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HomeMy WebLinkAboutBuilding Permit 15. 0706 Unit B 101 n OOoocO 1 o > 2 5 O OY O ■ -n - -n--n 0 $ 0 90'� a © 0 * . E gzonZ § m M0 k r \ m m X in co Oxp 2iP0 IQ k * \ CO 9 z 0 S 7 2 Et z �` m m m 0 0 0- v- % 0 2 0X X M . OOccOO % m \ m2 � tm/■ § § Y ' m2 ■ mi - "V 0 U) ,, q , , -n § 7773 § M @ s Q s 2 0 a 1 it 0 r -n0 § m q . 0 q g $ 0 i § 0 -. 2 R & 94' C7 0 _ ■ c § . 0000 o » \ �� mIn �§ m c -0 -013 - > O m00- 0_ 0 M 0 s�� -4 � r A V1 t - c § -4r o OF PRI--0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 75x III AND UTILITY CONNECTION PERMIT 6., Z 9'. (( 411NNEsee' I. White File 2. Pink City PERMIT NO. 3 Yellow Applicant � �� (Please type or print and sign at bottom) ADDRESS ZONING(office use) ( 4'4 3 / klqi4Jks co."-c7 7(11) LEGA DESCRIPTION(office u e only) /` Un It -I o ICoo� 10�/ 0))//0/640c4 TGvo� L I �v ,p v� /s1��/ LOT BLOCK ADDITION PID 075- Z'33- cot `0 owNERTNor / (� / / (Phone) % Z Z 9 Z 8 -45-. - (Address)4O eeK l U(:". ,kek/>,1 lie_e- /7 SSQ 7 Y BUILDERSjo1 �, � / � - CLQ (Company Name) °` 4 Ce /1C� ZL (Phone) (0:)7 �//U 7 7 7 7 (Contact Name) ra.44n -Aa/'/ (Phone) d,S7 21/9 7l a/ (Address) I c{f 66 A7/e,/q;c( e., ,2 ,,c_, 12osej-na u`z74 /fir ss E::5(. 9 TYPE OF WORK ❑New Construction ❑Deck ['Porch ❑Re-Roofing ORe-Siding ['Lower Level Finish ❑Fireplace ['Addition ❑Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. Misc. './4ee.. /�f t/t//,2JoL Type of Construction: I II III IV V A B f Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ & 6 J 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 with submitted plans. I am aware that the building offici.I.n revoke/ is per,it for just causey, urt r ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ��� 4� 8c 7 6 zeOS / Signa..re Contractor's License No. Date Permit Valuation Park Support Fee # - $ Permit Fee $ 4 4/f7 SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ ,5_ Co 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 $ /63 L--0This Application Becomes Your Building Permit When Approved Paid / 04/ SbRe �t No. f....57 Date 4. 2.f,, .."- Building / �/ �][� /� Building Official Date / c On it ,a4 :-. L~✓/ ::: (0) /4/ -- -/- 1 e 5-10 e. G-e e- 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 4646 Dakota Street Prior Lake,MN 55372