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CITY OF PRIOR LAKE
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Final Permitted ❑ Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of theY Residential/❑ International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
` '1 �`� 3
Use Classification o.)1 n j A-4_, K-rv-•, 1`/ 1\R.� Bldg.Permit No.
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Occupancy Type R' Type Construction .Ww-� Zoning District _3
SAC Z' �� P I 1 9 Rav,L.. D 2 '
Legal Description 1—
Owner of Building Site Address NOLi 1 ( u 1 Lk. -1-1N /we.
Contractor's Name&Address 2 ort L 1 iu 1\A 1o..5
>�� ,..+.. City Planner
Building Official
Date: I 1 1 I
Ilot Date:
POST IN CONSPICUOUS PLACE
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of PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2,' 14—
PERMIT
AND UTILITY CONNECTION PERMIT
U Irj
44HNEsolP I. White File PERMIT NO.
2. Pink City /�
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
C(/ ,2vCur 1/ 'i/
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID2T 7oz_. �u ;
OWNER /
(Name) 1� ANL—
..... '_ (Phone)
(Address) hOie ropLa
BUILDER
(Company Name) (/ F;
I ' ( c , (Phone) 40 'iii — 10(Contact Name) _ e ,1/4,,,.. 4 (Ph. -v, •• — .t' ^ -21 a
(Address) a Jr- C L * Q Ls- Ariefrs-Arah, c,1/14,t-- '1-7-33
TYPE OF WORK El New Construction Deck ❑Porch ORe-Roofing ❑Re-Siding OLower Level Finish ❑Fireplace
❑Addition eration ['Utility Connection
CODE: I.R.C. ❑I.B.C. ❑Misc. /�
Type of nstruction: I II III IV V A B PROJECT COST/VALUE $ (/IOtOw
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5 1
I hereby certify that I have fu ished nforma n on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized igent for the
above-mentioned property an? that 1 con• tion 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 or j ca is. 'urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed in pections.
x iit _e_C6ici Iar tat),
Tn. c Contractor's License No. Date
Permit Valuation //,j COO Park Support Fee # $
Permit Fee $ ///3. So SAC # $
Plan Check Fee $ "723 .iit Water Meter Size 5/8"; 1"; $
State Surcharge $ 5, a� 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 60_6Ci�� 7_fi,, $ -9 g, _2,g
This Application Becomes Your Building Permit When Approved Paid /cr.( / R eipt No. •/,�`3�/A
(a4 e/a.ec Date �, `"f /e
/
Building Official .to
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
04 Rip4
t7 rn
White -Building
Canary -Engineering
'Inw,vBsdo* Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED 6, Z ---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6 / i2't-'/ 71)<IS)6
Accepted Accepted With Corrections
Denied
, 3 1yReviewed By:". ��"-- Date:
Comments:
05-4,1, .�i a/4`0..S a I 0_ r►-ks
"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."
(gf
White -Building
Canary -En i ring
Pink -Pliijg ;
, ,,
BUILDING PERMIT APPLICATION-DEPARTMENT CHECKLIST
OF APPLICANT
leo A/6-Z- Ic(1/6-,06X---S-
NAME
APPLICATION RECEIVED Z `
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6 ,D UL v77-1
Accepted , Accepted With Corrections
Denied
Re ' wed By: -- Date: 1
Comments:
s
11 '4:
R
*
"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."
v
PRIOR LAKE DERNO
BUILPADINGTMEA NST INSPECTION
INSPECTION RECORD
SITE ADDRESS /14 Dt1w7?g kVE
NATURE OF WORK fren iedkro A
USE OF BUILDING
PERMIT NO. / s DATE ISSUED �. 1.I4.'
CONTRACTOR (��/names PHONE (4/L. 3?5 . 7770
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
101111111111.11111111116
1.111111111111111111.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 3 (4
INSULATION 9, I
ELECTRICAL
PLUMBING C:,.4 -2/ lL-/ aas'Q kiV(
F`(
HEATING
11110.11111111
COVER WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH
FINALS
• BALTDININGG
k1L
ECTRICAL
UMBING L 1t\S
I
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