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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
41
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
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AND UTILITY CONNECTION PERMIT 0'd• /7 /4
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cogyj l (S-Z 1. t a3.Yellow Applicant lePERMIT NO. i �E / 'Y
(Please type oriprint and sign at bottom)
ADDRESS ZONING(office use)
6522 Harbor Place N.E. Prior Lake, MN 55372 , vs
LEGAL DESCRIPTION(office use only)
e0,ib /_/ a r17o3- a
LOT BLOCK ADDITION , — CI C1' PID .0.75-
OWNER
(Name) MultiVenture Properties (Phone) 952-920-9388
(Address) 7400 Metro Blvd. #380, Edina, MN 55439
BUILDER
(Company Name)Reroof America Contractors, MN (Phone) 952-888-8440
(Contact Name) Angie Olson (Phone) 952-888-8414
(Address) 10740 Lyndale Ave. S. #10W, Bloomington, MN 55420
TYPE OF WORK 0 New Construction ❑Deck ❑Porch [1Re-Roofing Me-Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. 0 Mise:
Type of Construction: I II in IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 5266.00
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 coma. I also certify that I am the owner or authorized agmt for the
above-mention . 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 r-,gi this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X '-.I (2/6147%---N BC637481 10/08/14
Signature Contractor's License No. Date
Permit ValuationPark Support Fee # $
Permit Fee $ / l ' i SAC # $
Plan Check Fee $/ Water Meter Size 5/8"; 1"; $
State Surcharge $ c Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
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Sewer&Water Permit Fee $ Other $ ___7q- d
Gas Fireplace Permit Fee $ e ,,, $
r oe.,, ,,,./4„..„.„
This Application Becomes Your Building Permit When ved 1 ig -7 S---- Receipt No. ,--i,. .'
gate il /1( By 5 2
Building Official Date
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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