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of "/044CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, 5 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �j
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A.05,
AND UTILITY CONNECTION PERMIT V J " )30
4/014EsOlP I. white File
City �/
PERM /IT NO. ///
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2Pink
3 Yellow Applicant 0 ! '
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
6.LI2`I �C?A'oe�Y Ls,— /0. 1 )
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITIONSee Ze9ALL PID '5/I41, 0//r—Q
OWNER
(Name) /e20166".e 1i -L&C—/^1 (Phone) cf52-4g g' /5-04
(Address) 6,`i a c.i ,,,..?,ec,, ce 1/4_37— E
BUILDER
(Company Name) (Phone)
(Contact Name) C-57E y ��T e,.2t (Phone) 4, 12 -'457 - �5�
(Address)
TYPE OF WORD/%0 stew Construction ❑Deck ❑Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
ddition *Alteration DUtility Connection
CODE: I.R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ i000
000
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
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 revo e t is permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
I X 1 v
Signature Contractor's License No. Date
Permit Valuation (S {' Park Support Fee # $
Permit Fee $ —e,c-, SAC # $
Plan Check Fee $ `Z-4°I.,/5 Water Meter Size 5/8"; I"; $ ---
State Surcharge $ i Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee #
Mechanical Permit Fee $ Builder's Deposit / $
Sewer&Water Permit Fee $ Other $
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C
Gas Fireplace Permit Fee I $ TOTAL DUE f h t (,� i3 $ �� /'
WAN I 4p
This a:plic j o :)cos Your Building Permit When ,ppro d Paid Receipt No
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This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. ?/,‘"., , .....------- K r/e...he 4. -13."'' 21°C 0,017ro„__Q
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fall(951447-4245
4646 Dakota Street Prior Lake,MN 55372
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, White -Building
Canary -Engineering
4IINNESO�P Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT ,' : -` ...
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APPLICATION RECEIVED +, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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,,,,,/ 4 , ..,-;414 .._---- r"Y2 if.. . i
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Accepted X Accepted With Corrections
Denied
Reviewed By: ~-
Date: 71 -- 15
sag-
Comments: /Qts>�, ,:,, 13-aBPG al��u5 jje d,V.ft 4- 01.61-y ,War)
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation Df
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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White -Building
Canary - Engineering
jNNE50`SQ' Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED 53 'cf3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
d
Accepted Accepted With Corrections
Denied f
.4
Reviewed By: . P '______ Date: 7 (;
Comments:
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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White -Building
�INNESO�P Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 16
APPLICATION RECEIVED -z.,(.,27-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: __.
ita 4-*
;7
Accepted Accepted With Corrections
Denied A
Reviewed By: G►'!
DTMENT OF
PRIOR LAKE. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS —
NATURE OF WORK rrkc�
USE OF BUILDING fZ �-. —
PERMIT NO. - 3-- S DATE ISSUED 'T/(-1(
CONTRACTOR r L- ._ PHONE 11z--z51 - CifZ.
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING I7L r �
FOUNDATION (Prior To Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
sIEWIESMONMWSPVC
FRAMING WG Q tiiiit7
INSULATION /S 6
ELECTRICAL
-RANG
HEATING 194 ti,NL5
E-MR TEST
RDER
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP ply ,( 7 (, LATH
FINALS
GRADING ( PRIOR TO SODDING)
BUILDING
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