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(;----PRI
ON CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
F F TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / ¢ / cD` c
�' ' AND UTILITY CONNECTION PERMIT d
t 41 x....._
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v.::_:::........
Min'NESO' ' I. White File
2. Pink Getty PERMIT NO./(. e f
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS (i US Wt'(dens) —Ira; ( S.F_ ZONING(office use)
'Prot- I—ekte i (11 N ss-512—
•LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER i '
(Name) J e y 4, --LOIS# (Phone) C152-- 440-Sm3S
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-SidingLower Level Finish ❑Fireplace
❑Addition ❑Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU
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 revoke this permit for just cause. hn
Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspectio]ns. />
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ r/ . ` s7-3 SAC # $
Plan Check Fee $ / 'Y� Water Meter Size 5/8"; 1"; $
State Surcharge $ 5, a Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ ..6"-Y cQ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ 7---.
00 07 TOTAL DUE $ /3 4-
This Application Becomes Your Building Permit When Approved Paid /3 y , Rec t No. l�/W-77
Date /0, td B i
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
O1 PRION
ti
°I 4646 Dakota Street SE
Prior Lake,MN 55372
`/1NivEso*
December 15, 2015
Jeffery Hoist or Current Resident
17225 Wilderness Tr.
Prior Lake MN 55372
RE: Building Permit#10-881
In review of old permit files it was discovered there is an open permit for a Lower Level Finish. The last inspection
was performed on February 1, 2012. The City of Prior Lake would like your cooperation in closing this permit.
Please contact the city to schedule a final inspection by December 28, 2015. If the project has not been inspected
by May 11, 2015 the City will deem the permit abandon and invalid per State Building Code R105.3.2
This will be recorded in the permeate public record.Any additional work will require a new permit.
Feel free to contact me at 852-447-9853 or to schedule an inspection 952-447-9850
Sin ly
Paul Baumga ner
Phone 952.447.9800/Fax 952.447.4245/www.cityofpriorlake.com
P R I O R LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS / 7 Z ZS kJ/R.4) 6/2,tvE S
NATURE OF WORK LLGh/57Z.
USE OF BUILDING /VA-
PERMIT NO. / . Oe / DATE ISSUED /0. 14; / 6
CONTRACTOR //De,C PHONE 41V.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
latiatiab
111111111111111.11.11111111111.11PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING r 19)o Z
INSULATION
ELECTRICAL l c-)C
PLUMBING 141 C
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
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