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Building Permit 15. 1029
_ _ 1 € J oZUU < W i! ' � WWJ 13 Z V t�li 03 D 4.3z (� � 1 ❑ ❑ ❑❑ ❑ ❑ ,' W Z i 11 „d 1 o _ J z IN » < i U. N W Ci F m O OH.. -1..14 I CO c 0 N I- W0 a. m� �� C7ca � �``' C� o o 0 W 2_ O Q V 4, azw JW < Jw A •mi .'1 d ? � a � 3v� at d o o z a ❑ ❑ ❑ ❑ ❑ ❑ al W W aW, W V CF: la YU tS } C J R' g►= ` o p < 0 U cc Z J” Z ►' �� - V O= o ty ,z OZ W �� a L� a a0 O 1HI co• 41LiJcn u. O u. Z2h 2 'i► z re p < Q C� ? < 0 a ❑ ❑ ❑❑ ❑ V o 15 v o v v 0 ❑ S. 0Uof PIt/0+ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE nn Date Recd AND UTILITY CONNECTION PERMIT 7' I. `, I. White File I PERMIT NO. I 2. Pink Cityy� �/,�� (Please type or print and sign at bottom) 3 Yellow Applicant ` V ADDRESS y0 / a r9A J�f.A f 0 0 J Z. ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER ^,, , (Name) /if 1 a Ke.. 2-CJ yQ yV q n L (Phone) 15 —- oho C7- (f(9 CO (Address) /yo qv, C f'9 ',CYG.//.-Q L/�Uac / . iii, BUILDER (Company Name) j, .6-t/✓,S 0 C!/1"*S 4, (Phone) 95:: -29a / U (1/ (Contact Name) L-. e-S c+)26 K L U AC+f / (Phone)952- p2 9 2 "g04/ (Address) 3 a-3,, ed ,t,, C )4t1� ST. L. 1 r S °,9k /:: ,41 /t/, -.s-4/-a (i TYPE OF WORK 0 New Construction ['Deck ['Porch DAddition ['Alteration ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ❑Utility Connection CODE: DI.R.C. ❑LB.C. 71 Misc. FI*I-z W414 i)4 i/Q 7O 9 X44 111,-C Type of Construction: I II III IV V A B dsa Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 0701 (7 Ci U /a 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-mentioned 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 can revo .this per 't f just call e. trthermore,I ereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature d? 0 i ad Lc Contractor's License No. Date Permit Valuation 2.-c. � Park Support Fee Permit Fee $ SAC 3341 ., ' $ Plan Check Fee $ -2-2-0. Water Meter Size 5/8"; 1"; State Surcharge ZQ, ��� $ $ ( © 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 $ This App�atio B� m s leo pproved ��� ' 'emit en Paid 3s" / Rec ,:t No. 2,72.--e ,,� e.- 7(r r5-- I Date q ! s \&lil Tisa Official Date This is to certify . at the re. es in • e above adplication and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed b 'e C P1 •ct statues a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued , _._ ..EQ P.. ."t•_Di—ctor Date 24 hou - t ice for all inspections(952)447-9850 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372 PRI0R LAKE DERNO BUILDINGPATMEA NDT INF SPECTION INSPECTION RECORD SITE ADDRESS /#012, 664/p -- NATURE OF WORK _ �Q�� 14/1 USE OF BUIL. ► ',A;07; 0l. �r �-T.7 PERMIT NO. ,k- L't I- DATE ISSUED CONTRACTOR .ji INSTALL EROSION CONRTOL AND M� PHONE are %ipi AINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR 11.111.1111 DATE" PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION 11.11/11101111 ELECTRICAL L _______-311111111111111111111111111. - _ COVER NO WORI HE ABOVE HAS BEEN SIGNED HOUSEWRAP fa zZ t LATH FINALS BUILDING ELECTRICAL �� �© DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED OTICE This card must be posted near an electrical service cabinet prior to rough-in inse maintained until all inspections have been approved. On buildings and additionswhere no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850