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of P RJ 0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
e , TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5 3 , 1 1
AND UTILITY CONNECTION PERMIT
98. 2sa
M,,'NESo ,cP SEA f 63 0 Z I. White File PERMIT NO .
3 Yellow Applicant
3 Pink City / 3 73
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
1 g6 Chi ' /a L #1
Ai -
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER
(Company Name) r P ' I .4 /t e/7,( ''-/ ((c. J/7/ /7 eS (Phone) (9 9 f s- 4' `' (o .�
(Contact Name) Ke e; ,' 7cJ(/�t'kl 7 (Phone) ( / G z� , 3 $ _. 7 g 0 i
(Address) / 0 3 9 �r.Coa/ 6.417 7 re-//k / dirt/" -S' .S — W
TYPE OF WORK ❑ New Construction ['Deck Porch DRe-Roofing ❑Re- Siding Lower Level Finish ❑ Fireplace
❑Addition ['Alteration ['Utility Connection /��/ /h �--y� 3r _
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. v / �4-
I / e ` / ( , 0
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U (excluding land) 1
Division: 1 2 3 4 5 1
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 build -
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
x , , . - 71' _ S3 I. `VV 5-74•1-/ Si re Contractor's License No. P. e
Permit Valuation Park Support Fee #
Permit Fee $ 74 75- SAC -- $
Plan Check Fee $ �� Water Meter Size 5/8 "; 1 "; $
State Surcharge $ / CO Pressure Reducer $ •
Penalty $ ( Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 3-4.. 5-0 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ .-- 57) TOTAL DUE $ /e-5; 2.5— This Application Becomes Your Building Permit When Approved Paid /cA , 2..A-
.0 G
ceipt No. b �7t1
Date 6 /3,
Building Ofticial 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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
i i PR/p CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
;' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1-
:� , AND UTILITY CONNECTION PERMIT
C.) V i 1. ice
*I NN ESOlP I white File PERMIT NO . 0G
3 Pink City v 7 03
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
_ ZONING (office use)
Z 8 G CO W/ f /QNb
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER
(Company Name) //'.../ LIiiv _ - Qom {, . Phone) Cl_ 32 & 0
- O 90'
(Contact Name) 7,i / - (Phone)
A-4.----c_ (Address) 2 4''j * --- - i C A-v..L 4.G‘!i`' -G / i (./ 37 Yr
TYPE OF WORK ❑ New Constr t n ['Deck EPorch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish CI Fireplace
❑Addition alteration EUtility Connection ' /
CODE: EI.R.C. ❑LB.C. 1:1 Misc. ilia - D/r / O /` /7764 - 770
Type of Construction: I II III IV V A B PROJECT COST /VALUE $ _
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
1 hereby certify that 1 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 revoke this p; it forjust cause Furthermo I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X %.:ii% ,— A C — / — o2'
Signature Contractor's License No. Date
Permit Valuation 3-0 0 ,D) Park Support Fee # $
Permit Fee $ 2-6-- (JD SAC # $
Plan Check Fee $ 6/ • Water Meter Size 5/8 "; 1 "; $
State Surcharge $ , .S v 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 $ 4/ 7-
This Application Becomes Your Building Permit When Approved Paid 41.- 7s Re pt No. 57
Date ( 44) B /
Building 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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
EPAkTMENT OF
PRIOR LAKE
BUILDING AND INSPECTION
PE TI
IN C O
S N RECORD
SITE ADDRESS Z 8 6( W( I L
NATURE OF WORK Lei /I/ V �Z-
USE OF BUILDING `l.(7- /I'�f'i-
PERMIT NO. `( ? J DATE ISSUED
CONTRACTOR I e.41/ 1 e PHONE 965. 0766_
O
N TE: THIS IS NOT A PERMIT F ANY OF THE INSPECtIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR 111111111111 1 1
NWir=======-11
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 5/7/
INSULATION
(7 1
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING lc; ®/
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough -in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447 -9850