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Building Permit Sign 12. 0570
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( O z 0 0 t5= a 0 a 0000 0 *❑ ❑ c , O PRIG, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 'ltl Od S T - 7 �'NES � a-� t. White File 2. Pink City PERMIT NO [2_, 7 Ci D 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) Arcadia Ave. Extension, City of Prior Lake 6.0c.e2U 56 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID Z`' " 1Z2 -Q OWNER (Name) City of Prior Lake (Phone) (Address) 4646 Dakota St. S.E., Prior Lake, Minnesota 55372 BUILDER -- - - - - -- (Company Name) SIGN SOURCE, INC (Phone) (Contact Name) Andrew E Hanson (Pho - VARICI Kg (Address) 7660 Quattro Drive, Chanhassen, MN 55317 TYPE OF WORK ❑ New Construction ['Deck ['Porch DRe-Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ['Addition ❑Alteration ❑Utility Connection CODE: DI.R.C. jI.B.C. IN Misc: Sign fabrication and installation. Type of Constructs I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ $44,2$$.42 Division: 1 2 3 4 5 (excluding land) I hereby certify that I have famished information on this application which is to the best of my knowledge tore and correct. I also certify that I am the owner or authorized agent for the above - mentioned property and that all construction will conform 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 ermit t for just use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed insp % t �. _„ , c� //2^ W Signature Contractor's License No. Date Permit Valuation 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 $ C This A • f 'cati.o • • eco s Your Building Permit en proved Paid Receipt No. Date By Building Official D e 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 1. 4646 Dakota Ctrnet C.F... Prinr Lake. Minnncnta 44177 ✓ t Ids I V P ZfIM PRIOR LAKE BUILDING AND �NSPECTION INSPECTION RECORD SITE ADDRESS 4S7o C.-6k- A-Ak- c, TYPE OF WORK SIVN USE OF BUILDING PERMIT NO. 12 -S7o r DATE ISSUED BUILDER Sly P HONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INS�?ECTIONS BEL THE PERMIT IS BY SEPARATE DOCUMENT � INSPECTOR �TE I FOOTING 1 �I YZ 6 /( Ti PLACE NO CONCRETE UNTIL ABOVE H S SIGNED HnItediffitslee, FINAL 1 i 1 6•0)-(0 -13 FOR ALL INSPECTIONS (952) 447 -9850 • I I II \- ' '. Th2 A - 1 ,-- " , :__________ \,,,„, i II I 1 I I --+� , _____ I / 1 1 1 I 1 1 1 ~ 2 \ I 1 i l 1 I ' 1 1 I x � 1 y �Y_` I , 1 — \ 1 1 1 I \ �r ' I I ii 1 — - I I --� I I i I 1 i : I I X \ 1 1 y ' ,,j \ ' I I p 1 1 � 1 � ''_ 1 �� , �_ J CA � , ` I N= � I I a. 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