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HomeMy WebLinkAboutBuilding Perkit 15. 0807 Z . F- US Z 1.. W a 11 2i. c � \ Z w R W 0g Waa n0 0 Z .s vV ; . 013000)4V r / V�J cP c = 'tZ i N Vyj -.I m C 0 w W O-I z » a z 0 a. U V H re OOLLJ 0 y W C '' G I- 000 < U N 0 i Z ce z - xxZ3 J a Z �. N 0 a zztuwat=i w w Z w 7 w0 W W 4 -J III 0 0 Z -' 0 0 0 0 ❑ ❑ a a u.0 F (V ig J 4 re a J 0 W W W .1 z < O re 03 N V C a a IQ V 0 �+- H O os go Z Z 0 • y V. z 3 0 z a� CON Zo?gz w Jrt } Ti W L < al 11-WOE2 W ZvOg 5,3 Z F g V Tv NQz0 U- U- U.ZILU 0 V N aFU ? < O 000000 0 �0 ❑ Date Recd PRIp,� CITY OF PRIOR LAKE BUILDING PERMIT, d °' E /, /3 ,,,,0",--171---1-9„,c, / N\� TEMPORARY CERTIFICATE NECTION PERM TPLIANC ` AND UTILITY CON lArN E$ 1.white File PERMIT NO. pg� 2. Pink City 3.Yellow Applicant ZONING(office use) 'lease A,e or .Tint and si:n at bottom P 6,6ADDRESS \cake, c� SS 31 a, 5�L1s \sow s'% se Q�..os LEGAL DESCRIPTION(office use only) O 0 , ) ' PID a5 /� - D60-0 LOT BLOCK / ADDITION I V OWNER - c a \� - n`G (Phone) c1Sol- a, ,.b-S(AV (Name) (Address) S L\S \S d 5\ Se- 'R c-.c5c' \c.A. cc\'n SS 31 ., BUILDER (Phone) (Company Name) ' ....z.- - c .-c- (Phone) (Contact Name) V "' c m� S -t..0. (Address)4So\ n. \�.\ c"� S d\ooc ‘n_Non TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Alteration ❑Utility Connection ❑Addition _ larlutist: O..•• — • 4, ��- 1. 00 CODE: DI.R.C. DI.B.C. I H III N V A B \�6 Type of Construction: F H I M R S U PROJECT COST/VALUE $ Occupancy Group: A B E 4 5 (excluding land) Divcision: 1 2 3 buil I hereby certify to perform needed inspections. conform to w ch is to state and local laws and will proceed inr accordance alsosoce with that I amd plans. I am aware thatethe t e that I have furnished information on this application which is to the best of my knowledge true and correct. I certify I the owner or authorized agent for the above-mentioned property and that all co fru official can revoke this pe . lu . -!, urthermore,I hereby agree that the city official or a designee may enter upon the property �_�`� . j �► r2-,r rnP1 S bL --- Date X Contractor's License No. i �ature Park Support Fee # Permit Valuation 1111111111111111111111 iiiiMINIIIIIIIIIIIN I I I I I I I I I I I IIMI I Is sli;la; 11 I 1.I.I....m.".m.. ----- I I I I I II I I I I I I 11/u NI.iiii I I sagillilialligall Pressure Reducer gaIIIINIIII 11111111111111111 Penalty ©�_ Sewer/Water Connection Fee # Water Tower Fee # Plumbing Permit Fee 1111111111111111111 InIIIIIIMMIIII 11111 Builder's Deposit Mechanical Permit Fee Sewer&Water Permit Fee 111111111111111111111 and moun DUE Gas Fireplace Permit FeeIUIIIIIIIIIIIIIIIIIII WARM" � , Recei•t No. ijngalliMo This Application Becomes Your Building Permit When Approved !; �II B Buildin: Official Date This is 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 Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be when signed by the City issued. Special Conditions,if any Date Planning Director 24 hour4646 Dakota Street S.E. Prior 2Lake,Minnesota 55372 55372-024