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06/03/2015 15:@7 7635020227 RMILLER CONSTRUCTION PAGE
, .
it 1
01 -P..•r,,ckt CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed
TEO
NWRARY CERTIFICATE OF ZONING COMPLIANCE
AND 1UTILITY CONNECTION PERMIT _
4p„,,,T,s0,0 . While Far 1 PERMIT NO /5 6 0 / 1
2, Pink City .
Yetiour Rttpliconl
or. t and.'. 1st bottom)
—
, -
ADDRESS , ZONING(eke uso
3 S 2 3 ,,,,a,41 3,I.-ei ‘,,'r A/11;,---
... . _
LEGAL DESCRIPTION(ciiice use only)
LOT BLOCK ADDITION PID
1 ' ' tA
(Narne) ,_ ____ ,..ii,j.,..ein_ ,,_.2261. 4........ (Phone)
(Address) 5aanc_i__,IS____e„..447...t: 7`
BUILDER /
(Company Name) -+ i . Coil ‘4,ri j01_,. ...r-"401,C . (Phone) 7 --.0632.-
—,-
(Contact Name) ,C212,141...__ . (Ph one)___ , ____
- jk. 4, r a ie, /1 iv -5 5-9 32.
-,--,, / .—I
TYPE OF WORK 0 Nityv Constrifon Elt,,eck °Porch CiRe-Roofirig EIRe.siding 0Lower Level Finish 0 Fireplace
0 A ddition Alteration Clutility Connection
CODE: DLLC. CD s.c. 0 misc _ , ______
Type of Construction: I II mrvIr AB . PROJECT COST/VALUE $ ..4.t)25:57.CV
Occupancy Group: A B E P H I MR SU
(excluding land)
Division: 1 2 3 4 $
I hereby certify that I have fistut,hcti Worcon on this application which is to the hitt of my knowledge hue an'sr comet. I also certify that I am the owner or authorized allude ibt the
eitove..mentioned property and twit aLl construction will e,onform to all existing state and total laws and evil proceed in aecnrdance with submitted plans. I am awn that the blinding
official can revoke ii.,.. it lb Acj,7050.s. 'uthennore.I hereby agree that the city offielal or a designee may enter upon the property to peeform needed inspections.
X ...... ,s " o_s) 6i.76_3 /T____
ignature Contrattor'S License No, Date
Permit Valuation i 0 (JO Park Support Fee 17 S
0 6 -
.Permit Fee $ 34, '7 .5— SAC • * $
-- --- Water •• il —
Plan Check Fee $ — 'WMeter Size 5/8"; I : $
...„, .
State Surcharge $ , s—i Tpreasure Reducer — $
Penalty ljIIIIIIIIIIIMII Sewer/Water Connection Fee # $ --.
Plumbing Permit Pee Water Tower Fee # $ ---
Mechanical Permit Fee Builder's Deposit 1
Sewer&Water Permit F ee Other t..
_
Gas Fireplace 3 5a
Permit Fe TOTAL DUE . 5
.... . .,...
This Application BecOnses Your BuildistiTtennit When Approved 1 -riid--r--S57- r::d:: Ree pi-ko...A.Qkr,__
-
B u ilding 0 Illehti Date
,
This is to certify that the requot in the l;oappbcanOn and accorapanyntidoeUtients is in accertiancC with rhe City itinliiibrdiniinee and may proceed as requested, This document
when quell by the City Planni.r consnes a seminary curilicate of Zoning compliance and aliows eonstruetion to commence Before occupancy,a Certificate of Occupancy must bc
issued
.
— ..
klanning Director Dota Special COtti'--.611.0TUI i/any
24 hour notice for all inspections(9s2)447-9850
4646 Dakate Street Prior Lake,MN 5'5372
RO
BUILDINGDEPATMENT AND INF
SPECTION
*PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 375'2.__ S'°iu,.id c z ' c ---
NATURE OF WORK ,f'�
Die `4/
USE OF BUILDING
PERMIT NO. A • Ce d f r DATE ISSUED (6, -< v"--
CONTRACTOR /�., f''7l c-66?2 'vf z_ PHONE 76 7 . .5-7 (. :s 7
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
Waiiiiii*Mleamphltz
einasseamisikewrizoipa"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
S
INSULATION _ c f v
ELECTRICAL
iiiiiiiiiifta
HEATING
ilialiallfteg
ANIPSIMONINPIMST
R+JJf r1 E!TJ it R
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HiiilleinIMIL. 41111111111011%jI
FINALS
BUILDING —
ELECTRICAL
1108111111111811146
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinetrior to rough-in
insections 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