz W )- < 3 4 W01 a0 N p Z < =i- h Z 11� <co V v rig O14. V W x W 0 � 2Ul LU � < �.v R x x a Q q x x O a 0 0 U- UU= U-U, 0 3 cmi co 4 v v c) i a 0 a 000000 0 0 0 c c) tu JI,... ■ 2 - � _] ■ ■ _■ . * Mid � R 25§51 ti w T k���� 0 0 k , a 41 DOoo z % / 2 0 0 2 w qd aa � ` 1 11. # z z 2Jz3 z Z IQ o ci E ■ o§ IT� 2 0 0z k ■ XXm� z a Cl) 0 ■ ■■ u © a � � �§� � C / 2 k a �§� a� o o « 000000 . § § § $ o k ■ it X1 a o / LIJ w w ■ q/ z § J « o w Q 0 z ° % $� _o z ° tit • 2 & ■ § oci, o 02 © k & U. ■ 2C C3 w \ 0 ���2�k coCe Ce Ill .J kJ 0 uz 2 0 a 000000 � 3 § / §). Q O O of PRION r. CITY OF PRIOR LAKE BUILDING PERMIT EMPORARY CERTIFICATE OF ZONING COMPLANCE Date Recd I U tti AND UTILITY CONNECTION PERMIT 57/3 /6— ....,,,l I. White File I PERMIT NO./ OI/ 7 2. Pink City t" (Please type or print and sign at bottom) 3 Yellow Applicant ADDRESS 7 1 R£S-k 1ZONI C RA iG+ NG((office use) l " .yJ LEGAL DESCRIPTION(office use only) LOT (BLOCK/ ADDITIONfr fP �/1� ID5 17 0/d OWNER ( rk�j(' J I (Name) �Ske� 1)02v ) (.0 -1"' l'o (Phone) (Address) C5-1 l `k-.% ' 9....& St BUILDER (Company Name) 8w\g (Phone) (Contact Name) • ,,�/y \j ‘16, . (Address) V t� 12._ ,, c e.q/ 1!` (Phone) ��Z-2. —L-12-4 1 TYPE OF WORK 0 New Construction ['Deck ❑Porch ❑Addition DAlteration ❑Re-Roofing �7,Re-Siding ❑Lower Level Finish ❑Fireplace DUtility Connection CODE: DI.R.C. DI.B.C. ❑Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 0 a 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 .• [ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building offi - - m.•c Just c Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X '', ...tom► f 21 t5 Si! al re C‘11 ontractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ A....,J), Water Meter Size 5/8"; I"; $ State Surcharge $ 51.e....... ._./.1)U Pressure Reducer $ Penalty $ lq-- t., 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 I $ $ TOTAL DUE $ /�/� /l� This Application Becomes Your Building Permit When Approved 9 C' V,' 1 L c�( Receipt No. 1� I °a)ate15 Ip 2 L Building Official I � By I 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 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372