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Building Permit 14. 1073
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Pink Ci PERMIT NO. /4,-. , 073 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /LL 4L PtAf9zrr f-I-/ h66j 1e4 ;D )s� LEG DESCRIPTION(office use only) / LOT BLOCK / ADDITION //47e-AO4 PID 4775/(/ fr 1010 p (Name) n a Vt 3 tJ 1A 0 V 1t C 0b , Z (] (Phone) 40 ' q q 1* (Address) 44 ' �(x L-.�Y "C�"wl� � -c-DM (f(Z — 3(0 - ' BUILDER Sri ,I � �(Company Name) 4 b Co1. h f 1 v��o m (Phone) —W� �i (Contact Name) 1 /" TbDO 2 f fk- ' „(Phone)) (Address) 6M,OD 111,01) 10)41- /IY ) f I/D J3100mip y/ mri 5E 3I TYPE OF WORK Q New Construction ['Deck Oorch ORe-Roofing ORe-Siding OLower Level Finish 0 Firep.ace Addition ['Alteration 1:1 Connection CODE: R.C. ❑I.B.C. 0 Misc: Type of Construction: I II III IV V AB /J Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ k 7 (/042 X 0 0 Division: 1 2 3 4 5 (excluding land) 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- tioned 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 an r yoke this pernit for jus cause. Furthe ore,I hereby agree that the city official or a d simay ntter upon the property to perform needed rp ion x C t,) IT2/7I /2'�"t l Si ature Contractor's License No. Date Permit ValuationZ ' ©06 — Park Support Fee # $ Permit Fee $ I SAC # $ Plan Check Fee $ ZZ i.q , Water Meter Size 5/8"; 1"; $ State Surcharge $ ( a O 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 K,Vn aLi.ua) to a , i $ i>. 4 • This A icat ' Be omes Your BuildingPermit Whe Appro d / PP Paid iT y eipt No+ w Date !G_ 'Z,3_ l'I' —a 1Z, Z 4=- If uilding Official Date This is to cert. that e re..est in the above application and accompanying documents is. -ccordance with the City Zoning Ordinance and may proceed as requested. This document when signe till,ity P nner cojtstitutes a temporary Certificate of Zoning co' .lianc ..d allows construction to commence. Before occupancy,a Certificate pf Occupancy must be issued. / Planning Direc. Date 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 04 "1°4 White -Building C - I sneering ink -Plann n BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT _ ) A ' £ crcJ APPLICATION RECEIVED t o /3/4 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /405- 4fe A-7../7—&E.4-5 S Accepted Accepted With Corrections Denied Reviewed By: Date: Comments: /. ��� � 4ErV CoA/' f ✓625 ©Ua - 3o/® //rte eft®a5- f 4.94- L,7-, 71W 5 Pity co4,5(ors of 7yf 6bi—C Tt - E5-es7r - G peve2 m- d . rte f pc..4 "tco g -- to firm-Tok*r 64/24to- Pow g-refi Aace,t- soiencgiz.r Ar-e-44 t ' ie610v6- f'ZZ r.fredito' /145,76- C/i iebs rd) Say-axc-64 4J- .Itet0 4&*e , c Wirt- CCW/60C47"C47" 7A "Z Recart��:57,440t,5- Xv5 -- "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." PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /4054- fee-17-06-pc S NATURE OF WORK farms USE OF BUILDING PERMIT NO. /¢, /01.3 DATE ISSUED CONTRACTOR 5Wfl p eA/J ?t.vC„r"ZO PHONE (o(Z. 333 7 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE ro ka_ ‘ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL HEATING awmainaile wommominw COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED FINALS BUILDING ELECTRICAL 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