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0- DR/04, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
NTEMPORARY CERTIFICATE OF ZONING COMPLIANCE
n' AND UTILITY CONNECTION PERMIT 4. - e, (c--
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1. White File PERMIT NO.
2. Pink City f „30 5
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(o ce use)
/30/3 00)4 Tiic Sr iLi-
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID (,25 - I 'lel *---j
OWNER O
((NaQ/2/14 f z Jk. — (Phone) 95-D- c1 y 7-a y q7
(Address) )5 O l a JG\012,0 Q 1 . ,l/)Gt,.1 .S l
BUILDER �7 —,S`� <�
(Company Name)g €4< Cwt ' . ? o
, cs (Phone) 6/a' S
(Contact Name) OCG a canJ(.4 (Phone) 5 C .._
(Address) 3-S) 7 H -i i-,. T LJ s"r y O P
TYPE OF WORK 0 New Construction iiDeck DPorch ORe-Roofing '"Re-Siding ['Lower Level Finish ❑Fireplace
['Addition ['Alteration ['Utility Connection
CODE: OI :R.C. DI.B.C. D Misc:
Type of Construction: I II III IV V A B /
Occupancy Group: A B E F H I MR SU PROJECT COST/VALUE $ o 7,
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on 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 m
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 revokethispermit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
% � -( 7rt l-reY G 2/) 0 0 `�1 a--1t,
tgnature Contractor's License No. Date
Permit Valuation 40 O Park Support Fee # $
Permit Fee $ \o 3 — SAC # $
Plan Check Fee $ (Ul2, !A�r Water Meter Size 5/8"; 1"; $ .
State Surcharge $ 2. 1 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' '
This Appli ;on :. omes Your Building Permit When Appro•ed Paid t/ (, q J Receipt No. /I Z.
Date . , l c By ssyt i
Al i 4211ralli\- 4- 26 lc.
uilding Official ---.-- nate l
This is to certify that the request in the above application and accompanying docu ,ents is in a, ordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by / .ty ' . er constitutes a temporary Certificate of Zoning co ..fiance an, allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. i
A L (/.Irl 1 -
Planning Director \ D. Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
•
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77_77_ • - —
) MitiNESCITADEPART14EFffelitt---'-=-1--7-
RESIDENTIAL REMODELER
LABOR&IrStDUSTRY-
Coflstrucion LWebse :2Nds and Licensing Division L• • ' "''" . . ' , „
icensing and Certification services ' 443 Lafayette Road N St.Paul MN 55155
coviccid asp Email,,,,,,,dh.ncenseeSfateinn.os ph . '• ,; one- 651284-5034
This is to ertif that the certificate holder is licensed as a RESIDENTIAL REMODELER state of Minnesota and is in complianeViiih 2 '
_Minnesota Statutes 326B•805,and may contract or offer to contract with an owner to imprOve existing residenttalreal estate;provi\\*ded the N
responsible individual is at allQUAL- MODELER and the certificate holder maintains complian-cpAitli_the redbon
general liability insurance,
RESIbENTIAL REMODELER
',,PF10011:100
Effective Dafe 04i01%203517HENNEPIN AVE s —Thi L
1'5 , ,','
bate 03/31/2017
,;' '; , „
MINNEAPOLIS MN 55408
— — - ----- —
VERIFY UP-TO-DATE CE 4F AT wilvW.dli.mn.qoviccId/LicVerify
•as 1ENTERJ4UMBE •_-
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Print Preview Page 1 of 1
Scott.county. MN
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Parcel IO 25125°21°
RrogIert+yr Address 15613 GREEN OAKS TRL SE Land , {I (
PRIOR LAJ E MN 55372 IMP' ravemeint 1044,000
Taxpayer Name Mt[)EEKEN lAV�1RENCE M 8t RENEE MI Market Value 2....
Taxpayer/Address 1.5013 GREEN O AKS T411--SE Homestead Status: Y
PRIOR LAKE MN 55372 Homestead Classification 100 Res 1 unit
Taxrng'Drstnct' GCTY 1rctia ectural sLyter' ►? !1a R:.
T 'rYnshi /Cit7 Z � year Boilt 11970
School District IS�[10719 PRIORft LKBedroo4rts: 3
GI5 Aires. d.03000Oathraanis3
Deeded Actes 0'44° `taFa a (541 rt) 57 .
Zoning Classification Sale Date,.
subdt ton ame GREEN OAKS Lek°21 ,
Legal,Qag+nP1iaQ �.
5slbdpprsar►+ cl 15 '
ciisdairner:'Map and parcei data are be ieved to be arccrrate.'but accura s'r t am tBed.iris".not a testa, Ma, Scale
doeumenf and sht uk1 not besubstituted rttitrear a appraisal su a ton.; inch= 7 eget
;4f28/2015
Bulldin Date
Zoning ate 4 HZ
Grading Datlrai
htto://sis.co.scott.mn.us/ScottGIS2.OPrivate/WebForms/Print.asnx?ima=httn://gis.co.scctt.._. 4/2R/2O15
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 't SO ( 3 iz
NATURE OF WORK �isa
p
USE OF BUILDING F- A-- 2 _
PERMIT NO. i`�- 3 0 r DATE ISS ED 4 - r c_
CONTRACTOR k F-64/16(>&1_6125 PHONE '(2-8 1 - S.-
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING
(Prior To Backfill)
Feallanalait
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH -INS
484111111101.
W
T
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH
FINALS
BUILDING
111111111111111.016
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
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