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Change in Use Permit 11-0521
( J Q N W Z _ L U „, w J CC LL Q ix. I 55 .- LL F . wwQ Z () U O 2 c� � r� Q W - W C9 , \ O 001:300110 0 Ill x la O Z O y IL W '' Z �C o p O Z 0 F' 0. J , Z oou - ,1 •' Z a; d la D o 0 0 111 n H E 0 0 LL• J 0 W x Z w Z � r4 mW + 1. o • O O Z % (/o U G. 2 U F W - 2 5 �y P � W W Z N W ai J a �3 v� a 2 ' b z w / a a LL x V ❑ ❑ ❑ ❑ ❑❑ = a' z a p 0 < U L o QC o Y U N o a o w t3 6 5 Z • Z 1 I Q U . , rd Z 01-: Z W f- N W /. � o I z w o 0 0 < c 0 co Z l=Z 0 V V O a o Z x OOLL ❑❑ 5 Z a o a ❑❑❑a ❑ c) ri+ rl NCB E ,F LAS e - wti 1 r �� PR I p „ ti : CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd T EMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT � E SO� f�R►�(- c 1.kkscs yZ r r s ! 6 ac 1$ce y 0 9 ck c b4SeS I. White File 2. Pink City NO. / �7 z / '�Ttyn ��+ rl. i " b 4JT 1�1 0`�` 3. Yellow Applicant / "a•••/// f (Please type or print and sign at bottom) ADDRESS ZONING (office use) i ` t ! Z© Co Ael on E ac ,g- ,1t) So ITC z'0 LEGAL DESCRIPTION (office use only) LOT 1, BLOCK 1 ADDITION ZQ,rnrS Is+ Psida.n PID ZS-1 g4 - an- o OWNER (Name) N O tR ?RA ) R A H A (Phone) (Address) 1 I I � l ,Drywnet & . A Stt:..tL BUILDER (Company Name) De • PtA --'c- X p SZ - �{ (Phone) I 7- - / 080 (Contact Name) - /` J"� (Phone) tom, (Address) (A C T -- 1 ✓ 5 CO o) C d r t nor' c S' c +, Co" TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ❑Addition ['Alteration ❑Utility Connection ` CODE: ❑I.R.C. ❑I.B.C. *Mist: C.\j� sG� X t a � _ Type of Construction: I II III IV V A B Q Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ Division: 1 2 3 4 5 (excluding land) 1 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 . - • • . : 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 - e this i i mit for just ca .e. Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections. igna ure 4 Contractor's License No. Date Permit Valuation 2.--E3.0... Park Support Fee # $ Permit Fee $ 7.5- • SAC # $ Plan Check Fee $ i (O Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ A l �I tj This • licatio : e • m: 1 o • ' • ing`Perm W en Ap oved Paid L... �� Receipt No. 6.2.3 ( 3 Z i ;, Date ! I By ,�- ' F,, 3 !) 1I Builds g Official D ate 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 when signed by the City Planner constitutes . emporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. _ n � � �� s Pia -�' . re /r `fir Planning D tor Date Spec Cor!tttions, if any s jSr 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 (---, p R I ')' .. x White - Building M/ �P Canary - Engineering ^NES Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections _____Z__ Denied -- � 7 Reviewed By: ,g/?//, Date: 7 'f Comments: �,n c r Pxte rinr G c � i � � rrr w i it fe S - 0.‘ permi "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." O0 PRlp,e U i m I White - Building �� � Canary - Engineering NNESo Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT P. L'- D 1,- - D& PUFFER_ APPLICATION RECEIVED 6. ZI' 11 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: WI 2b CvMm6IZC -SUSiE ZoZ . Accepted Accepted With Corrections Denied / Reviewed By: k Eir; Date:4.________ 1 Comments: "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." Tnioaake C53 Dental Family Dentistry and Orthodontics Charles W. Puffer, DDS Change of use Permit Request 14120 Commerce Ave, Suite 200 Prior Lake, MN 55372 From unoccupied: 1. Dance Classes 2. Yoga or exercise classes 3. General meeting room Scope of work: Stain cement floor or floating wood floor. 14120 COMMERCE AVENUE, SUITE 300 • PRIOR LAKE, MN 55372 PHONE 952.447.1080 • FAX 952.447.0376