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Building Permit 15. 0264
a 0 0'. n O'DOOD m o > 20 n n a 000 0 §�K � � � a sg4 xi k ° - m0 M zr; Ck § Z �� a 2 $ -Q� Q P 0 ■ 10 t ��& -rn % :Cll---- Ilit -4 •• § , k b 'n j 0x 7 k rzr C7 3 a m o 73 73W , o O000OO 0 \ Z 0 2 3 � 0 & E � \ E cn ? 26— PIR © e co / " E rn - 2 KBIZ �K z m / z rM § § 73 q ` 0 § 0 P co zxx c \ 0 z R �� � mm P § x7 m • g 0 �_ m 000O = O 1 e tl 52 z � � n �§ ,_ 0 . �MME0 � M % Z ri ; ; ; § 4 A t ,, , � F - c t z m .. � r 0 1 PR/p � '� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE + 30. 15- AND UTILITY CONNECTION PERMIT rN E5°'`� .ema i +0 ;ice & `.White Cit PERMIT NO. /5 -674_. 3.Yellow Applicant a (Please type or print and sign at bottom) ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID 25 (1 010.D OWNER t -A (Name) �t�'.Yi.1r`� I (Phone) g52-Liet4--7144, (Address) J31S YUi , Pun( I BUILDER (1 i (Company Name) 4, 1/ �"# (Phone) —7113 3 (Contact Name) '13t i (Phone) 2-5740 tec-i 5 (Address) 23014 FielejtiOabS sr Owr s yh Yt TYPE OF WORK grNew Construction jaAeck OPorch [Pc-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace ❑Addition OAlteratton OUtility Connection CODE: OI.R.C. OI.B.C. 0 Misc: Type of Construction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 10/500•00 Division: 1 2 3 4 5 (excluding land) I hereby certify that T have furnished information on this application which is to the best of my knowledge true and correct. T 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 m accordance with submitted plans. I am aware tha t the building official N.,revoke this permit 5 'list cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ' !`1 :..0 ' "eC.P 5 27-7,p t S S'a,•tune Contractor's License No. Date Permit Valuation iL 600. T1 ) Park.Support Fee #' $ Permit Fee $7/ / 03. 000( SAC # $ Plan Check Fee $ f 66. 95 Water Meter Size 5/8";1"; $ State Surcharge $ Z . 00 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 „.4.4:`j2 a 3i., is $ /.7/. ,...5-- This Appii -i a corn g Permit Whe App vc Paid /V/.'//5' Re pt No. '4 j ,4 `1 Date 4- 3-‘5"- B ill Build.ig Official D to R This is to certify t.1 the'A•.est in the above application and accompanying documents is' accord e with the City Zoning Ordinance and may proceed as requested. 'Ibis document when signed by �' constitutes a temporary Certificate of Zoning complian and allow constructio to commence. Before occupancy,a Certificate of Occupancy must be issued. r � 3 31 P,u. D tc Special Conditions,if any r notice for all inspect ons(952) 47-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 • r R .,,,, , ,A .;,, e. r . , DEPARTMENT OF BUILDING AND INSPECTi i__, t 41 -,2 ...'", — f-1 l',-;:',.. . , ,e, 0 : SITE ADDRESS ` � '''r TYPE OF WORK rr �, �.'''''''' '4. ' OCY USE OF BUILDING � ' PERMIT NO. -' 'PATE,' i;, , �� ..,, ,'DATE ISS f BUILDER Li w -� E � %mom a �� A- PHONE# fi NOTE: THIS IS NOT,` "4PE I :FOR A°NY`OF THE INSPECTIONS E'I ®< �.xk_�''1i�'ry v�=#-�'ka�ifi..* a.'". +`tew.«���Z � a�� n« �Y. THE R' T, SB (�SQP RITE DOCUMENT " C 1NSPECTORDATE JFOOTING £.) ) ' t_),)1 .....,,,,,,,04-4,.,,,,,..4,-,,,,,-)�' t� p t, I PLACE NO yC i�C�R4E Er . SNTIL ABOVE HAS BEEN SIGNED I 1 g ,, '--:'- ''•:s,73'ir";'r-741i•gT.'"•i: ' — • D FINAL , _ ...,, t ��.- I� " I >7 r FOR ALL IISP" I NS (952) 447-9850