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4PRIO
6C/411111.1 \� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5. Z /
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I. white File PERMIT NO . �/
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2. Peak City - �Ji�c�/ (./
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3. Yellow Applicant �
(Please type or print and sign at bottom)
ADDRESS /S76 / C / s �� ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER �J 4T1 S 2 � :, ,- tom.` lst'
(Company Name) (Phone) b/ .2- 2.--r? 17!
"� � � (
� � Phone
(Contact Name) Fr , / ACD Sot—. (Phone)
U `
(Address) o, F,,,, �/ s-/ 6 e/, r■-■ e:- 1 3 / 53 4+f
TYPE OF WORK ❑ New Construction g1CDeck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ['Alteration ❑Utility Connection 1
CODE: DI.R.C. DLB.C. gmisc: 44— 'hJ eerai 1
Type of Construction: I II III IV V A B
Occupancy Group: A 13E F HI MR S U PROJECT COST /VALUE $ �0 Gap
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this applic. 's n 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 ant • . all c..:.. do m • orm 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 j. t for ' ause. • e.. :.re, I here agree at the city official or a designee may enter upon the property to perform needed ins ons.
X / J ,4 2-- fie- . 79 4 17s--- e .er. < 47
Sign, , �.' s'e Contractor's License No. D te
Permit Valuation 300 C C Park Support Fee # $
Permit Fee $ 0 Ci C , SAC # $
Plan Check Fee $ "62, 0,-.S. Water Meter Size 5/8 "; 1 "; $
State Surcharge $ S 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/ 75
This Application Becomes Your Building Permit When Approved Paid 4f 1( eipt No. (p $ E-'7� Date .' 2 r_ /z...„
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 S.E., Prior Lake, Minnesota 55372
PLAN ADDENDUM:
15161 Edgewater Circle NE
Prior Lake, MN 55372
PROJECT SCOPE: REPLANK AND RERAIL EXISTING DECK AND STAIRS
DECKING TO BE 5/4X6 TIMBERTECH XLM
RAILS TO MEET IRC REQUIREMENTS FOR 2006 < 4" O.C. PICKETS