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Building Permit 14. 0809
W Z 1 r. 2 :1 21% S w V V W 0 ki gg5g � °a w f idUu t� � W v o CWC =! u. Cri O < �j as m C1 oC ILI Z oF' B c2 04 t. S pp � J I= , 0 0001 111 v O O° wx4� a. ir. ... N V a xsx jLJW z I- e •.. W 111gt LoI.LI DOCIOCICI ILI 't :c ,re wco W Y V ♦ Z tegP no 0 z p �r D►— wZ OO PU F $O cM O0?~ N aZ w A Qu.W co ce 1— � W UCVC re re OOA B <OC WZ p � a p O ' O a z ❑ 05 03 O a ❑❑ ❑ ❑ 0 J Z 1NE LLI J a H F- LT. d' c, rti zW V < a° k. U g 13 ! IP;IIo i O C: re W L 7: y o C) O = = a Z G >. al m c2 F a OSC7Z V c o� 0 AAo W z ce Z _ xxz — :ii ti! 6 y 0 a 2xww25 J W Q W J W W W W E a2Swa2Ir C .�' 000000 , cc w O 44 re :C O. a a E_ IM J 0 < V iI ki F- z i* a O IL. O In in IQ i El O Z W F' F. F- AC a. L co O z ° Z z W Y x re o ,Q WE- CO z � z � � � " 0 0 0 '� tj Oa G W ZO $ 0W= LLN 0 111 I! 3 V V E. v ?ca ❑ ❑ -F- Z5 4 O a ❑ 0 ❑❑ ❑ C.) . ,Y ?Rio CITY CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 1 \ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 8 ' --7 14f "` . .J ._..... r" AND UTILITY CONNECTION PERMIT 'tilNNESQs� 1.White NO.File PERMIT 2. Pink Cityl�i 3.Yellow Applicant / • a (Please type or print and sign at bottom) ADDRESS ZONING(office use) /Li q 7 a /t‘� �r,. 1OG Pr'or e CV57Z RI SE) LEGAL DESCRIPTION(office use only) A LOT BLOCK ADDITION PID 15.3 2.• . 0 2-4"-0 owN-(Name) el\il t ,. .- t iN efr (,,� .t 5-z.- (Phone) (% 1) 07-Z.:,L 4 (Address) jL(g7 ` � y lam; v\CM-ta 0. poor Lc �i 55.y)Z (CBomDER panyy Name) IACSJ v -S LOAS (oC.-kr b'' , 1v (Phone) (Contact Name) fes?oc,Ltt,t `\ aa�,,z�, Le (Phone) '5t 1 ' i (Address) ç)c , Cc)is, `7 t7 f \e-k 1 Nom' (-P3-1,°1 TYPE OF WORK 0 New Constructioneck ❑Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Altera on ❑UtilityConnection CODE: ,iII .R.0 • I.B.C. 0 Misc: Type of Construction: I II III IV V A B iu �l o Ca Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ t [�, a Division: 1 2 3 4 5 (excluding land) I hereby certify th 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-mention-. .operty and that 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 rev 4 this permit for jus Sr. Fur' ore,I hereby agree that the city official ora designee may enter upon the property to perform needed' ons. -/toiLl Sag tune Contractor's License No: Date Permit Valuation gym--® ©r r Park Support Fee # $ Permit Fee $ (t.7• 1 SAC # $ Plan Check Fee $ AO`4!4 Water Meter Size 5/8"; 1"; $ State Surcharge $ Z,5—® 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 DUE MLtin Co tO i 4.-- $ k1(0•Ila This App . o ; co n es Your Building Permit Wh' A.t .ved Paid /C71,, 7 , Receipt No. 7 Iqy[ I Date e'.IT' , /y- By 5It ) 14 i in ding Office: Dat: This is to certify at the r nest in the above application and accompanying documen in ac Mance with the City Zoning Ordinance and may proceed as requested. This c ocument when signed b Ci r constitutes a temporary Certificate of Zoning comp` ce an allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Q e 8 j¢ Planning Die ate Special Conditions,if any 24 hour notice for all ins etions(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 F PRIOR LAKEDEPARTMENT UILD NG A D�INSPECTION INSPECTION RECORD SITE ADDRESS TYPE OF WORK USE OF BUILDING ggc {'� PERMIT NO. 1.1{�`' DATEISSUED '% + (4- BUILDER C�x.tD &of--qS �d- PHONE # >•?911�Ti:�61 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING I ��p 9 � PLACE NO CONCRETE UNTIL ABOVE HAS BE N IGNED 41114=06- etzaLac.hd5 ek, i)00 824 I FINAL I YA I &'/ZPJ j( FOR ALL INSPECTIONS (952) 447-9850