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cl PRI4P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
r~ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 22
AND UTILITY CONNECTION PERMIT q.
White file PERMIT NO. /r / 0 0
2 Pink City
3 Yaitow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1�l 0� W ERcEb&E TR.A'ILNE)-'PRtoR LAO. f7N 553-7x. ?-159
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION
PID 2.-S.. l0. Ott(, 0
OWNER
(Name) ALANL• '"(.H.OLkES (Phone) 4/t12 %C°1 I S S1J
(Address) 114/4 0.5. WA-TERS : GE VAIL NE} f30,10R LME , MN 553-7
BUILDER A(Company Name) L Ab Dit11 SOLI 1-1-C (Phone) C) 14—1. tO i-1 O1 3
(Contact Name) OA AR,Lie P(C AR (Phone)
(Address) 12-15. L1LAA< LANE , 'SCCELSttSR . MN SS331
TYPE OF WORK 0 New Construction ❑Deck OPorch ORe-Roofing ❑Re-Siding DLower Level Finish 0 Fireplace
DAddition ❑Alteration ❑Utility Connection 1G1 sou.. (3SEL lisisTa4..LA'1ipt
CODE: .R.C. DI.B.C. 0 Misr:
Type of Construction: I II Di IV V A B PROJECT COST/VALUE $ �9 t too
Occupancy Group: A B E F H I M R S Ti excluding land)
Division: 1 2 3 4 5 (excluding
I hereby certify d pr o haveerty and that information on this conform
owhich
l e stingssatband kof cal y lawsvatdgwill proceed ncorrect.
accord accordance with submitted plans.owner
I am aware that the building
above-mentioned cantrevok property and that allc constructionhwill to g
official can revoke this 't for} 't cause J hermore.I hereby agree that the city official or 1 designee may enter upon the property to performneeded inspections
21)40 31459 to q 12z./2.6/1
— .. .............
Signature Contractor's License No. Date
Park Support Fee # $
Permit Valuation /de
Permit Fee $ SAC # $
Plan Check Fee $
Water Meter Size 5/8"; 1"; $
State Surcharge $ 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 $ 54-50
' �
This A i maim/••'ome tour Building E rma Whe AFpr' ed Paid bet-- y a (� B I
Re t No. L gTLJ
/ �'r I Date 1
q 26 ti
Buil:I ng total bate
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. y
..7 ‘— f/
- —/ / Planning D' -else --- ---- 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
O� PRIp�
ti
t White -Building
Canary -Engineering
'y1NNESO Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted Accepted With Corrections
Denied
Reviewed By: Date: 9" e"//
Comments:
"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."
O� PRI°;
ti x
„,
White -Building
4 �P Canary -Engineering
NNEs° Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT M--,O D I rJ S 0
APPLICATION RECEIVED 9 , zz
. �.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I P 96 tpo\IL____
Accepted I/ Accepted With Corrections
Denied �/�
Reviewed By: ief , e Date: Vadoii
Comments: 1. O R r• -,AJ ,4-,.j r Aivf,
/4 SP- r1ONS 174O17 OF- !SAW- �4t4.� t.cJl
lw
Ss�� rite" - tit t c.�r�/ />3tt.44 (T
"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."
DERO
PRIOR LAKE BUILPADINGTMENT AND INF
SPECTION
INSPECTION
RECORD
SITE ADDRESS 14i-ota t E-1 'MAIL N .6.
TYPE OF WORK cOLAS. I.S14
USE OF BUILDING ect4A-0
PERMIT NO. 111111102:0.1; DATE ISSUED 1. ,
BUILDER »I,J ot., . L.L. C . PHONE # 4\6t• 4ot -1013
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
SORSEKG
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
eft-c.v.1GA1, I
I FINAL I
FOR ALL L INSPECTIONS (952) 447-9850