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87/02/2008 10:18
5123385500
BE I SEL 8, DUNLE\l\'
PAGE 02/02
CITY OF PRIOR LAKE BUILDING PERJ\.fiT,
TEMPORARY CE.RTIFICA TE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
B'UlLDER
(Company Name) S Q.\')'\...C
(Cont.tctName) _
(Address)
~) ~ @ ~~ ~e~\~,\"
W JUL 0 3 2008 W
I W~ik fll.
l rink Clrv
.1 YeUow ^L'pr,~Dt'\1
PERMIT
I ~;G ".~,,~
LEGAL DESCRlPTION (office Uge on I}')
.LOT~BLOCK ADDITION &lubINt~ MANor: PID;;r;-Jl~-Od-'K-O
g,=YAW-I l-. Osnl'Z (P~one) (;SI. ~qf. f/"54j
I (Add,,,,) I ~ 4 I '1. ~z.t<s ~(C>~ T/ZL N E I E&1 at: LlJa _
(Phone)
(Phone)
. . I
TYPE OF WORK 0 Ncu. Con~tr1JctiOll ODeek OPorch ORe-Rooling
OAc1dicion ~lrcfjUiOI1 DUalIey COMccnon
CODE: "15l1I.R.C. DUl:.c.
Type of &nmuction:
Occupancy Group: A B
Divi,ion:
ORe-Siding OL<>we:r Level FinIsh 0 FIreplace:
~ 'g ~O
DM"J.cirJV~~em f,(J1!(h fo ~ ~""!:l
~ ~ : u lS~;~~~t~~1~~~tk s300_ 00
4 5 (excluding land)
I
E
IT
mrv
H I
2 .3
I hC'fe~y emify Ihall hAve furni~hc,'lnfonnaliOft /WI ,h;~ ,'pplicalion which ig to the ~~I or my k"O'''led~~ true: illId correct. r at.o (Miry rj,~t t am th~ O"\I.1\cr or authorJzed ~gen' Cor the
abt'Yc'mentlon~ prop~ ~nc1 thulll con9lnJction will CO/l/hnn 10 .\11 .~iscing SU.lC and lOCAIl&w~ :U\d. ....,Il ~c.cd in aC'COcdanee With ~ubmJ!te" 1'1~n~. I -m aw,uc lilAC dlC buildleg
"ffici.,1 can T"""k. chID permll ~jU" c:\ . Furthen1!orc, I hereby agree lltat the eilY offici"t nT a dcsignr.-c mav enter upon the ~rnJlert). I" p..mrm nc<:de:d In'lpc on.'.
X -KaJvU ~
Signature Conl13ctor'~ Licen9C No.
Permit Valuation
Pt.,.mit Fce
Plan Check Fee
Stare Surcharge
Penally
Plumbing Permit Fee
Mechanical Permit ree
Scv.'er & Warer Permit Fee
GJ~ FirepJa" Permit Fee
I
Thiq Application Becomes YOUI' Buildin~ Pcnnlt WbCf1 Approvc:d
Q .. z1,., , 11 rL...J
~~,- 'Ilr~
9uildin~ Official
Park SUpport Fee # $
I SAC # $
Water Meter SlZt: 518"; I": S
Pressure Reducer .$
Sewer/W.lter Connection Fee # $
Water Tower Fee # $
Builder'~ Depos1.t $
Other $
TOTAL DUE. II ? /1/1 /08 $ 7tO..o~
JI~I___ ~
~
I Paid ~f.t, 0 0
[Date., ,. I tJ ~
I ..
. .
~M.E: IS J~
I Receipt No. ~ " "3 z..o
IBy ~
~D PLAr-Jf;::
I n,l~ 1< ro cntif'y th~t ,he "'qur.&l 111 ~\C above appBC4tJoO .'"4 .'ccnml'~lI~ documcnt~ JIlin accord~nce ~i,h the Cll)' Zonjn~ OrdIClnCe: and molY proceed .'$ Tcq\l~at~d. Thi. documr.!ll
Wntm ~4tned by the: CIlY Pf<Ulnu ean<tit\l~s ^ Icmllor.1l'Y CcTtllicarc of Zoning comp!i~ncc o'lnd alfow~ cOl1SlTIJcrlon to commence:. e.Fnre OCCllpnncy. A CcnlflCllCc of OCCUPMCY mU,lT be
i!l5ucd.
Plnnninll DIrector
Dalo Special CnnfhrHmJl, IL,"y
24 honr nOlire (or all inRJ'lcctlnn. (9~2) 447.9850, fa1 (952) 447-424~
4646 Dakntn Strt'Ct S.t., Prlnr toke, Minnesota 55372
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
"
INSPECTOR
DATE
-~-- --...--
. ____ _ .:r A~' .
I FINAL
~W:j
PLACE NO CONCRETE UNTIL ABOVE HAS
FRAMING
lib I fo/J~"~
FOR ALL INSPECTIONS (952) 447-9850