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HomeMy WebLinkAboutBuilding Permit 15. 1292 _ � J w Z - Z F- 2 ~ J 2 LL 2 H LLZVUa W I- i i i a o� � > CI 0 �... ` UtLLLC7 0 "M O o� 000000 W z U > N o O "4 o , 2 C3 aiu »Z w N Y YIQ _ 1 L Z U ta © Z CC Z - 2 2 2 2 O 0 V 0 W 2 LL f- ` W oC N ' o a. = U W 2 j U . C.) c 11 a0 a a �3Na � 4111 0 0 Z f. O� O ❑ ❑ ❑ ❑ ❑ ❑ © �1 1 U (Wj Z W try V z 4 O O 2 W 4111111%_ go s% O` I oaU Z O W F- N U O os ait o co p zpaZ ~ w Z I a a }OW CO W W W O � 2DaW �' Cl) 0z LU 0 J Ly F_ N 00 OZ OO �Z� N 2 2 2 o a p U U d U V U ? < 0 a ❑ ❑ ❑ ❑`�❑ 0 / a y� ❑ 0 5. c of PR_st CITY OF PRIOR LAKE BUILDING PERMIT, c- TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd U tty AND UTILITY CONNECTION PERMITf / l6aif� L . White File Please rink city PERMIT NO. fs• Z 9- e or rint and si n at bottom Yellow Applicant ADDRESS ZONING �'b� �W O,. 11 ZONING(office use) �" � • NW • I IS ► LEGAL DESCRIPTION(office use only) LOT��L)4, e ADDITION ®��� �1 L o0 / PID ✓--- / I o 4/6 OWNER 14 26u1'4•5(Name) / '► AA (Phone) bt21—L6 (Address)'I b( N ty+{ 'w o 0 d by. W BUILDER (Company Name) a - th EiC.Ceis � (Contact Name) �b0 Cj (Phone) �' �8b g•�, g (Address) : b�j G Ia�•I�i_�� 'a (Phone) �7 1i1/�r .yo✓t, k1 59n 4, TYPE OF WORK 0 New Construction ❑Deck DPorchZe-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition DAlteration ❑Utility Connection CODE: DI.R.C. DI.B.C. ype of Construction: 0 misc. Iccupancy Group: A B E II HI IV V A B • H I M R S U PROJECT COST/VALUE $ l6DO.6» • ivision: 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 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 oke this permit for just cause. Furthermore,I hereby agree that the city official ora designee may enter upon the property to perform needed inspections. X �� S03a, Signature br`�— � (� ''� Contractor's L cense No. Dace Permit Valuation Park Support Fee # $ Permit Fee SAC • # $ ■ sL/ NMI Water Meter Size 5/8"; I"; $ illIFPenalty • `1Pressure Reducer $ lailliSEIN -Sewer/Water Connection Fee # $ • PIumbing Permit Fee - Water Tower Fee # $ Mechanical Permit Fee Ir Builder's Deposit $$ $ Other $ Gas Fireplace Permit Fee 1111111111111111111. TOTAL DUE . This Application Becomes Your Building Permit When Approved Paid AIIMINCOMIEN Recei.t No. Date 4, B _ ��- Buildine Official -- -+o 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 hen signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, hied. proceed, as requested. This document be p� Y.a Certificate of Occupancy must be Planning Director Date 24 hour notice for all inspections(952)447-9850 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372