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Building Permit 13. 1246
$ � B b tu a�i p %S� z z z E § O. O. Q. 5 41 _ \� © 222 © \ § �■ 0 , , 0 \ © OOO ❑ oO » 2 = , ' o \ VI . I t § o F o I 0 § z A z o p \ § La 9 1 U . o § 2 o �� � o ■ a. � Z CC � xwEa= / 220 0 0 ■ §I- Q W � E 2 % � � « � � • a■3 � a■ �; e2 0 \ 000000 ■ Po _ \ 2 / 0 I- o i 2 § k k cd r , ci 2 ° § 2 W W § \ q a.� 6 203.5 z § O O �R § � �■7�w ° © $ U. 0 E 0 2��2Ik p t� 0 E 0 000000 U CrPRIo� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd A( -- r. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE //- •, 0 en AND UTILITY CONNECTION PERMIT 4.... ��� I. White File 2 Pink City PERMIT NO./2 /Z4f_ (Please 3 Yellow Applicant ..1 `�(�7 type or print and sign at bottom) ADDRESS ® �j ZONING(office use) S`00 $ �e f lRt v r RO a cL LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) �l 1<e SVIDeVv a�e e (Phone) 6(9--7 W- 3[ 4 4 (Address) 500 ' (.t,e R, vex g_a4a I BUILDER �/ (Company Name) K a 'a+k -b-e.s fr�� (Phone) 6o- �v�to-3 oZ.0.3— (Contact Name) Q woo vk b2-e-.. (Phone) ._ al 04 e_ (Address) 2 7 I 0 tkri4J. ale em Al P(rvvt0L't1 f jM At TYPE OF WORK 0 New Construction ❑Deck ❑Porch [Me-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ($Alteration DUtility Connection CODE: DI.R.C. DI.B.C. ❑Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 7 .2©O , 00 Occupancy Group: ABE F HI MR SU (excluding land) 1 Division: 1 2 3 4 5 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 Iofficial can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Signature 13,—dlimiligli G 6 3 S &(7s i k/ 4 (1 3 f Contractor's License No. Date Permit Valuation 3- 'i _ 0-2) Park Support Fee # $ Permit Fee $ Z 0 6 SAC # $ Plan Check Fee $ /6, Z,j Water Meter Size 5/8"; I"; $ State Surcharge $ cp Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 543-6 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ / 7 Gas Fireplace Permit Fee $ TOTAL DUEL/ ee.�) /7 k'(3 /� $ ;C�" l-3 This Application Becomes Your Building Permit When Approved Paid 962, 2-c- Re e'pt No. ID Date /Z- ( l,/ ? B l 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 PR 'OR DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 5, / % TREvc , P„0' NATURE OF WORK USE OF BUILDIN /2� PERMIT NO. s 47A. r DATE ISSUED :./3 CONTRACTOR AOV PHONE G/L, 1124 • 25'' NOTE: THIS IS NOT A PERMIT FOR Y OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE Ifigsmaginimilima PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 1111111/11111111111/1/1/ INSULATION /� /� ELECTRICAL % 3 PLUMBING HEATING (if required) ampoimsumwCOVER 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