HomeMy WebLinkAboutBuilding Permit 10.323 J
im Z Z 1-
u. Z w W Q U W
U U
44
5 5g Z >
a.
C9 2 W W W 0 0 °b
W i Z a O { V V . V. C7 % . Z [�.
w Z
o
et
N
W w Z tC
0 >jQ al c 0
c a ? o cLL J � z o a
U , z W Z_=XZ 0 c U W ac u - 4 el1 w
a. N t
0 U 0. j wa yj? 0 ,� a� W W Z X C
a E3Naa ri w w re W
00000 0 111 0 0 o W i
J o Z O w W W t z o
5 Z ► Z O N O � .��.
O O w CO F t i` r` W
a0 N O Z p Z~ Z z Y� w
LL t- F, re N Z f-Z2 - S o q; Q p
Ow W w Z OOayzjj 2 O O O O V
5 a 0 0 u. u.u.? U U 1.
z a 0 a ❑000 V 0 ❑ c
• (1
PR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
r TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 57 ¢, !d
AND UTILITY CONNECTION PERMIT
MiivNESO'cP I. white File PERMIT NO
3 Pink City / 0.� ^j'> 3-
3 Yellow Applicant J
(Please type or print and sign at bottom)
ZONING (office use)
i I� j jt f � t. 1 .l C \ ,' K (
' . . j ,, L , l i \ j . } 1 s ..?
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
X OWNER '1 f
(Name) �� � ` M (Phone)
(Address)
/ BUILDER —
(Company Name) ' ` k ' �- (Phone)
(Contact Name) (Phone)
(Address)
X TYPE OF WORK El New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding glLower Level Finish ❑ Fireplace
['Addition ['Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U
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 correct. I also certify that I am the owner or authorized agent for the
above - mentioned 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 revoke 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
Signature Contractor's License No. Date
i
Permit Valuation c1 006 + Park Support Fee # $
Permit Fee $ 97.7g— SAC # $
Plan Check Fee $ DV Water Meter Size 5/8 "; 1 "; $
State Surcharge $ D D Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 50 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ • TOTAL DUE $ /3 9- 2..5
P 's • • a.1 Bee; es Your Building Permit When Approved Paid ,es Zj Recei NO. U���
/ ..., -. _ Date '', ¢. to By
r. uildi d Official Date
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 Prior Lake, MN 55372
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS L11476 Or .�..
.
NATURE OF WORK LL F
USE OF BUILDING SFO
PERMIT NO. -`:`'=' to - 3 DATE ISSUED Sl�ia
CONTRACTOR '. wa�g� gn /it A. PHONE L /2-• .942- .SCDS?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
t' N
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
sEvr 1pS T1C /f]
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
il1ftelot 4CE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1
FINALS
GRADING (Prior to Sodding)
BUILDING 77 lZr/
ELECTRICAL
PLUMBING
HEATING
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