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01 PRIO� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE lU
6,411N1
AND UTILITY CONNECTION PERMIT
4, ,,,
N NSS a
L white File ` ✓� /0 g
I . Pink City PERMIT NO. / C /J
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3705 Pointe Pass NW
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER Brian Elliot (Phone) 612 - 968 -2732
(Name)
(Address) 3705 Pointe Pass NW Prior Lake, 55372
(Company Name) Cot Construction & Remodeling LLC (Phone)
) 952 - 934 -7600
Phone
(Contact Name) Rus Erickson (Phone) 612 - 387 -3110
(Address) 1001 6th Street S Hopkins, MN 55343
TYPE OF WORK ❑ New Construction aDeck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
['Addition ['Alteration ❑Utility Connection
CODE: rj ❑LB.C, ❑ Misc:
Type of Construction: I lI III IV V A B 9,000.0
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $
Division: 1 2 3 4 5 (excluding land)
I 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 - mentioned perry 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 revo permit for just cause. Fli mo , I h eereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 1 431519 09/24/2013
. Signature • • Contractor s License No. Date
•
Permit Valuation t
{ Q/3. Park Support Fee # $
Permit Fee $
1» - SAC # $
Plan Check Fee $ -I Co. 4 Water Meter Size 5/8 ; 1 ; • $
State Surcharge $ Z ,a 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 $ 41(
This ' a Becomes Your Building Permit en pproved Paid t 7 Receipt No. 0 7
1. - Date r� !� C, By gig..
Bui • n Dat
This is to ce • that e request in the above application appplication and accompanying docum is ' in accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign., f th"' ' ty Planner constigrtes a temporary Certificate of Zoning con lian a and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. „, (0 3 1
p io 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
OQ YRI CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
b� AN1 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE `0 j
0 AND UTILITY CONNECTION PERMIT
*NBS
1. White File PERMIT NO . '
3. Y . Pe City / ....2 ��
3. Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3705 Pointe Pass NW
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER Brian Elliot (Phone) 612 - 968 - 2732
(Address) 3705 Pointe Pass NW Prior Lake, 55372
BUILDER Coty Construction & Remodeling LLC 952 - 934 -7600
(Company Name) (Phone)
(Contact Name) Russ Erickson (Phone) 612 - 387 -3110
(Address) 1001 6th Street 5 Hopkins, MN 55343
TYPE OF WORK ❑ New Construction [Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ['Utility Connection
CODE: I.R.C. DLB.C. ❑ Misc:
Type of Construction: I II III IV V A B 9,000.00
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $
Division: 1 2 3 4 5 (excluding land)
I 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 - mentioned ...petty and that all construction 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 r is permit for just cause. off, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
71
x � ?�. j ,. .../--- --- 431519 0912412013
Signature Contractor s License No. Date
Permit Valuation app, Park Support Fee # $
Permit Fee $
17 - 7t5 SAC # $
Plan Check Fee $ .7 Co. 54 Water Meter Size 5/8 ; 1 ; • $
State Surcharge $ Z 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 $ - 70 Gt -'1 6t
This .: a. + k Becomes 'tour Building Permit en pproved Paid Receipt No. /
p,
1 Date to l By g0t4-
to 1 3 Bui tOficial Dat
This is to • ; that e request in the above application and accompanying docurm is ' . in accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign., •t till' 1 ty Planner constitutes a temporary Certificate of Zoning co. . an and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
P1.11 a to 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
, .
.,
P RI OR BU I LDING A I NSPECTION
I NSPECTION
RECORD
SITE ADDRESS 3'D5 PO //J7� PA-r—s"
TYPE OF WORK a &TeXL
USE OF BUILDING �� R-iire,
PERMIT NO. /3 , / O DATE ISSUED /U , 3_ /3
BUILDER 6'6 ri 60^4-5 77-'e--... PHONE# 9? V. 7 17 0v
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
IFOOTING 1 k / /y� 7 1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I
I FRAMING SCI `� 7 /
I FINAL I # / lZ69I3
FOR ALL INSPECTIONS (952) 447 -9850
•