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0YRI94, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
A,///1, ,,e'
jI \ l TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 Z 13
"' ' !i AND UTILITY CONNECTION PERMIT
4-'',:,:‘.-;•,--y
1.White
2. City PERMIT NO. 1
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(officeuse)
3gC-Z ( re_66 #G)6+5 IiJ Su et'''. 1,.4.E_
LEGAL DESCRIPTION(office use only)
LOT / BLOCK ADDITION 6 tG.c.i H- 5c 5J 4 ' PID ?$0 9 Z (7l7 2 o
OWNER
(Name) J /� /
r 4rut 1• P 'S4 Oji (Phone) 6Jd- "ai>3—69 7 t
(Address) 3 5^4 G r"«. o,5,ili}> et(r.1.
BUILDER /
A
(Company Name) ,6"--.5 1'[.b rte.\ (..c. n 4 t'...t...sh i, (Phone) Cbl/�'r'.7i 'O),
(Contact Name) V dt t l t`c,h afr-A i (Phone) t�)a""711-0.'0 a
(Address) I eq/ 3) VCCACr 4,A OVt 1''rlCsr 44141. ,4/,I• 45-)7.2-
TYPE OF WORK 0 New Constru on ❑Deck ['Porch ORe-Roofing ®'Re-Siding ['Lower Level Finish 0 Fireplace
❑Addition alteration ❑Utility Connection ) �+
CODE: .R.C. ❑LB.C. 1/ ❑Mist: C)l. rio4/ OcJ,v- fC) i-l%'
Type of onstruction: I II III IV V AB �+
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 0)T 0 0
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- oned property and that all
construction will conform to all existing state and local laws and win proceed in accordance with submitted plans. I am aware that the building
official revoke fur just cause. Fwibermore,I hereby agree that the city official ora designee may enter upon the property to perform needed inspections.
X 8G 73(4' 3-3., 3
Signature Contractor's License No. Date
Permit ValuationADO®." Park Support Fee # $
Permit Fee $ t-r b.7> SAC # $
Plan Check Fee $ 1 1( 4,Q,G Water Meter Size 5/8"; 1"; $
it
State Surcharge $ ,(✓¶�0 Pressure Reducer $
Penalty $ �'C 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 DUE dituzyj3, 2- ` (3 $ 2 1 Lo,. kA
This A, Minn •4 ares our Building Permit W , pprov Paid C/(e_/- R ipt No. (00I,..";17
� r
Date , _ Z l'/7
♦
Al____ �illra.�
Building Official 11111 ` , 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 S.E.,Prior Lake,Minnesota 55372
PRIOR LAKE RNT O
BUILDDEPAINGTMEAND INF
SPECTION
INSPECTION RECORD
SITE ADDRESS
NATURE OF WORK -='�� .!tea
USE OF BUILDING `r'1"Y.7�•, . _ -'- - 1--�� sip`,
PERMIT NO. "";�'' �
ZAHr
CONTRACTOR ? DATE ISSUED IIIV;diftir.
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR
DATE
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rmulmomwommomm.m.memm....mmmunum.......mmmm._a MIN/111111.111111111111111
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 1.1111.11111111_
INSULATION r� �' r
ELECTRICAL
MINEMINIMMEMEINIMMIIMMI
HEATING -
111111111111111111111111111.111111111.111111111111111111111111.1.111111
COVER NO ' ORK UNTIL THE ABOVE HAS BEEN SIGNED
/loci SE 46qP tan 11111111111111111.1111111111111111.1
` 711 ? FINALS
BUILDING _
ELECTRICAL
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinetrior
maintained until all inspections have been approved. p to rough-in inspections and
service cabinet is available, card shall be placed near main entrance.
ance.and s where no
FOR ALL INSPECTIONS (952) 447-9850