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OF PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 7/2//7 u f,,
"' NNE 6611.. i While rile PERMIT NO n �
2
3 Pink Any t S M /7
3 Yellow Applicant V
(Please type or print and sign at bottom)
ADDRESS ZONING (once use)
2 97 0 iefy 0 44, A 1e) 62 r /1/v4/ pc 50
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK 2- ADDITION 77-1 E cerviEs PID
OWNER
( Name) 6 C- 07 Con/J €17c'r✓ (Phone) 7 S2 — ..2 6 Ei /20 )
(Address) / '/ 4 9 / S ‘, j.v* -y 40E ?. ,fP24 I'Ai ,Ey /WV S'f'/ ay
BUILDER
(Company Name) S.7 A c- , -1-4'4 e C1 .r x72 LIcT .n/ (Phone) 75- -3 Se —/So
(Contact Name) /. /#,•r✓ 60-/2-,.JrD iv/ &e _,, fr-- -*/ (Phone) 6S /- 7SS- '7/5 j
(Address) / 9 7i S fNJE r--6 1' (4-*7 �f- Zesc Ave I/AT.t y /' S'S/ 2 y
TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: R.C. ❑I.B.C. $Mist. P4 io Pit /2. G O (-4-
Type of Construction: I II III IV V A B PROJECT COST /VALUE $ ' GO , N
Occupancy Group: A B E F A I M R S U (excluding land)
Division: 1 2 3 4 5
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.menhoned property and that all constriction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official can rev 'e this permit for lust cause Funhermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections
x / �' .e. (......62,.........wwL%z„.J2 6 C 6 36 87y 7 -3 -/3
. Contractor's License No. Date
Permit Valuation O Park Support Fee # $
Permit Fee $
t 103.60 SAC # $
Plan Check Fee $ 6 , c y 5- Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 2 . D 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/! l • ( I 1 3 $ ( '1 1
C15
Tl pplic,, on Be -. roes Your Building Permit When Approved Paid / 7/. Y3 Receip � NI. 9
Date 7////z_3 7////z_3 By (
r / 7 31
tuih F Official ate
r
This is to certify t Z he re / t in the aL ove application and accompanying docume is is in . ccordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by t P1 er con mutes a temporary Certificate of Zoning tom lance d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued 1
' Plammmg Director ---..111111■_ D to Special c on lions, if any
24 hour notice - W*11 inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 21 Kno(1ttci -- Ck
TYPE OF WORK ra-ck S1ne«er 10 l2'
USE OF BUILDING 2P C.).
PERMIT NO. FK DATE ISSUED V413
BUILDER 4,2. 0'o ll@-cz PHONE # CAS/- 75 7i T?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING ord 1 7 (11, i? I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING 1 1
I FINAL 1 / 1 8 /1/43
FOR ALL INSPECTIONS (952) 447 -9850
TY OF PRIOR LAKE
0 L�-- t , NG PE - • EVIEW
ONE S II PERMIT NO
Q - ED AS SUBMITTED
�
D � ACC O�D
EPTED- ORRECT & RESUBMIT
These comments ate tot your information. AN work shall be done
IN NI oonlpYenoe with aN applicable building 8 zoning code
limphemanis Including Items not epeciNcaymoted in this reek*
KEEP THIS PLAN SET ON SITE AT ALL TIMES
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