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HomeMy WebLinkAboutBuilding Permit 15. 0569 i 0 01 O - mmm A 0 0 §2 n \ 0 0 0 . E 2■ §� 00 E z § -0 � § r R 73x7 E � G ■z ° m c om gl t © \ a T % EBkg p w 07 Q / » 2 m 0 = z o q ■ 2 q > • - 2 % s7 .00 z q z B k d o § L © O -- mm 73 r 0 7 $) m z 7300 / — 000000 Th II. o \ 20 o ' mlImr ■ ■ , nc _10c $ o K ? m l , § gym73' § m n cok» m § § _ \ ook E 00z oa q r � oo q a § z § m rmm z m A 0 A m 0 N E m ❑ O ❑ OOQ Rs 0 §MkE§ R § % ci ri t 4 rn § mM �r - c, in -Ir Q 11 of IP% CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v AND UTILITY CONNECTION PERMIT c /` /c 44firesatt'- t. white File 2 c PERMIT NO. /��0,5—b? yelp.. Anetwarii (Please type alt Prim and sign at bottom) l ADDRESS ZONING(office use) f Lj i 5 ori L N� Pu.1) LEGAL DESCRIPTION(office use only) . LOT /fBLOCK ADDITION5/97/:::/404/M‘, f�Al PID a6---p7/5- 4033-49 OWNER —(Name) J +�n �j G i\r'. (Phone) (Address ) 5A ri L BUILDER (Company Name) �� Ca to�r y l .u5 ' �3f 11 e 010 t�t l=tri (Phone) 6 12. 7.4 d • 61 'l q (Contact Name) 6 R•( 4i.kc, I (Phone) (Address) 1tv S H(-"f f 14 5a,./tw gy 4,1 to 553 .-, TYPE OF WORK 0 New Construction DDeck °Porch ORe-Roofing -Siding °Lower Level Finish 0 Fireplace I n °Addition ❑Alteration °Utility Connection CODE: DI.R.C. 01.B.C. 0 Mise. Type of Construction: I II III IV V A B 6, �J(� 6 J Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE 5 �""' Division: 1 2 3 4 5 (excluding land) I hereby certify that I have hum'lied inform j"3 on this pptication which is to the best of my knowledge rive and coned I also cent fy that I am the owner or authorized agent for the abovenrcnodned property a t tap tuns=� ion onfo o all existing state and local laws and will proceed in accordance witty submitted plans. 1 am aware that the building official can revoke this permit lussca ;= he •1 agree that the city official or a designee may enter upon the property to perform needed uupccoons. X CcL ()11 6I. Signature Contractor's License No.. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; S State Surcharge $ /—, /C't] Pressure Reducer S Penalty 5 (�v(/ Sewer/Water Connection Fee # S Plumbing Permit Fee $ —f' Water Tower Fee # S Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE 5 7dig„. 7..s , This Application Becomes Your Building Permit When Approved 1-• - Receipt No. /5-05— P ate gate C `1 ' iY-- By Building Official Date This u 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 Directs Date Special Conditions,if any 24 hour notice for all inspections(9521 447-9850 4646 Dakota Street Prior Lake,MN 55372