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CI: r11/04CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
( - \\
=.7 TEMPORARYZONINGCE /0 y (5--
u ( C AND UTILITY CONNECTION PERMIT
t while File
Z Fiat, City PERMIT NO. /� /Z U
(Please type or print and sign at bottom) 3 Yellow Applicant i
ADDRESS (� f
/1,72 l�. G/JGt v e Ci PV-50
ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK / ADDITION J L'.� 3 �tru A j si
7 PID 25-4--?7. 066..0
OWNER 1 /
(Name) f t I-G`(i(.S"6'0�-c..- vol tar /(c)ewe
/ (Phone) 96;2— - firrrrO
(Address) gq/ L //,l'' ,i x'-44 &,,,orfs-
S v'eP__, ewu A"—T33- 9
BUILDER
(Company Name) f77•e/644-0-4-e--- t'7/ /1 (Phone) _ - _ Q�
(Contact Name) /7-e•-t-4- jg �q
(Address) 1.° / ( /17 �/ � (Phone)__q�o7- ���,.�
40 e4-51/— �t,‘r vk'/lam w vt s---s-3 3 7 _
TYPE OF WORI? N' ew Construction Dec�k� porch
[]Addition DRe•Roofing ❑Re•Siding Lower Level Finish 0 Fireplace
❑Alterat' [Utility Connection
Z
CODE: .B.0
K.C.C . •
0 Misc.
Type of Co structioni I II III IV V A B _
Occupancy Group: ABE F H I MR SU
•
PROJECT COST/VALUE $ �5 d� •
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have famished information on this application which is to the best of m knowledge
above-mentioned property and that all construction will conform to all existing state and local laws nd will proceed inaccordact. I nce
certifywh submitted that I am the owner or athathagent buildingfor the
o .l can revo. .r just cause Frntherniore,I hereby agree that the city official or a designee mayenter upon thepropertyf to a form needed mal cif awareSthe I
=` S P per
/ p
Signature
�G j�/ y �p�`9
Contractor's License No. ���/// to
Permit Valuation __i_g �yoEJ 19�
(/CPark Support Fee # $
Permit Fee
,-2- SAC # S
Plan Check Fee $ -
C-7,s�j� Water Meter Size 5/8"; l"; $
State Surcharge $
Pressure Reducer $
Penalty
S Sewer/Water Connection Fee #
Plumbing Permit Fee $
$ 5Z) 57) Water Tower Fee #
Mechanical Permit Fee $
$ Builder's Deposit $ -
Sewer 8t Water Permit Fee $SOther
Gas Fireplace Permit Fee S
S ,___1 TOW.,DUE cy
_ei
This poi ation Becomes Your Building Permit'When •ppro ed �a I` l� +
Id �, Paid Receipt No.
���
iar��i I r` Date d Z3 By
aale lc
This is to ccni that the request in the above application and accompanying documents is' accord ce with the City Zoning Ordinance and may
when signed e C Planner conshtutes`a temporary Certificate of Zoning complian and alio s construction to commence. Before occupancy,a Certificate of Occupancy must be
issued i proceed as requested. This dicnmcm
r° z-( Ifc
Pann I. ,r
ate Special Conditions,if any
ice for on inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS / $Z.Z EA/CC-A VeT Cr:
NATURE OF WORK /0 W1C. 1.-&v L s Der/C- f ,b .
USE OF BUILDING Wm/le 7PERMIT NO. ,�5. /Z-7QDATE ISSUED !0. LU- [s
CONTRACTOR A91.4047-0/.76- FmnfLy litifatspHoNE 75z . 469. $SOO
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING
NONNIMMINies
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING
ti'ilg
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
466411.1*
FINALS
BUILDING ff 11/2
ELECTRICAL
PLUMBING
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