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i O* ?R.44 CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4_ it /4- ,
uk �r
AND UTILITY CONNECTION PERMIT
l*NEB°R
E
'. Mt nu�
Z. Mt 22i3
PERMIT NO. (4
3.Yddlse Apjtiraat A
(Plena type et paint and sign at bOttonu)
ZONING owe use)
ADDRESS I 7 el//tiAh/ 1)
7/42 /4 0571 £15.0
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 25 . 4-4 C. 022,0
(Na .me) �,y5ON 4- S�4% I P,CR- (Phone) ( 2l'?-9/1-2`( 5
(Address) 'jif&% %' A0,07— /-,t'
'`', ..
•
BUILDER(Company Name)���/7 W ,C_. (Phone) 74 .•.5'7e(0/1/
>
(Contact Name) C441/ N1/7!-e-iL---- (Phone) 25 - z2-4•3 - 5 T S°
(Address) 4Sr" 04/0e <-1 moi3 () .e-.7. /e/ii/ g:5-Y57.1-
TYPE OF WORK D New Construction DDeck DPotnh ORe Roofng t]Re-Siding []Mower Level Finish 0 Fireplace
tion DAlteration DUtility Connection
CODE: t .R.C. DLC. D Misc. / A-5 /t% 6, srsy_ si1�etiP raw
Type of CbnstracODIC.on: T U MTV V AB Occupancy GrowA B E F A I M R S U PROJECT COST/VALUE $ /tit
Division: 1 2 3 4 5 (excluding land)
I hereby realty that I have fiunisbed iatbrmation on this application which is to the best of ray knowledge tau and correct. I also entity that I am the owner or authorized agent lbr the
above-mentioned property and that alt artwttactioo will conform to all existing state and local lawn and will proceed in accordance with submitted plans. i am aware dial the building
official canievsdte this permit t t)use / Purthcrmore,I that the city official or a designee may enter upon the property to performZ
ctionL
X (.1a -��./ / �`tw-"2,. � �- /.� 2V Z..5 //4'r'/V
/ Signature Contractor's License No. Date
Permit Valuation i U l f✓ Park Support Fee # $
Permit Fee $ -Z SAC # $
Plan Check Fee S t 2- Water Meter Size 5/8";1"; $
State Surcharge $ J - Pressure Reducer $
Penaltj, $ Sewer/Water Connection Fee # S
Plumbing Permit Fee S `7 4 .5) Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Pee $ TOTAL DUS�y� -s--5z4,5o
This App,/ d 19 •1 -"Your%Hang Permit Wh., ., . ad Paid 52,71.-s,7) R ipt No. ,1l /4
AviDate 9 L 71,7-i ,
Buildi._^ I ,.
This is to scat*, the -. in the above application and accompo ging documents in rdance with the City Zoning Ordinance sad may proceed as requested. This document
when signed I, ,7totes a ternpoiltty Catilicate of Zoning a allows construction to commence. Itcflxe occupancy,a Crnificate of Occupancy must be
' issued. '- T 1+
44. bat Special Cons,if any .
24 hoar:Ace for all Inspections(952)447-9850,fax(952)447-4245
4644 Dakota Street SAE.,Prior Lake,Minnesota 55372
DEPARTMENT OF
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Z-` Gi -r►c Ave' IQ J
NATURE OF WORK � fl
I - �I
USE OF BUILDING t� ''� to—
PERMIT NO. ` ATE ISSU 4//4-
l 4
CONTRACTOR A-14 t\!oc:IA 1 pt 5 PHONE q -2 - 95E'
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING -. -
INSULATION
ELECTRICAL
PLUMBING � 3 -- - `:-' -\
HEATING D_.
11111.1111.111
GAS LINE AIR TEST
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
,1111111111111111111111111111111111111.11PBUILDING t LI
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This 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