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2012 Sep 12 02:49 PM Best Buy Co. 6122923419
Co'" 1/1
o li rx CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
4' h' TEMPORARY CERTIFICATE OI+ ZONING COMT'LIANCE q .'3.' L
to AND UTILITY CONNECTION PE1t1VI[T
` pY �� Fu s c w l z.. vz 3
Na$�
1. white Elk PERMIT T 1IO.
2. Pink City 9
3. Yellow AppGeanl
(Please type or print and sign at bottom) .
ADDRESS ZONING (dike use)
37}1 5. cA- 1" 7.2
LEGAL DESCRIPTION (office use only)
LOT BLOCK , ADDITION i ' (/ ed ND
OWNER
(Name) _. � (Phone) 3 - 9r� _Q
(Address) f 3 4 fi r t '
B'Cl'1:LDER
(Company Name) _ 71 A-P d S ALAte- .. (Phone)
(Contact Name) . _. (Phone)
(Address) -.
TYPE OF WORK ❑ New Construction OrDeck ❑Porch (:Re- Roofing DRc-Siding [,]Lower Level Finish D Fireplace
['Addition ❑A1tc1 ❑Utility Connection
CODE: DLR.C. DLB.C. ❑ Misc:
Type of Construction: I 11 111 XY V A B
Occupancy Group: A 13 E F II I M R S U PROJECT COST /VALUE $` y 7
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished Information an this applic w hich Is to th e hest of my knowledge true and correct_ I also certify that 1 am the owner or authorized agent for the
above - mentioned property and that all construction will conform to all misting state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official an rivok this permit for Just cause. Furthermore, l hereby agree that the city official or a designee may enter upon the property to perform ne¢ded ins ctioo
Si Contractor's License No. bate
Permit Valuation c:::0:5) O _ P ark Support Fee # $
Permit Fee $ 8e. ..Zs- SAC # $
Plan Check FCC $ 5G" ' Water lvleter Size 5/8 "; 1 "; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Pee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE (J / $ '_ _ t j
This Ap rt ca,'. , Becomes Your Building Permit When Approved Paid cei t No. 7,Z ' �
�ti el l, -e /(? Date % 7 4., /2._ Y_
i ►Ai•.: -
8 ' ding 6 Mobil Dale
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 ?Ova ,•nstitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. ki., ,./t/4
Datc
(( I-
PIS .'n Director S P acial Conditions, 'ratty
24 boor notice for sill inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lalrc, Minnesota 55372
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6 +'. 4
e' s
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•
4.40 1
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D 0,441 /2- 023
CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED ).'1-
ADDRESS 33 / So? &L' S
OWNER CONT.
PHONE NO. PERMIT NO. / 2 )0o 6
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL Da. GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL 1�
COMMENTS: J
t
, L
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, L FO REINSPECTION BEFORE COVERING
N(6)
Inspector. Owner /Contr.
CALL 447 -9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED / 6 f !/ /'z—
ADDRESS 33 i'. u re,wC a... 4
OWNER CONTR.
PHONE NO. PERMIT NO. / Z -- Z 3
FOOTING lJpc Jr-- ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
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#2 CORREC' TION AND PROCEED
• CORR-CT O , CALL FOR REINSPECTION BEFORE COVERING
Inspect. r: / - Owner /Contr:
CA -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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