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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
NNEso —. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 1<- 7- /3
I. white File I PERMIT NO.
2. Pink City es?,_)1
(Please type or print and sign at bottom) 3. Yellow Applicant /
ADDRESS
14885 Maple Trail ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Barbara Fischer (Phone) 952 -447 -6211
(Address) 14885 Maple Trail
BUILDER
(Company Name) Elite Exteriors, Inc. (Phone) 651- 688 -7808
(Contact Name) Jason Vogen
(Phone) 651 470 -5038
(Address) 1513 Southcross Dr W, Suite A, Burnsville, MN 55306
TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
['Addition :Alteration ['Utility Connection n r I 111, 1_r r e c - 14 - t - ( { � S - hut -
CODE: DLR.C. ❑LB.C• ❑ Misc: Act stone work l
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HI MR S U PROJECT COST/VALUE $ 2800.00
Division: 1 2 3 4 5 (excluding land)
I here . • .� :• . t I have i ' information on this application which is to the best of m knowle
• rve- mentioned .' .. all construction will conform to all existing state and local laws and dge true will and correct.
accordance I also certify w with that I am the owner or authorized aware agent for the
official can revok th • . cause. Furthermore, I hereby g proceed in the with submmed plans. I am aware [hat the building
4
� by agree t hat the city official or a designee may enter upon the property to perform needed inspections.
BC509942 Exp 3/31/15
tgn. ture Contractor's License No.
Date
Permit Valuation 57.12) , Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ 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 $ 4V. 7s
This Application Becomes Your Building Permit When Approved r / , S3 1
Paid 41; 1 Re pt No. q % `,
Date v 4 , ( 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
g compliance and allows construction to commence. Before occupancy, y a ed as requested. This document
must b
when signed by the City Planner constitutes a temporary Certificate of Zonin
issued. a Certificate of Occupancy must be
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