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I) timimil kir r.r...nivn Al Lille ACCU U )( ( 41 /2: 30 :3; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ‘_5;zy A ,. /2_. P' . , AND UTILITY CONNECTION PERMIT 4 / l'I .tyArES‘, i White File 2 Flith COY PERMIT NO /z 4 3. ¥41.„ • Applic - ant (Please type or print and sign at bottom) ADDRESS ZONING (office use) i L t S37 6 i tr,d,t(c. A, vtz_. pi .0 ( Lk ivok4 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER , (Name) N./ CI - f 1 ( )rn i i l'''‘ (Phone) (Address) i L-I 53 z 6 i elvdei( ( Ak .1C. Pi t'L r LAC INA W 553 ? BUILDER (Company Name) J t-iek y. Rct ic,i-,A &J de de.r.5 4- Rtotocie 1 ers (Phone) Co 7- 366 0 Pre (Contact Name) I V \ A C ReLs 14A c k (Phone) 6 0,- al i -avil (Address) k % Vx ( r\ b Avc, c---4, ixtj t 0 TYPE OF WORK ID New Construction DDeck OForch DRe-Roofing I:Mc-Siding DLower Level Finish 0 Fii eplace NAddition DAlteration DUtility Connection CODE: I I.R.0 . [ILEX. 0 Misc: Type of 1 \ I o , 1 Ction: 1 II III IV V A B . Occupancy Group: A B E F HI MR SU PROJECT COST/VALUE $ C i 000 Division: 1 2 3 4 5 (excluding land) 1 hereby certify that I have furnished information on this application which is to the best of m knowledge true and correct. I also certify that I am the owner or authorized agent for the above-mentioned pro. rty an at all construction win conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building official ca - -. 'e thi permi 0 just ca Le, Furthermore, 1 hereby agree that the city official o a designee m y e er upon the pro e ' to perform needed inspections. 10. Signature Contractor's License No. Date Permit Valuation 7...VG:›19.- — Park Support Fee # $ Pernik Fee $ - 7 3 . 'TS" SAC # $ Plan Check Fee $ 47- 64. Water Meter Size 5/8"; 1"; $ State SUrChalr $ I I ' Pre ssure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ .41.--...s..--.0 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ , Gas Fireplace Permit Fee $ TOTAL DUE al This ' : t tit o . Your Buildi2g Permit Whe . Ap . oved Paid /7! / 7 eipt No. i i 6)6 C gei Date h. r_ AA. Adair ■ 41.1111 V (2_ Building Official 0 ate This is to c 4 1 that _ eque • the abo a .lication and accompanying documents i • accordance with the City Zoning Ordinance and may proceed as requested. This document when sill y t C f 'la I ; r • -. . es a 1 porary Certificate of Zoning, cy Om. and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. / Planning DiTer" 11... Date Special Conditions. if any 24 hour notice for alt inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 P R I R LA K E DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /4 3 1, 6A. 1 41/6 NATURE OF WORK 814-77-ft-'1 /1 USE OF BUILDING /2Ef A/ _- PERMIT NO. /2 , q-q7 DATE ISSUED 5 30 CONTRACTOR JD/INS° 26 u9"iJ PHONE 567,344 lz.Ese NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING w 1 P1 � / _- I FOUNDATION (Prior to Backfill) 1 (of Oic 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING P6? / ?/J INSULATION ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS BUILDING `ELECTRICAL PLUMBING 7' 24»'3 HEATING 0.03 DO NOT OCCUPY UNTIL A: •li 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