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CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE qd/ x AND UTILITY CONNECTION PERMIT U I. ��A'NESoO� 2 Pink White File PERMIT NO. 3 Yellow Applicant f 4' - (Please type or print and sign at bottom) ADDRESS333 9 ZONA (office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID as ‘747S" 002— 0 OWNER ) /ll,6?corkiGe.1_ (Name) / � (Phone) (Address) �^ BUILDER(Company Name) 'PM d(- -S (Phone) s-" z_. 3 L q. 4?7�� (Contact Name) 7nl '!/ie- /-777 (Phone) (Address) ,3 SZJ7j VI e c-O&/iz lam✓./ Ar 3 0 2_ f�/`?0 '? 1 5-c-44, TYPE OF WORK ❑New Construction ►' ck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ❑Addition ['Alteration ['Utility Connection CODE: TA/.R.C. ❑I.B.C. ❑Misc. . Type of 'instruction: I II III IV V A B PROJECT COST/VALUE $ 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 authorised agent for the above-menu, ed t o.erry 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, t , it f..just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed ins cc ions X r� '//_. / e. 63 6 «7 f` I." „ S..:- ature Contractor's License No. Permit Valuation 3000 . 0 0 Park Support Fee # $ Permit Fee $ # $ ( 0 �.23 SAC Plan Check Fee $ 5-7 !3(0 Water Meter Size 5/8"; 1"; $ State Surcharge $ / 5-6 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 $ /. 7_ // 1 This Applicat't n Be t es Your Building Permit Wh• Apt oved Paid /..1 -7,//`/ ipt No. -7/(74-'' v An. Date I ;/ e, `t / •ui dim OfticW ,Date This is to certify that the rent st in the above application and accompanying docum s is in ccordance with the City Zoning Ordinance and may proceed as requested. This document when signed by th y, ty P i Per constitutes a temporary Certificate of Zoning co ,iance d allows construction to commence. Before occupancy,a Certificate of Occupancy must be , issued. 1��, � ® 4 Al 1 46..._ I • Plan ng Director `ate Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 tP11-jrce CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1/NNeso'sI" I. White File PERMIT NO. 2. Pink City r4— 413 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) \ 333? SJA//a T sW LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) i'/ / C la (Phone) s/'020 P--7y7-2 (Address) 333v Sv;nv-,e,d)d C_'T S4—• /2/"., 2 L4/CF 7,,,v. c5j 2 2 BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ['Addition ❑Alteration ❑Utility Connection CODE: I.R.C. ❑I.B.C. �}vlisc. �1� SCA�� r 1phiI Type of Construction: I II III IV V A B R�T COST/VALUE $ Occupancy Group: A B E 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 authomed 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. 7/7/ iy Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ 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 $ AEI Gas Fireplace Permit Fee $ TOTAL DUE $ Adi This Appy a Becomes Your Building Permit n Ap`�oved Paid Receipt No. / I � � Date By Build, _ ••• Date 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. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 /7, re I //X, Co-124re Cc2cre v 77 .17 /t1/cr ri y7 /v1 ' /r et17 ."1.22A-0/tij Or hori II sow isec earacToR Igor SUOWITTED AS Nom opicErreviTH urumrimcqr-seguemrt C1NOTad�M'�. ouNdq °A+' 0011400",wlwr«vv�' to PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RCORD SITE ADDRESS 333 switedity er TYPE OF WORK Dare. USE OF BUILDING ear A/ic PERMIT NO. /4 4 ..- 73 DATE ISSUED 6. 4. IS/ BUILDER ,n'i Offdeor PHONE # Ga. 3 47�� NOTE: THIS.IS NOT A PERMIT FOR ANY9`- OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT 71q11 '1 INSPECTOR FOOTING -� LA.cr, I&,..— DATE W-c---- I ';Mly ] PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED litemor I I ] JFINAL _ 1 I 'zZ IS-- FOR ALL INSPECTIONS (952) 447-9850 II i,'