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l PR ion CITY OF PRIOR LAKE BUILDING PERMIT, Date:Rec'd
..., , TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
0 AND UTILITY CONNECTION PERMIT
t.Pick rile PERMIT NO. 14 .
1$53
:. t� City
n.„now ,.....
(Please type or pdnt and sign at bottom) ..
ADDRESS ZONING(office use)
391/ l'rera f'-t,er - Cz
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) '�,�e red- pi esG (Phone)rJ'6.7's 4/417..S�Q ;
(Address) S' // '1;41 �ts,t61-- C-Cv
lt
(Company ) Oby �"'f 8 tc4' N (Phone) 7( ?-261 g f-ik
Name . C.. hone
(Contact Name) ft et �1l t si '"'' (Phone) 6,4Z- i-tx 9g0C, ,
(Address) 2)1 y )S-74,7. 134$6"-#101/4) a tAc• -.. h'!rt/ 54'37/
TYPE OF WORK 0 New Construction WDeck ['Porch QRe-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection
CODE: DLR.C. DLB.C. 0 Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F II I M R SU PROJECT COSTAL S Z
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished informa ,. .` this application which into 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.. I conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the budding
official can revoke this permit for just cause. • .ore,t hereby agree that the city official ora designee may enter upon the property to perform needed inspections.
Signature Contractor's License No.
Permit Valuation 7-, 600 , CO Park Support Fee # $
Permit Fee S )73. -15 SAC # $
Plan Check Fee $ 47-94- Water Meter Size 5/8";1"; $
State Surcharge $ / 0 0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit S
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE(i„�A ea . 2.4 , i /9 S /2-2--- (�•�
This Application Becomes Your Buil Permit When Approved `-+`l
>� �g Paid ti��� � ,r 'pt No. �LZ-¢j. i .
Date q /J q
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi and may proceed u requested. This document
when sipped by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy.a Certificate of Occupant must be
issued.
Planning Director Date Special Conditions.if any
24 hour notice for all Inspections(952)447-91150,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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PRIOR LAKE BUI DR G A D�INSPECTION
INSPECTION
RECORDSITE ADDRESS �` ere -
TYPE OF WORK �/ -
USE OF BUILDING pecK.
_a I" 'get
-
PERMIT NO. l ���"� DATE ISSUED p.
BUILDER OWE AV 8ANC, We" PHONE # 143. 20�+ �Y
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,INSPECTOR DATE
FOOTING I 'jig ? /6//i
PLACE NO CONCRETE UNTIL ABOVE AS BEEN SIGNED
I P1111.14
IFINAL I �Q7 I 7/zcit1
FOR ALL INSPECTIONS (952) 447-9850
0