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HomeMy WebLinkAboutBuilding Permit 15. 0785 100 n C410000 1 0 > E n n 0 ■ -nEm � � o m4 § a g 5 hili E8gmmm0§ � \ Z z- � 0 z 2 §■ IQ , n \ o . � \ ' f) z � � 0 / 2 § � ■ r o . rc1,7,% k o o ' ' 000000 Z 71 . m m ■ � � ■ sem 1 • ?:' c c \ ? CA A � kD773 � 1 m 0 - 2 ti 2 G q § ® o © 3 d mo n § $ L\.' X2 §2 - 2 . I� r ® 0 $ Si > mei p om C \ ■ � . r� � m m � � k F 8 O 2 000000 E 111n § i ►, R• 0 M. C" mmE § m \ 0 � 00� m 716 rn m "" 3 F 2 § . ,± - � r GI � 7 0TEMPORARY CITY OFCERTIPRIORFICATE LAKE BUILDING OFZONING PERMITCOM ,PLIANCE Date Rec'd AND UTILITY CONNECTION PERMIT 7• g, /S mi 41,'NESo1P I. White File 3 Pink ppl PERMIT NO. e D 1 O 3 Yellow Applicant o ( 2 se type or print and sign at bottom) / 1111 ADDRESS fI O r1 (� ZONING(office use) 1 5-e. --frcN,41 RI sb LEGAL DESCRIPTION(office use only) LOT z BLOCK ADDITION @Jy- , ` Li sI / 1 PID' ' p�5' ( ame) 1{ O13 O n (Phone) WO O — 1$- 53%, (Address) 1 BUILDER (Company Name) rg%-eil (A.)Ct,..Q R`(NCIQA(j4.'rs. ./ (Phone)(Cg `RO N& O (Contact Name) n /� (Phone) (Address) 02(J c , 1 lL t/ ( 1 ��, s_) er-„ 1 k1 m N.) 53M3 t YPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding a P Lovuter Level Fipi� re Ip ace)j ❑Addition ❑Alteration ❑Utili Connection �+�1 dWA'1�.I ODE: I.R.C. I.B.C. 0 Misc. --4, ...- PROJECT ��� � � / � �� e of Construction: I II III IV V A B /_1 3 / • pancy Group: A B E F H I M R S U PROJECT COST/VALUE $ LD J vision: 1 2 3 4 5 (excluding land) I hereb •'rtify that I have furnis -d information on this application which is to the best of my knowledge true and correct. I also certify that lam the owner or authorized agent for the above- noned property and hat.ll construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official c,n reap this permit'•rju• cause Furthermore,I hereby agree that the city official or a designee may enter ruupo�n the property to perform needed ins ections. X / ' Signature �U✓ J � �� Contractor's License No. Dd Permit Valuation 14, Park Support Fee # $ Permit Fee $ ?..c" SAC Plan Check Fee $ I , DD Water Meter Size 5/8"; 1"; $ State Surcharge $ 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 ' 9,5, 7�This Application Becomes Your Building Permit When Approved l f/ 2✓ ' Ts ✓✓I� Receipt No.A .J Building Official Date atP /`f, /,, )� By Offs 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 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 red. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372