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HomeMy WebLinkAboutBuilding Permit 15. 1247 O J t- Z x JQ' til W �+ r- Fe z V tit '3 Z 1u QQQ < .a C92W Wu) Z CUJ O a: li W N 0000003 0rt (� 0 o W 0 rt N 0 G a a J CO 0 LU c O NG D d c, 000 < o a j '' I-w w mmxxzu=_. a g Cl) 0 1 Cl) 0 a ;c) I ' 0 o c z 1- o JW < JW W W X t„ a23ma2 WVW Z 000000 Jo J Ci& & s a a p =f- J tz Z 0 Z V U. ty W JF"' O a O O °5 U Z O_ �O Z p W FN�- � � - I � Z 0 d Z to V V J 0111 as a, z = 9E5JZ wul ill cc ul ° < o u.b W co p > > < W O O O V U O W tt W z gtaZF- a G 2 O u...u. u. = itvo 0 400 p vs 0 0 c 03 < 0 a 000000 V of PRJ0* CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd tn AND UTILITY CONNECTION PERMIT At if z-.) ',Z I. White File 'lease , 2. Pink city PERMIT NO. e or'tint and si:n at bottom) 3 Yellow Applicant ADDRESS ✓r t 3 A 5 8 S i U Cis 7-/'Q r i 50 ZONING(office use) LEGAL DESCRIPTION(office use only) / 'S LOT l BLOCK / ADDITION 5U12 6 /Ii1i� /n/� litea5:-PID � - la�j • -Qti, /r OWNER /� / I r (Name) rl r/ $ T n Q 6) l71 e 6 / 2 S (Phone) s o • 2 8 7 G I (Address) 32S $ 54 `UC.• �f' C0I / W BUILDER (Company Name) THD At- Home Service, Inc, 2690 Cumberland Pkwy, Ste 300 (Phone) qS 2 34/1' . 047 (Contact Name) _____ Atlanta, GA 30339-3913 (Address) Lic#CR268257 Ph. 763/542-8826 (Phone) p di TYPE OF WORK ❑New Construction ['Addition ['Alteration ['Utility ❑porch DRe-Roofing ORe-Siding OLower Level Finis ❑Utility Connection ) ❑Fireplace CODE: DI.R.C. DI.B.C. v7 LJ i n C�O 41 /�/ put ltd �f1�s //� Type of Construction: isc. `ccupancy C str Group: A B I II III IV V A B ,ivision: E F H I M R S U PROJECT COST/VALUE $ I Y 3 Cly • 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 coned. I also certify that 1 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 official can revoke for est cause. Furthermore,I hereby agree that the city official ora designee may enter upon the property to perform needed inspections. 7 ,� t� p g Signature CR p[ L V 2 S O r / Contractor's License No. 7 Date • Permit Valuation Permit Fee Park Support Fee # Plan Check Fee 111.11IIIPAF , $ 112111111r ' IWMII Water Meter Size 5/8"; 1'° $ Penalty :` Pressure Reducer $ Plumbing Permit Fee t I Sewer/Water Connection Fee # 111111111111.... - Mechanical Permit Fee • ��- Water Tower Fee # $ Sewer&Water Permit Fee Builder's Deposit $ Gas Fireplace Permit Fee Other ©_ TOTAL DUE This Application Becomes Your Building Permit When Approved ��� Paid �A � Date Recei.t No. M• AIMB - Building OfficialDate S.••• ill • is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may n 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 ed proceed as requested. This document Planning Director Date 24 hournotice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372