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HomeMy WebLinkAboutBuilding Permit 10. 0527 � ` ` C) OOCOc T 0 > 2 ° i O :/ . O -nEm22 § § ss 2 n C riz ■� co z m m o k r kk k m z � � Et3z § \\ �E • oo ■ 2 q dQ § ® _ z - % 0 q 0� 2 2 0 2 ? � o q q v il': zq ; § - 0 o j- � �1 -n %.0 o 7 m In 2 r z 7 MIII I -n 13 1 % m 2 § § il 4 000000 t o \ 1:1 66 z m m ■ mr- > mr ) o o t - IC m I § m o it co | § m / m zz § § z 77 m § § m 0 r222 z ' z ' 0 ® \ § i o m z K 0 , r a / m o Nib k 0 , 0 000000 m Q� � n | t k / / z _0 § � § �/ 0_ 2 � � � � o � ' . \ ¢ . � � � � r § A -1z F. ■ -1r Q of 1)R10 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 6 . /O. /0 7 AND UTILITY CONNECTION PERMIT M,/vNESo�P I. White File 2. Pink City PERMIT NO. /46.-a-73 Yellow Applicant r (Please type or print and si at bo��°m) �j / n ADD SS L„E,R/V/A) ( Y o(,Jbg f '�L)E/ll(CS ILLC.S' 3 / ZONING(office use) 1119 W CD,'fl(nr( , e 14V NE� Prr Dr 1- �,rr� LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER I-I/Li (' e. A• ((e f X tier (Phone) 95-A -440- /-7!o Q (Address) ©c:D C e-n-I-up y Loft CG ( Pr i or L(/ 1 MVl A/ x"53 ?,A BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ['Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish CiFireplac ❑Addition ❑Alteration EUtility Connection Fr�t(d e CVS e r �1 -or CODE: ❑I.R.C. ❑I.B.C. El 1.C. €41+r►s )<-/2L4 Type of Construction: I II HI IV V A B • Occupancy Group: ABE F HI MR SU PROJECTUE $ QP /✓ 7. /. /6 Division: 1 2 3 4 5 (excluding land) 1 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 official can revoke this permit for just ca se. urthermore�y agree that the city official or a designee may enter upon the property to perform needed spectu ns. R Signature Contractor's License No. l ��br Date Per it Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ 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 $ This Applicat',, ' o es Your Building Permit When Approved Paid et/. 73 Re ipt No. ( Q.-SS- / keif Date (0• /G -/U B . 6,(r.to B iilding fticial Date This is to ce ify 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 temporarymplCertificate of Zoning compliance and daallows scconstruction to commence. Before occupancy,a Certificate of Occupancy must be issued. r^lie t/ ��/ /1� F� V/C-i W (C/lC — 1-1 /W `/vfp6 /7V/s V�/ 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