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A \ 0 X00 A - ■ r ■ § t - z m r CPR,D�P CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /7 3/ L3 AND UTILITY CONNECTION PERMIT 1� NES��PI. White File PERMIT NO. /� / AL 3 Pink City ��� �' / //fll 3 Yellow Applicant v V ���Lff//� (Please type or print and sign at bottom) ADDRESS`,- �� �� � L � ZONING(office use) ..7°. /./ 0, i"-z.e.____ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER(Name) .� / // r 6 ,0_, �A v/✓1�— (Phone) �I`)DI.- I 2,-1,a 6/ Address) /702026 ff , /4-frve.-- __2UILDER Company Name) -7 _ / G(lam /N(/h S 'LL�— (Phone) C:7_5(72 ("/3, . C-1--.3/ (3(Contact Name) _ / (Phone) ,_ , . —�� (Address) �� 11/ 11 -C(! ( I !C s ,I i . TYPE OF WORK I=1 ❑ New Construction ❑Deck ❑Porch Re-Roofing ❑Re-Siding ower Level Finish ❑Fireplace ❑Addition ❑Alteration ❑Utility Connection " CODE: ❑LR.C. ❑I.B.C. ErIvlisc. . Type of Construction: I II III IV V A B PROJECT COST/VALUE $ �iW Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 ' I hereby certify that I ha -furnished info Pr is 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 proper• •• that a ••nstruct• ill conform to al -_state and local laws and will proceed in accordance with submitted plans. I am aware that the building fficial can revoke this permit fe. st cause. Fi' r t.• - e.y agree that the city official or a designee may enter upon the property to perform needed inspections. X . o CQ 09q0/ 7,42 ef d f Signature Contractor's License No. ate Permit Valuation 3, 00 O_ D 0 Park Support Fee # $ Permit Fee $ 7L11_ 75- SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ / . .S0 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 30-U 0 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ /169. Z-5"-- This Application Becomes Your Building Permit When Approved Paid /Vs 1&f- ceipt No. ,5E.,rl�J Date rt.v. 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 Date Rec'd 04 P RIp+� CITY OF PRIOR LAKE PLUMBING PERMIT 9, 5, 00 7, x INNESOo 1.Blue File Gold 2. Gold City PERMIT NO.08. 0 56 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESSZONING(office use) /4 0-0-9 v6.427 7 7744"/ C.- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICAN � �� (Name) f re-4- Ps s-ye p7 (Phone) (Address) /yo1.?S &fo c g--r.1 /r( Aii-^ (Address) (City) (Zip Code) amu`.11.E (Phone) ' APPLICANT SIGNATURE /, / DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly / Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler I Water Closet(Toilet) / Other Wel-fge-- FEE SCHEDULE Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50, / Estimated Cost $ Building Permit# 1�/ PLUMBING PERMIT FEE $ O fV(l 'I /ft STATE SURCHARGE $7,............- 0 5 6001,Vv N TOTAL PERMIT FEE (Office Use Only) I This Application Becomes Your Building Permit When Approved Paid &gal= Dateq or.a AiBy OEM Buildine Official Date l 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 / 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR DEPARTMENT OF LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /4ZZT tLit1(.t �... NATURE OF WORK L�Veito 'EL oo USE OF BUILDING f t NiCw PERMIT NO. DATE ISSUED 0.40 CONTRACTOR PHONE TiZi Z2% NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARA E DOCUMENT SI7 /N406 619O/--1 0/5- U S' INSPECTOR DATE WNW PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING l2 eg ,rnt INSULATION ELECTRICAL PLUMBING HEATING (if required) =WM COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS 4110.1111111111.111.1111.1- . 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