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Building Permit 14. 0424
1 � ■ ■ ■ ILi § * 61 Ca, 2 b 2a. a. § q > k III �k �� � < m o . wait ■ � E § ❑ Oooc » 2 Cn 0 CLC w ' . m . 0 \ as m k Lu 0 2 22Z z § R § E 0Q � � 0 k 0 ■ � � � 3 �� O. \ Z ^ $ CO U M 0I- 0 0 0 o z I- o m a § § ■ a � LU $ m OOOOCO o o 0 X % O. a o LU 0fig < 0 u 0 z $ § 2 z § S 2 < p.!. / a.g co z LI .4 2 1" co� � I -i % �� 40 w z �� E2§ � 0 cL 0 k & o § 0 22 § ■ u. ■ o U � 2 o a OO0000 0 O 48 o / C 0* rero CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd `6 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1 U t. x AND UTILITY CONNECTION PERMIT �' fj�/ S 4.41nrrsotP z Pink Cit PERMIT NO. /5 #J/]4 3 Yellow Apptiam • - (Please type or print and sign at bottom) ADDRESS ZONING(office we) /I Y4. .n De'/2 by e Lib'04,4- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) _ (Address) BUILDER - (Company Name) d /1" / L�-te-4�'`' (Phone) __15 /) -135 15 / 7' (Contact Name) G . &A__,..., / (Phone) �,/✓ '101 -7:77S' — (Address) 5'i 6 Crr�,/,_c 4c''''.-----) �i, ,;Jib�'jr�7 - c k.3, � '+Iti" TYPE OF WORK 0 New Construction %Deck ©Porch DRe-Roofing DRe-Siding DLower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection CODE: R.C, DI.B.C. 0 Misc. ` _ Type of Co struction:tI II III IV V A B PROJECT COST/VALUE $ /�r �F)(--.J Occupancy Group; A B E F H I M R S U 1 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 1 am the owner or authorized agent for the above-mentioned °petty 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 revs•ithis permit Toulouse Furthermore.i hereby agree that theory official or a designee may enter upon the property to perform needed inspections J X 1 G/.4-14-4-'- „A �%r.i oc_. 4,6/m5 . 'AGt .� " / �-/ .j Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ ,lJod — Permit Fee $ 103., a 0 SAC # $ Plan Check Fee $ 6(v -. J Water Meter Size 5/8";1"; $ State Surcharge $ 2—a 0 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 / , 9.5 7 PPBuildingP Paid 7./7` It t No. /Z-1,3 _I This A hcatio� .t�co Your Pemtit When • � rov e� �� Afi '� Date Sc 4,,{,Y— B nil: , f A Dae 69- This is to certify that t• eequ t the above applica{ion and accompanying documents. in acco.ance with the City Zoning Ordinance and may proceed as requested. This document when signed by the f PI, n i .ns tuns a temporary Certificate of Zoning compli cc and own construction to commence. Before occupancy,a Certificate of Occupancy must be issued FIlL " Dire Pale Special Conditions,if any r notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 D F PRIOR LAKE BUILDING A TN ONSPECTION INSPECTION RECORD SITE ADDRESS /1fP may/ BLVD SW TYPE OF WORK DECK _ USE OF BUILDING ReS IVAL PERMIT NO. Ib . *p¢" DATE ISSUED S. 4. 15' BUILDER /14sp//16 awy PHONE # 95Z.2.12,,3515 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I �-'-L-- I S 1T7 �1"i PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG ED I FINAL I II3-<� � a < FOR ALL INSPECTIONS (952) 447-9850