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C) NOIJ-23-2004 08:35 9524474245 P.02 Date Rec' d CITY OF PRIOR LAKE CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIAKCE AND UTILITY CONNECTION PERMIT I Whiu: file 2 f'i~k C'ily l Veil.", ^pplii:A", I J.. - ;;-{)Lj IPERMIT NO. 04-. /22-71 a.t bortOtI1) ZONING (office use) pl{ D ?lD!J5:J-1'l- OfJliJ WII.'OS fAlZ.\CWA'1'. rrz.lOIZ- L.AKE, /'AN 5"5"372 LOT LEGAL DESCRIPTION (offic" US" only) BLOCK I j ADDITION \~ {J}-J(lJ OWNER (Name) VG,a..l-zor...}_ Wil2.ELF. SS (Phone) 7fo3. 5<=tS. 515<<-( Il.O "'11..iM~ MtV S ~2. TYPE OF WORK [~I\I Construction ODeck /OPor~h o R.".ltoa fin g DAdclitlOn OAlteration ~tilitj' ConneCtiOn 0 Misc. CODE: DI.R.c. [~.C. Type of CortStnlction: [ OCQ1pancy Group: A (B'lE Division: - LA. " r:..I....O~ I hereby certify thaI I hilve fumllih~d ml\JTInl,IIOn on I",S ~ppl,c~[Ion which 1$ IOlh~ ~cS! or my ~noO/iladge ltU~ ""d COttect. ] 1l1$(l c~l'{il'y thM I aJl'llt.e ,)wlUlr ," a\'lh<)n~"(l aij"~l fot l"~ ilbove-rncnuoned prop"rty ilIld thilt illl t;onslr\lction wlil collfo<'m to ~U ~~ISM8 ~Ial~ ~n~ lO'ilt lilWS Md will pro,~ed In uccotd~n'~ with ~\lbmltt~1.i pi,ms, I am aWilre thl !he bvil~in8 IJffiClaI t;an revoke ,hi; permit for .I\lsl envse fllrlll.I' ote. I hereby agree Ihallhe CIly official or a dcslgl\ee may €tiler UpOl1 the propeCIY ro pel'fo:m I\dcdcd Inspecrlons, \0 I\J ~\ 4;J. f\ us.-.b..l..G. . ~ _ J 2. , /5, oct Sigtlarute ) Contractor's U,ense No, Dare ~ ~ (Address) 'tCj55 ._$91\-\ BUILDER (Company Name)".. %.D. (Conmcr Name) (Address) x Permit Valuation --" .-- Permit Fee Plan Check Fee Stare $ urcharge . Penalty .-- Plumbing Pc:rmit Fce M~chanical Permit Fel: Sewer & Watet Permit ree Gas Fireplace Permit }IItC . A\J'f(IWE. t...1az."T" H, S lJ I'" (Phone) (Phone) Olte.SicJ.inS o Low"r Levd Pinish 0 ~irepl"o: II F 1 m IV (j) A (i)~ HIM R S 2 3 4 5 PROJECT COST/VALUE S lOC; I 000 (excluding land) 1owCfL. Park SuppOrt Fr:e # :(; SAC # $ Water Meter Size 5/8"; 1"; 3; Pressure Reducer $ $ Sewer/Water COnr\ec~ion Fe~ # $ $ Water Towet Fee # $ $ Builder's Deposit $ 3; Other $ TOTAL DUE I 84-0. 2,8 This Application BecOmes '( OU( Bull 11"8 P~rmlt W11= At'prQved ~~~ BlIlldill' Ofric:;l~ 11I(~,t/ Dat Thl' IS In ccmfy lhal lhc requcst 1;' ,he ilOOV.: ~pplkatlon ~nd "t;,omp,\nyinR do,lIm~nts U 10 ilt;cordan,. w.th the Cicy Zonin;: Ordinancc and m~y procced a., 1"cquc.ltcd. ThIs document .......hen -;iSll' he Ciry Pli1ruu~( ::m!lt:h1tc!'t iI. tcmponry CI,,'1"tifit:3~c! of Zoninl!; C'umpho':1nc:e i1nd .J.Uuw~ con;eb,"llction tD c~mmcnc:e. gcrorc: nc;rll:o\\nCYI ., Cl"~'ht1Cf\tl" \)r Occup"i\ncy must 'Dc J:{su~d __ M.~ P!tlnnilll!= l)i~ClQr_ Oa 24 hOllr nolice for all inspections 952) ~47-9li5lJ. fax ('J52) ~~7.~;!~S 16200 Eagle Creek Avenue Prior Lake, MN 55372 Speciul Conditions. if llIIY TOTAL P.02 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION SITE ADDRESS 1"a~SPJl ~.l4Y TYPE OF WORK 7lJIAJDL y c.";PIttDlr ~il-~ . . USE OF BUILDING · - .,..., . PERMIT NO. 04. /27:1 DATE ISSUED ~., BUILDER ~ S PHONE i1f,J-5'9S--9S''f NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE IFOO~NG I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FRAMING ELEc.:rrlJ c.~ t- FINAL ~5 CJo9L ~~, FOR ALL INSPECTIONS (952) 447-9850 ~, ~ ----~// lhr ("rnfer of thE' Lllkt' Counlr) C-Wbite - ~Ui~ Canary - ngineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT J/.~ y >2~;J I~ ~ ~ -c.j !LJ'/re/~~5 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: it/9tf?- !I)~ PktuLj Accepted Accepted With Corrections ~ Denied Reviewed By: ~ 7~ Comments: ~ ~a-U ~ Date: /2;jYkY ~~, ~~ "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." Ih(' ("rnl('r of Ihr I ,akt ('ounfr~ White - Building Canary - Engineering C-Pink ~nnm~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / f ~ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / j.// l , , ./ - /. /, '~'I' ! / .. / / Accepted / Accepted With Corrections Denied Reviewed By: ~ 17) .~ Date: ,,, I 9 /04 Comments: CUP GO:!'''' ~~L.:1.- eM ~ ~ ~ ~ bY-.. ~=:t..\ k~ ~ +L- A~ ~~. On~~. "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid."