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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,AN,A
A TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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1.White File
Z. pink City PERMIT NO. /3 , 033
3.Yellow Applicant�3
ease type or print and sign at bottom)
DRESS ZONING(office use)
5757?-657?-6C d;+1 .Uer o1, PüorAQk J'yJ 57a
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER—I",,, i k P /)Alii(
(Name) -�-�/ I[ 1 elei com - (Phone) y6c3—11117"20d i;
(Address) 990 Colorado &1 ) Wor 4Q)69 MA) 553 -7
BUILDER s 9661-768"-L/29/
(Company Name) / 4'V I / I D (Phone)
(Contact Name)/� • /I (Phone)
(Address) PIO 8 //0x (o 1 ) AIec.J 'rod q e T)2 A) 56, 071
TYPE OF WORK 0 New Construction ['Deck ['Porch •Re-Roofing ❑Re-Sidin
❑Addition g ['Lower Level Finish ❑Fireplace
❑Alteration ❑Utility Connection
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CODE: I.R.C. .B.C. ❑lvfisc:
Type of Construction: I II III IV V A B
panty Group: A B E F H I M R S U PROJECT COST/VALUE $ 37.i DD 6
vision: 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 permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
XT y—,/.— /3
Signature Contractor's License No. Date
Permit Valuation Ot Park Support Fee # $
Permit Fee $ /-.74--- SAC # $
Plan Check Fee $ 3.j of Water Meter Size 5/8"; 1"; $
State Surcharge $ /g e5"JI 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 DUEe-1,7,41/ � DaAj $ y77.3 4
9 23_ /3 7
This A.,,,,,;1 i : , Becomes Ydbr Building Permit ` ., . A,, oved Paid q 1 7.-341- Rec • tiro.- 7V612-""
ig . Date 113 B
`B • Official Date
is 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
n 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
d.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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NIEMAN ROOFING CO., INC.
P.O.Box 64
August 21,2013 New Prague.MN 56071
• (952)758-4791
Mike Maxwell
Integra Telecom
4690 Colorado St SE
Prior Lake MN 55372
Phone:952-447-2908 Fax:952-226-2908 Cell:612-919-5890
PROPOSAL FOR SHOP BUILDING
Approximate size 55 squares
• Install deck insulation filler
• Install 1.5 inches of isocyanurate with an R of 9.0 -- C°`p
• Repair or replace deteriorated decking as required.This work � ����
i
price and shall be performed on a time and material basis s not included in the contract
• Mechanically fasten insulation
• Install a 60 mil EPDM Adhered Rubber Roof System
• Fabricate and install 24 gauge prefinished sheet metal flashing at roof edge,color to be
• determined by owner from manufacturer's standard colors.Counter flashing for penetrations s as
• All details and penetrations according to Carlisle specifications for walls,curbs, pitch pans, roof
drains,pipes,stacks and penetrations
• New wood as needed
• New sheet metal as needed
• Install roof tie in to existing building
• 10 year Contractor's Warranty
• Building permit included in this proposal and is subject to approval (insulation)by the authority
having jurisdiction.
• This proposal/contract includes all state,county,and city sales tax(if applicable)
• Any mechanical or electrical work(if needed)by owner
• Prices good for 60 days
• Snow,ice and water removal is not included in this proposal
DATE:
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DEPARTMENT OF
PRIOR LAKE BUILDING AND INSPECTION
11) INSPECTION
RECORD
SITE ADDRESS �7r'f2.€-0:r �ta. , ,.
TYPE OF WORK
USE OF BUILDING G �`
PERMIT NO. n/3'lD� DA4E ISSUED `frEf/N�
BUILDE1146,444 /�� ,„� PHONE Sl- 7523-171
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FINAL I I I
FOR ALL INSPECTIONS (952) 447-9850