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HomeMy WebLinkAboutBuilding Permit 12. 0669 S 0 00 C) 000000 'o 0 a E 0 n to�z'r1 11-n13 O 0 'p 4 m, c., a O O r` � 3' =1z[n�CO n1 m 73 Om0 Rf rhr A 0 h N Z 'moo ODI LZ) p rA 2 73 1�0 y • D Ul C*3 In N 0 Z Z Zco ° n O Co O Eli S 0 o 0 m� e n0 > a ° � O ! m 73 Fob rr ^^ s V, m 73 o 0 /� 00 ❑D ❑ ❑ x m m m t�' m-aNym � z ..o z co =Wmm= m m n ,� n , Uf m -n _737373 _ 0 y C m m .0., Z > 00o 0 3 --I-I '• m h' n 6 p r "nOO )3 Ll p C b _'� o z Zx z r Z m r�� I� 0 N 11 1J, A s. • g xi 0t. 1. ► 1 .� y 0 '""` . "'.o' 0000 ❑ ❑ Z < 0 11� 0o O O ^• • P bm73O _ m � m-a0 v - C* tn n !Ti mmii -1 z z mNr--1 E 0 o n 00Op 0 11 0 a E n n a 0 0 0 s co � 8 § m k co r 71 7) 73 7 ■ rrs .2 I , �� k n0 73 / � rn 08- 9 _ �0 2 ■ 7 qc 0 � §y § M n > 0 tit m ti 0 Dr z 1 • m ■ r o 2 7300 I 73 000000 41 X m mm ■ 13 ■ * s 13 o z o o o c _4o % r. cz co f m { § ■ § _� § m 0 C) § m > ogo 0 § ;� m 44 0 rm §§ ■ I. c % Z 71 m \ r m -a p f m 1 73 m ift © § CI_ 0 000000 1 z �` o � 11n • q § �x730e , � - % o . � � � � § 41 z ._ risssQ § A 9 . } 4 §. 1 §� / -I■ E -1 -i r 0 5 �i PRJO� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 6. r� AND UTILITY CONNECTION PERMIT U � 'ylpNEsp'��' I. White File 32. p; App PERMIT NO./2 "(06 I� 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) PH 30 an.cf 1c.wv.fa k iJ L LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) BUILDER (Company Name) Al 1 JA../. rOrbpA ) ?rtacrVL'hull (Phone) —1143-M Va 30el (Contact Name) 61°0"Vc"1 -ThAt QQ 11 (Phone) (Address) 120 'To tl�--« Qr. /"&tu(v...w 1 AA JJ TYPE OF WORK ❑New Construction ['Deck ['Porch ['Re-Roofing ORe-Siding ❑Lower Level Finish ❑Fireplace ['Addition ['Alteration ['Utility Connection i,./// ^ �p CODE: ❑LR.C. ❑LB.C. 6Misc. (II/1 ki001ADQO&.. Type of Construction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) i 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 cause Furthermore,I hereby agree that the city official or a designee mayteenteruponupon the property to perform needed/`inspections.. 2 15- le x Signature Contractor's License No. Date Permit 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 $ 7Y This Application Becomes Your Building Permit When Approved Paid T7/ ''---- e ipt No. 2( z � 7 Date (t"1:.. Zz. IC Building Official Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance nd 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,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372