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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. . /
AND UTILITY CONNECTION PERMIT ~ dO'Ub
~: =. ~y I PERMIT NO. 0 (, I 03 J 3 I
) v_ ApfIIiAoI . .
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OWNER
(Name)
(Address) & g
(phone) 9' 5- Z --1'71-7 215
/4')'/t( 5'"? J I
(phone) 7h ~ -0 g 2 -.f2-~ :3
(phone) 7~ ~ - &~2 - '123'5
~/l/. ~)313
TYPE OF won 0 New COIIStI'UCtion DDeck Dpordl
OAddition OAlteration Dutl1ity Connection
. CODE: OUl.C. IV6:.B.C. tW /:\'.
Type of COllltr1ldi~ I n m IV V AUV
Oc:cupaacy Group: A (j) E HIM R. S U
DiyiJioa: 1 2 3 4 5
.Roofi1ll DRe-Sidiq OLower Level Finish 0 Firep1ace
o Misc. .~ ~
PllOJECTCOST/VALUE S /~ g(9 tJ
(Cllcludiqland)
Wars Tower Pee
Builder's Deposit
Other
TOTAL DUE tHfueJ.J
s
s
s
s
s
s
s
S
-I.~"'.o(, S ;.
11NO. ~a-7~
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S
Plan Check Pee S
State Surcharge S
Penalty S
Plumbing Permit Pee S
Mec:hanica1 Permit Pee S
Sewer & Water Permit Pee S
Gu PiJepl8ce Permit Pee S
Park Support Pee
SAC
t#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Pee
#
1biI A"ucatIoa Becomes Your BallIODI Permit WIlen AppIO'fd
~~ #<?;!;~~
I Paid /~t:<75-
. Date , Z. (J(\~
nus is to certify dlat tht request in tht above application IDd lceompanyina docummll is in ac:conIance with tbr City Zoniq Ordinana and may Pf(ICeed as requesred. ThiI ducument
whm sipfd by the City PIanncr COIlItitUtes I temporIJY Certificate of Zoaiq compliance IIld aIIowI c:onstnICtioIl to commence. BcrtR OC'CIIpanc:y. a Certificate III 0c:cupInc:y I1\IIIt be
issued
PJ-m, DinctIlr
o.re StIecYI CODditIoaI. If lIlY
24 ho.r notice for IUln.pection. (952) "7-98!18. fix (952) 447-424!l
16200 Eagle Creek Avenue Prior Lake, MN SS372
~ite - ~Ui~
anary - nglneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D t-. B ;_5 H-ee r M~ f-a-,L-
f- <+() -00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/lq~ a./)U1rn~vc--e-
Accepted
Accepted With Corrections
,/
Denied
Reviewed By: ~ ~ Date: 5;fu-,Ia <;;;,
I
Comments: ~ ~ ~ ~ ('~ ~ o-Lt
fiHI~ ~I ~Yo
,.
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
~::g~~~:K Itjf1!oa,?om~t:..e.
USE OF BUILDING CD1"M ~Y{.. J4-
PERMIT NO CJfR, O~ ~AT~ IS~UED
BUILDER sa S~ PHONE1U'3.~,~.y~1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
_INSPECTOR DATE
T~e-OFF I l I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I Da,lL- i"-lGl/S=f'~1 I I
l'fINAL ~ [Q1{ofJ I
FOR ALL INSPECTIONS (952) 447-9850