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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
- B TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / 1 Z
AND UTILITY CONNECTION PERMIT
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I. white He PERMIT NO . /�
2. Pink City /L- / T
3. Yellow Applicant /// C�
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
15680 Fish Point Rd SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Joe Brennan (Phone) 612 - 6164447
(Address)
BUILDER Brennan Properties LLC 612- 616 -4447
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ['Porch ['Re-Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
['Addition ❑Alteration ['Utility Connection
CODE: .R.C. ❑LB.C. El Misc: shed ( S I - I O ' ). 1 A l
Type of Construction: I II III IV V A 13
Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ $1,500
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 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.
x _J oe Brevl.vl.avl, 10 -12 -12
Signature Contractor's License No. Date
Permit Valuation fSA b>< i 4 X/o . - 02-c, op. — Park Support Fee # $
Permit Fee $ 1 7` . 1 y SAC # $
Plan Check Fee $ 4 aVk 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 ekb /i/ L $ - 17.2-.4p1
This . plication comes Your Building Permit Whe A roved Paid / Z "2 - - C. 9 Recei No. 6 ! 6 0 Z-
/ -.. Date //„ 1 / Z By
k_ �.■......_ 1 1 (°-
Buildin• Official Date
This is to certify that the r , uest in the abo - ap. ication and accompanying documents is n a ordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City tanner cons 'tut:. a porary Certificate of Zoning complianc: an. allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
. %./r_ ' AL 11 ,
Planning 0 irector 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
. ,
in) In p A,
LL ! 4, DEPARTMENT
IA OF
Lr ' L W# ' '**t1 ' "ik. L. BUILDING AND INSPECTION
1 i , 4
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: ' • :,.
'
RECORD
_,
SITE ADDRESS /54 e 6 11511 7 /4)4
TYPE OF WORK t 4 ea7srooty dr& t tierti
USE OF BUILDING 46S
PERMIT NO. il., /3-10 DATE ISSUED /0. 31, lZ...
BUILDER /106NAi 414 PHONE # 6 a , 4/4".4
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
1411:0ft 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FF-RAMING I I 1
I FINAL 0
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