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HomeMy WebLinkAboutBuilding Permit 15. 0874 J / a z i- gFi Id gSgZ L.,_4, F `-' t-i . .if. L. N I.10.... I t� c w 7t, W 1 4 p `Q a 8i. LL 0 10 — I _ (� 6, #, ❑ ❑ ❑ ❑ ❑� co 2 o E9 ° 'o '4 W •I O N O W . - Z aaa = W w z tri YYZ z 0 0 w E F o Opu. J A— I ' O O U 2 z ix z SSz ? V c a co U d . 2 W 2 . 2 ,, d 0 z C D. V F- DC a 'a3NaIV W W W X --L. 000 00 ❑ 8UJ W 2 W--L. ty 'i)c) a a LL 2 N UJ G J F- re S z Q O W J � O 0 0 V a g IX C)Z O Z W f- �1 N < S 1� a z O a �- W ao �, d z � z~ N Z ILI N () yt oC Ou.v W �Zr ISJ Oe 'Ai w 0ztaRI - z a x 2 2 o a q a 0 3 0 �u. .. 3 i1.. 0) 0 3 c0) C01 a 13 O V N V = Q 0 a 000000 0 0 0 c ......-............_..._...... ..........._.. c TEMPOCRIATAYRNYDOFCUETPRIRLITIOITFRYICLCAOKNEENOBEFUCIZTLOIDONININNPGGEPRCEMORIMMTP ITLANCE Date Rec, d ity ' �1'<7NEsOtt* I. White File Please 2. Pink City PERMIT NO. �� or andsi .. at bottom 3 Yellow Applicant OP dP ill ADDRESS .1 PQ ► C 4 LA, • A. MN\ S'S-37.; ZONIlVG(office use) • - LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION OWNER I PID (Name) � 1�►G °' ZAr e 0�� ` ,, ''ll p 1 (Phone) 9S� -sop- I LS7 (Address) COLA lA ,�1 6► A� Ai) I Q i o Q LA �5J -2BUILDER ADN.A)o(Company Name)jNQ Q� ` (Phone) ,ba—aa) � ( r _(Contact Name) v`next - 14A Q t (Phone) ki►, �i � (Address) Il • - � 3Ie . C4- 1141 M 6 11/\ ,1 553) TYPE OF WORK 0 New Construction ❑Deck ❑Porch .Roofin DAddition DAlteration g ❑Re•Siding [Rower Level Finish ❑Fireplace ❑Utility Connection CODE: DI.R.C. ❑I.B.C. Type of Construction: 0 Misc. U UI IV Occupancy Group: A B E V R M U ' Division: F H IPROJECT COST/VALUE $ / l 2 3 4 5 (excluding land) I hereby certify that 1 have furnished information on this application which is to the best of my knowledge hue and correct. I also certify that I am the owner or authonzed agent for the LboTonr0Pc and that acnsttionwill conform to all exiting state and local laws ad will proceed in accordance with submitted plans. I am aware that the building offici. evoke thycpermr ,rjust cause. Furthermore,1 hereby agree that the city official ora designee may enter upon the property X P P P rty to perform needed inspections. Si nature 7-3� _��- Contractor's License No. Permit Valuation Date - - �U Park Support Fee # �` State a!"1. ■_�r Pressure Reducer IIIIIIIIIIIIIIalillillIll Sewer/Water Connection Fee # PIumbing Permit Fee Water Tower Fee # Mechanical Permit Fee ©.� Builder's Deposit 111111111111111111 Gas Fireplace Permit Fee Other TOTAL DUE 1111111111111111111. , This Application Becomes Your Building Permit When Approved Paid -111r�.�illIN Recei•t No. A1,7N_ twankfilis—'� B irlaM401111111 Buiidina 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 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. Proceed as requested. This document Planning Director Date 24 hour notice for all inspections(952)447-9850 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372