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CITY OF PRIOR LAKE BUILDING PERMIT -�. �, I
Y R!p RY
CERTIFICATE OF ZONING COMPLIANCE
�oF •p � TEMPORARY UTILITY CONNECTION P '
I. White File PERMIT NO. 3
z cit
3 Yellow Applicant
�. ZONING(office use)
ADDRESS S„ .- S
STS IU lo
G�✓I r=
TION(office use only) N��� 4 PID �5
LEGAL DESCRIPTION al j
LOT ci BLOCK / ADDITION _1 �,Z
(Phone)
OWNER , S4,‘:
PM ,1
(Name) A. -
(Address) �c� a2 �� a
(phone) �� � � .9-
(Address)
BUILDER Lei 1 t' (Phone) /'� `�
(Company Name) ;
(Contact Name) ❑Fireplace
(„ to S S(e (]h ower Level Finish
(Address) ❑Re Siding �t f /'lCta
Porch ❑Re-Roofing
Deck ❑ if
rt .•
0 New Construction ❑ Utility Connection j�
TYPE CODE: ' WORK CI Addition ❑Alteration ❑ Ni Misc. (
B C V A B PROJECT COST/VALUE $
�aLR.C. I II III IV SIJ (excluding land)
pe of r y Group:
A B E F III 4 R enc for the
Occupancy Group: I 2 3 that I am the owner or authorized agent knowledge true and correct. I also certify tans 1 am aware that the building
Division: fto perform needed owner
or aut
application which is to the best and local laws and will Proceed in accordance with submitted I hereby certify that I have furnished d information on this app agree that the city
official or a designee may enter upon the property P
and that all construction ermore 1 herebY g l existing Date
above-mentioned property ermit for st COt '
official can r - e this p
`� Contracts 's License No.
X Signature park Support Fee
permit Valuation Size 5/8";1";
Permit Fee _ \¢ Water Meter
6 "Warn.
Plan Check Fee
$ Pressure Reducer
Sewer/Water Connection Fee #
IMIIIINIIIIIIIIII grilli6. I. Water Tower Fee
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Penalty Deposit UIIIIIIIIIIIIII
plumbing
Permit Fee Builder's
IIIIIIIIIIIIIIII
ligIIIIIIIIIIIII Other ,i N i
Mechanical permit Fee DUE of,
-,/ G
Water Permit Fee TOTAL �„/�. G
Sewer& ���
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- Recei.t No. ,�
Gas Fireplace Permit Fee Paid .t� B
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proved
This alBeco
es 3lour Building permit Date
a roceed asrequested. TandOnt
must be
141111.-------.0111111w
Arig Zoning Ordinance and may p 1 Cernticare of Occup
i
Br di ii•ftictal cordance with the City
licauon and accompanying document•is m
of-ary Certificate of Zoning compli ce a t. allows construction to commence. Before occupant ,
n
This is to certify that the r Iginnericonsutut�ca"(emp gpecial Conditions,if any
when signed b he C Y'� 1 �f
slued Da
. , r 952 447-9850
`�� 24 hour notice for a I inspections(
4646 DakotaMN 55372
Street prior Lake,
PRIORLAKE DEPARTMENT ANDOF INSPECTION
INSPECTION RECORD
SITE ADDRESS `
461,64
NATURE OF WORK
USE OF BUILDING DATE ISS r7 �_
PERMIT NO. .40-10// PHONE Z'
CONTRACTOR TAIN CLEAN STREETS AT ALL TIMES
INSTALL EROSION CONRTOL AND MA DATE
INSPECTOR
■
Prior To Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
r ---- 11111111111111111111.11111111111111111111111111111111111
FRAMING
ELECTRICAL
tra= 1"11111111111111111111111MIIII
amml-7"-- 11M191111.1"1"molom
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
GillipsooldlINGIRTO SODDING) 111111111111111111111111111111111111
BUILDING 111111111111111111111111111111111111
ELECTRICAL 111111111111111111111111111111111111
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
must be posted near an electrical service cabinet On prior
to and rough-ininspections
where ando
Thismcardrove
maintained until all inspections have been app
service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850