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O� NESp R/04, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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2 Pink City I PERMIT NO. r 4_,tee,
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3 Yellow Applicant
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS / '
2633 Cougar Path NW, Prior Lake, MN 55372 >�` C,Si)
LEGAL DESCRIPTION(office use only)
LOT 18 BLOCK 4 ADDITION Wensmann 4th PID 254180760
OWNER Matthias Hinrichs (Phone) 612-924-1344
(Name)
(Address) 2633 Cougar Path NW, Prior Lake, MN 55372 LclL g 0 — Sg`T— I )c3
BUILDER
(Company Name) P3 Constru tion LLC (Phone)
(Contact Name) Corey Peterson (Phone) 612-730-9584
(Address) 15412 Hidden Hollow Lane, New Prague, MN 56071
TYPE OF WORK 0 New Construction Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ['Alteration ['Utility Connection
CODE:JR.C. DLB.C. 0 Misc:
Type of Construction: I II III IV V A B 15000
Occupancy Group: A B E F H I M R S U PROJECT
COST/VALUEd $
Division: 1 2 3 4 5 (excluding
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.
( ` %
Signature Contractor's License No. Date
Permit Valuation , Park Support Fee # $
Permit Fee $ 132.Ca
SAC # $
Plan Check Fee $ 60.', 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 $ ZZ 1 . & 3
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This A, ' 'on Becomes,�'our Building Permit pproved Paid Z Z-t, C j I Re • t No.
I Date . -.- -t `-7 By
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' Building Onto o e
This is to certify that the request in the above application and accompanying••cum o.is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by e ' fanner constitutes temporary Certificate of Zo ' g comp,ance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
S 41
•arming Director 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
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