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Building Permit 14. 1325
0 0000 ❑ ❑ = 0 v yo n n g-- O (pm � TTT p v � � ��0 3 msc � co m p m cmim r So — z N o b rD' m m Z -u RI E50 4 ZO > t '' D > K3 V N z z 55o S. = T Z m � hi o\ z - ' 111.:.1 N m T n D O 13 A i o 73 t 0000 ❑ ❑ m x O O 3v �ng3 � � K m m m _ n C > n3 C7 0 E o v x3 mx n Wz � 4 z m Zzxx - E x z I m H m Z > 0 0 o 0 °_ -u m .-4 rz � � Z r z s. x 73 m ,. (,: [. c C 0 n m<� 00 o z CTTnm ' Z az � oxr ('�" COMMvG) j\m DI `z > 00 -z- m N y z m "i r 0 A.,7 t-. ) 6, , ).e. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Rec'd !/N ,-.1 , \ AND UTILITY CONNECTION PERMIT 4-,4411111.//,s., lz. 'NNES° i. White File 2. Ptak Cit) PERMIT NO. i 3. Yeilim Applicant t 4 — (3 z_ (Please type or print and sign at bottom) ADDRESS ZONING (office use) Pike Lake Park,4262 140th St NE,Prior Lake,MN 55372 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name)City of Prior Lake / Greg Skluzacek (Phone) 952-447-9898 (Address) 17073 Adelmann Street NE, Prior Lake, MN 55372 BUILDER (Company Name) Minnesota Wisconsin Playground (Phone) 763-546-7787 (Contact Name) Dan Lanes / Eric Denning (Phone)763-546-7787 (Address) P.O. Box 27328, Golden Valley, MN 55427 TYPE OF WORK El New Construction El Deck []Porch LiRe-RoofingElRe-SidingIlLower Level Finish CI Fireplace El A ddition EAlteration ['Utility Connection CODE: ELR.C. NI.B.C. LI Misc: Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ 21,505 Division: 1 2 3 4 5 (excluding land) I hereby certify that 1 have furinshed ml 0-1311011 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-mcnt' 'cl property - • t all construction will conform to all existing state and local taws and will proceed in accordance with submitted plans. 1 am aware that the building official c . revoke this pe it for,i I cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X A ... ti. 1AAAAA November 25,2014_ Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; 5 Ttate Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # S Plumbing Permit Fee S Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee S Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ This App/ . eco,fs N' moulding Permit Wh Appr ed Paid Receipt No. Ar il 1 ollY Date By A adAl, 11 ,41 ._. _4111.16.. 4 I' 1 Building 1 tis‘ial Date This is to certify that tile request in the at-swv appiliatiorf ani aaompany:0;doorwill..,I.,rt,i,,,,,,,,,,t,,,,,,..,,,irk ow City Zr.iiziik;Ordinance and may procc.cd a,rtqUitiled This document when signed by the Cgs Plannu constitutes a temporary Certificate of Zoning compliance and aifows consuuction to comment.e. Beibre yea/pa/1,4,a Cour/caw ur Occupancy mast he issued. ,,,.-4iNi, ......-....w. `,.... 1 41:5/1 4------ ,using Diree Da e Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fa x(952)447-4245 __ 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 . . . . . . . . . . . — • .. . PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS . ' - NATURE OF WORK x c-'414. USE OF BUILDINGt� - PERMIT NO. DATE ISSUED OZz, •� CONTRACTOR J z..�.� c.. c:4,f �- PHONE 7(..„.-; G1 77 7 INSTALL EROSION CbNRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 111111111111.111111114 —_ ELECTRICAL 11111111111111110 MINIPINEIMMIPPEE T COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED 4ftwesommir FINALS .GRADING ( PRIOR TO SODDING) I BUILDING �o ;�5ci2C-i, i 11p ' Flux i 'ELECTRICAL elliMONG DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 f 1 ' . 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