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HomeMy WebLinkAboutBuilding Permit 06-1034 :;- ~'t 0 000000 "'0 ~ > -0 1JI 0 :I: 0 z_ al en."z",,,,,,, 0 0 ~~ 2 0 u o 0' s: =izen~OO Z Z ::tJ m mo > 0 :u ;0 s: m>c: c:o m ::tJ m 0." 1:::1 :"! ;0 '" -,):31:Z-I en I'l'l , m en m Z -0- z en ::!"'O , en -I~>~ 9 ~ t o > Z 0;0 -I -I ~ - -I z- -i m 0 - zO to ..... > - o Z 0 . o en en 0::tJ S co -I ." -I Z co - > (5 ~): ~ UI o 0 0 Z -I Z 0", ." > 0 ~. mm ~ 0 Z ~ ;0 c t-\ ~ -I "'0 "'0 :l... :I: ;0 ;0 v1 ~ m 0 0 000000 Z ;0 0 0 - ~ m m m m l:"'Oen~I:"'O >< Z m m m'~>m' -f c C oC: -fOC: ~ en ~ ~ Z ~ "'0 ::l:31: m::l:1: "'0 0 en en m .,,!;!!:u:u:u!;!! m 0 ~) 0 '" ~ "'0 :l 0 . Z Z::l:::l:- Z ::tJ Z :I: ::! m CD -I ~ >Ci)OO Ci) 31: -f '='- m 0 :::t (5 ;:a 0 ~ () --n''''00 ;0 =i l -f 0 Z -"'''' - z c: ~ 0 a tD zc:c: 1- , ~"'O"'O P m Z :"! m 0 ~ ." N 0 .. ~ :I: ;0 ~ m ~ 0 0 c: 0 ::tJ < 000000 en m ...... ~ z ;0 Ci)"'."om )J ~ > z >;;u;;uo~ ~ Ro 0 Ci) f!!mm3l:Ci) I m ~ ~ _"'O"'O"'O~ Cj ~ Z ~>>>c 0 >OOZ=i; ~ 3 _mm-f_ 111 ;o.,,:u ' ~ -1-- , i enZ Z m -I~ Ci) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT -Vr ~ ur L<~J F l ~f'\t Kd. Date Rec' d II/~ db ~~~. ~:~y I PERMIT NO. /. /0.34-1 Yellow Appticanl . (fZ , ZONING (office use) SSSI LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID z.f: () 39. 01 Y, ~ OWNER. ~ (Name) D~br~; 'hc...X'l1~rd (Address) \ q 4: l L\-- L ~f"\ e-eI C_t r~.l c (Phone) c; '3 ~ - tf4-o .- S 51 0 Ss PUll..DER C' - I (Company Name) :::>p II r\,~ e./ l.:::\L-, en'or, (Contact Name) (Address) Po 6u~(pI...r) Dn Or l~ ~ \U (Phone) CZS.'} -~-()..... f CJLj 1 (Phone) ~S3>)r-- TYPE OF WORK 0 New Construction ODeck o Porch OAddition OAlteration OUtility Connection CODE: DI.R.C, DI.B.c. Type of Construction: Occupancy Group: A B Division: I E II F I m IV V A HIM R Z 3 4 5 ~.Roofing ORe-Siding o Misc. OLower Level Fimsh o Fireplace B S U PROJECT COST/VALUE $ l V l LD I U() (excluding land) I ht'feby certify thai I have furnished information on this applicalion which is to the best of my lenowledge true and correct. I also certify that J am the owner t>r authonzl'd agent for lhe above.menlloned property and that aU 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 revolee this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enler upon the property to perform needed ,"~C1lOns X ~ lL~ ~0-U'$...2.J" :J.04:Q;)-1 c;+ l\ dUb \ Signature Contractor's License No. Dale Perltlit Valuation . Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ This Application Becomes Your Building Permit When Approved Buildinl! Ollicinl .Dnte Park Support Fee # $ SAC # $ Water Meter Size 5/8"; I"; $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE $ thIS is to cmify lhalthc 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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must ~ issued Planning Director Date Special Conditions, if any 24 hour nolice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372