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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7. ZO.()~
White
Pink
1 Yellow
File
City
Applicant
PERMIT NO. 04. () 730
ADDRESS
/537B
dOd~ u~
ZONING (office use)
Ae-/
LEGAL DESCRIPTION (office use only)
LOT Z 'lBLocKl
ADDITION
fY /&0./ f 0 tI'J7,4
pm ~ -, 3 tJ 2-. 6 Zz.... ()
OWNER
(N ame)
///JVW
~
(Phone)
"Ii'
~.s-. 2+'57-
zttz,. (,1'10
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
OAddition OAltera on
ck OPorch ORe-Roofing
OUtility Connection 0 Misc.
ORe-Siding OLower Level Finish 0 Fireplace
CODE: \lfi.R.C. OI.B.C.
Type of &nstmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE
(excluding land)
Ir:
$ 'qtJOO, 0 0
/OOQ,OOD
gOOD. c!)~
-
~
x
I hereby certifY that I have t\1rmshed mformation on th.s 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
ope ty and that _ail on uction I conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
more, I hereby agree that the CIty official or a designee may enter upon the propelty to perform neede~ecl1o.n s . ~
/-~?/-cf9
Date
Contractor's License No.
Permit Valuation OO~.OO
Permit Fee $ Be .Z~
Plan Check Fee $ 57 I S to
State Surcharge $ ,. S;-O
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
This Application Becomes Your Building Permit When Approved
~^-~
Buildlll!! Ollieial
Paid
Date
/'/-(1/1 I
7- 0'-0 LJ
,
# $
# $
$
$
# $
# $
$
$
$ ,~
I :ivcceiEt 8- ~N .,2~
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
?/Z"/of
Date
ThIS is to certifY that the request In the above applicatIon and accompanying documents is m accordance With the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
4646 Dakota Street S.E.
Prior Lake, MN 55372-1714
March 17,2008
David Hall or Current Resident
15378 Bobcat Circle.
Prior Lake MN 55372
Final Notice
RE: Building Permit Number 04-730
In review ofthe building pennit files it was discovered there is an open permit for a deck at this J1roi'erty. The
City would like your cooperation to provide access for a final inspection_ Please call for an inspection by March
25, 2008.
To schedule an inspection time, call (952) 447-9850. If you have any questions feel free to call between 8:00
a.m. and 4:30 p.m. Monday through Friday at (952) 447-9852
~
Sincerely
-----------
Michael Peterson
Building Inspector
~
WWW.cityofpriorlake.com
Phone 952.447.9800 / Fax 952.447.4245
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
~pEEAg~~~S:K /~lL ~<!A~~~2f AH~~r
USE OF BUILDING SO.1=: /) # ~
PERMIT NO. ~"I - ~ ~ 30 DATE ISSUED 7/~~
BUILDER A7J/fI"LJ r/"L~ PHONE l Z.1Z-t;.I'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-PLACE N
I I
CRETE UNTIL ABOVE HAS BEEN SIGNED
/)-2..L
INSPECTOR
DATE
r?J'
I FINAL fit I 3l'yo8
FOR ALL INSPECTIONS (952) 447-9850