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Ili o 44 > 0 2Wla co 2 0 \ sr -� o��« ' z ? § § U��o 1 CO ❑00000 — W ■ 0 0 • . _ 11111 Ce o A t. U. 0 D Q . - W L Z , w w 2 2 § § % Lu 1- E 0 00 0 -, e al O 0 w 7_222■ S/§ k ■ IT- a z ■ X 1 S a §§ § 5 0' o §! o W z X o ■ « � LU IS w w X % a ■3 ■a■ OOCO ❑O § § § Z § 1 _ a_ o_ o • 0 re < \ a k Ill s § § 2 �� % u�� a • wk z ©« W % z o § w 1- 1 . < e �` % a U U -J � § c k za j a ∎ ,�/ \ rt w k k 0 k k 0 § �d 302 E § 2 2 0 a O 0013 S - 0 0 E (.---- PR; CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd A TEMPORARY CERTIFICATE OF ZONING COMPLIANCE oe i ' AND UTILITY CONNECTION PERMIT Z V s 'F t77 A't', I. White File 2. Pink City PERMIT NO . 05 0 / 13 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) / C r - 0 l s/qq& W A y N IV LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID Lc .4200, 030. 0 OWNER (Name) 06..) t Go �l� Lv G f (Phone)( C '7'02 — ( l 3 r (Address) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) — _ TYPE OF WORK ❑ New Construction ['Deck ❑Porch DRe-Roofing DRe-Siding Lower Level Finish ❑ Fireplace ['Addition DAlteration ❑Utility Connection CODE: DI.R.C. DI.B.C. ❑ Misc. Type of Construction: I II HI IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 hereby certify that 1 have furnished information on this application which is to the best 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 existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature Contractor's License No. Date Permit Valuation 47 0 0 0 , 0 0 Park Support Fee # $ Permit Fee $ 9 7 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Z. O 0 Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5 . U O Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee C2) $ 50 d 0 TOTAL DUE $ / 5 This pplication Becomes Your J Building Permit When Approved Paid /e92,....5 Rec ' t No. .53s I 6 Date 9 Z • O By d Building Official ate 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 4646 Dakota Street Prior Lake, MN 55372 r:LDIGEANDINFSPECTION PRIOR K E INSPECTION RECORD SITE ADDRESS /6 56 / ‘.5 '' NATURE OF WORK 1'' USE OF BUILDING PERMIT NO. 0 DAT ISSUED ' • CONTRACTOR JJ ISSo \/ PHONE 44- . o 3? NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1 I PLACE NO CONCRETE U TIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING : c� VA? S ardl 3A cc.-, 4 et et s'�l jo is INSULATION ELECTRICAL PLUMBING ; ®A: HEATING (if required) a,( € ' / FIREPLACE 5 14° GAS LINE AIR TEST W 5 f I jQ f p COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED v.40 1 1 1 FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE T Is 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 4, 4 • V V • •