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Building Permit 14. 0319
rT. 5 0C O 210000 x 0 > §2 • z § § n o 2 20 3 .a ■V ©§ m m m �o to r n xi 73 x s M >C ■ § � ■ n0 00 hi r \ \ � Z k � � B P cn �� k t � U -4 m 0 - z p C &td 0 C) Z g § ■ § c o a � \ o `• § oz mm ■ r § / / o xi m z 00 0 000000 �\ o m 2 § 0 mr ®t � 2 * ■ 0E . nom | 2 Cl) f § ` � § ■ �2 § m 0 0 q m zzxx Z ■ z c x q J 0 Z � \ §\ - § k § z ' m �$ � P t, 0 17 z m § m , . m , • .-1 / k ).22 § § 2 C13 -0li © j » z � in a � � ■ � 11 m mm � �E CA z § 1r 0 Q... \ ogPR10,4' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /� tri ' I! 0 ITY C 1 ` ' .. ON PERMIT ,s:r 1.klvEsoppfitu etc/ Pinke File 2. c City PERMIT NO. /¢ 3/ q / 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 15 '1.71 .1 s) - a (/i e - id ,/st7 LEGAL DESCRIPTI 1ON(office use only) p / LOT 7 BLOCK .. ADDITION I /6‘v cit t,i� i r i."-' PID2�Q g5- 1 07-c) OWNER /�� ,r� G� q c (Name) � ft oil i "?e1/4, 111? 1�. (Phone) Fi i)- - ! '1Q '� l l 3$ (Address) ! � 7 1 .'F s )atA4A t,l 4_} e. BUILDER (Company Name) jevi.c, /�, / ►/l l�.h- ,` �,... f*f-4 r, (Phone) �6 i)- 7/4 —0 56 (Contact Name) J[.Ji) -!, P (Phone) (Address) 1 g( 31 Prima,a�4, Ct�i1 . '' . r- 1,4k, TYPE OF WORK 0 New Construction ['Deck ❑Porch ['Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ' Iteration ['Utility Connection CODE: DI.R.C. DI.B.C. 0 Misc: ✓4Jd til, Com, f. Type of Construction: I II III IV V A B tom. Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ / ©c)c> 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 yoke this permit f just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X l r -- 2-0 p 3 c , P-2— ici Signature Contractor's License No. Date Permit Valuation 7,000..- Park Support Fee # $ Permit Fee $ 13-15 SAC # $ Plan Check Fee $ 41 .q4 Water Meter Size 5/8"; 1"; $ State Surcharge $ l . „ 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 DUF "6-1,1,(4.— $ (27._.41 ' This Appi'/ton : omes Yootr Building Permit When A v d Paid /Z 2. 6 7 Re ipt No. 1(31" � A� i •. Date I¢ S I _, B Bf� Buil. _Offici.N D This is to certify eq inc the above application and accompanying documents is in ccor with the CityZoning Ordinance and may proceed as requested. This document when signed by e• film,w -�totes a`femporaiy Certificate of Zoning complianced allow construction to commence. Before occupancy,a Certificate of Occupancy must be issued. 5-- 7 r4 tanning I• . • to 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 DEPARTMENT OF PRI R LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /5871 <st4Na 1"1EW /40 NATURE OF WORK 0 USE OF BUILDING fit, PERMIT NO. /#: 31 DATE ISSUED 3:19. 140 CONTRACTOR / PHONE G/Z . -1/9. 05 02.• NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING 1111111111.1111111.1111111k_l______L__J PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION D L& IT( 14 I ELECTRICAL 11.1111111 HEATING (if required) FIREPLACE 6/077t( GAS LINE AIR TEST va -' 44( COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED Lt1),- FINALS GRADING (Prior to Sodding) BUILDING t ELECTRICAL PH / 40 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