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HomeMy WebLinkAboutBuilding Permit 10.470 z k § aj e �IX w _ i � ww a o 14 2 222§ % § � � � s��� 0 2 cd § S S��� 2 § DDDooD o ce %:) ( a J w z ` § 04 \ 2.4 d O. 0§ Z 04 O 1 ci E ix00 g @ U 2 ■ o 000« i= 43 Ili k o Z w §�33 §� § k z 2 ( Q a. \ �� § § re W u. - cOOOOO % § § § w a a I- 2 EC < ■ 0 < 7 2 % \ IAA _ % / 0 } � � � t o z ® e ,. a c z o z S. I-- 4 , « g o « e m o o I- q 2 u) 0 0 W � 2 §z : E -J 2 & ce k A 0 uj rt w Z oo�2zt- 2 0 0 cc 0 k 0 § 0 0 u. u. u. _ u) §2 0 0 I OOOO 0 O 0 / (;."- PRJ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE m l AND UTILITY CONNECTION PERMIT �} � A'%ivNEs02: I. white File PERMIT NO 3 Pink City to - it I�V A1 3 Yellow Applicant ( (Please type or print and sign at bottom) ADDRESS 4-v ZONING (office use) v ) , c I Z_ 1 I . , d C t 1. L ,.,1."�— 't �'I. I . �- 5`— e (D LEGAL DESCRIPTION (office use only) LOT 3 BLOCK 1 ADDITION G v} M' p r _ I pa .. ST-Ror I S� PID 2 5 - ( el- 00 3- 0 OWNER (Name) f - V - i'L i.,,. � '° 3 t.1..1 I '.j (Phone) l i CZ S4, 1 - , 4 BUILDER 1 (Company Name) L! (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ERe-Siding Lower Level Finish ❑ Fireplace ❑Addition DAlteration ❑Utility Connection % F-ete 5 CODE: ILR.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V AB Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby ce ' that I have furnished i ormation 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- mentlo d prop .ty an that a 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 re oke tin permi 'or ust ause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed 1 pect ms. p X -- 114 �— 'V / C gnature Contractor's License No. Date Permit Valuati .Q®© Park Support Fee # $ Permit Fee $ 1+ :75 SAC # $ Plan Check Fee $ t • 50 Water Meter Size 5/8 "; 1 "; $ . State Surcharge $ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee -# $ Plumbing Permit Fee $ 5D Water Tower Fee # $ i Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE / $ ( 210 . ZS e I-LE 0 ( /sF/10 This Ap a • ■ n l % omes our Building Permit When ppr ved Paid /Z G , R - - - ipt No. e be ¢ Af , Date 4 Ai, , II C gildin Official ate This is to certify th the request in the above .pplication and accompanying documents i in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by t '-C y Pla • r con itute temporary Certificate of Zoning complian e and Ilows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. I ,, .� /WM O anning 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 Residential Building Permit Checklist B • sement Finish or Interior Alteration to S' gle Family Homes 120 BY: fLts 4"Tr Date: Co t I v Building Permit # PID: Zoning: P--( Site Address t SS ( Z �1 memo _ Legal: L B Subdivision: Existing Structure: or NO CONFORMS TO ZONING '(___V7E NO ORDINANCE ' YES NO Is this an expansion of the existing footprint or Refer to Planning building height? ./ Is the property located within the flood plain? Refer to Planning ✓ Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single family home (office, group home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L: \TEMPLATE\ALTCHCK.DOC P R I R LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS t 5512 i,> Ave . NATURE OF WORK Lower- Lt: - vet r�► is N USE OF BUILDING RES A/P- PERMIT NO. lo- 4 DATE ISSUED Cc,(4 Io CONTRACTOR FRAt4 t< Fe?rl.ES PHONE 441 - 5614 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I entanat 1 1 IIIMMIMUIMIL(Prior to Backfill) 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 7 l t, INSULATION ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS BUILDING 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