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HomeMy WebLinkAboutBuilding Permit 10.612 5 >t 0 0 O'O❑OO I 0 > z2 n % �§ K Z q §X 4 °© Z m � § "• c o m I m n 0 0 q / Z § r b k >k o o z � \ . k Oxi 0 k_ 0 -4 § ' z m� § 0 > f 11111 � � � \ g C-- I kk k \ 00000 % / §m m ■�■ m13Cntm1 • ■ § z Cn Z k . . § m n I ca ? "n _ 7:12 o • 0 § * m § § _ P >000 § § z m 0, _ U $ �� rJ2/ 72 2 r 2 m O r�13 P 0 C. A q X n m � OO ❑O §O | � t i E 73 onaln » R. v km : \ > § j 2 � � � m � � 0 �. PR/04, Date Rec'd � � CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE b t AND UTILITY CONNECTION PERMIT '7- /9. / O r '�'N E S z White Fife PERMIT NO. /a , (i,z, 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) Sq °S ' en/ 1/6 b bo SE Pgio fl/J £S39 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (N � R -I ALINey SC) 5 % (Phone) '7S V97- 5 (Address) 6 -1 / 0 - 5— 7 RiM.. gi n-f) LL/) SE Pie wr LAKE MA! CS 3701 BUILDER (Company Name) SE L F (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding Gower Level Finish reireplace ['Addition ['Alteration ['Utility Connection CODE: I.R.C. DLB.C. ❑ Misc: Type of Construction: I II III Br V A B / Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $/ �/ 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 . wnstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building revoke . ' 1 cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. • o 7 t • lure Contractor's License No. Date p-, - r,.. Permit Valuation 3 O O 6 . co Park Support Fee # $ Permit Fee $ 7lf ,75 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 6 00 Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5 I'0 Water Tower Fee # $ \ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ b---4.-. b TOTAL DUE $ / 7 , 5 - This Application Becomes Your Building Permit When Approved Paid /e s, s, 7S R ipt No. 60677 Date 7, /9. /O Building 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 S.E., Prior Lake, Minnesota 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes " BY: Date: 7 /9. / a Building Permit ,:V Q ,, / FED: Zoning: Site Address �4_ ) 5 � / ��� . L egal: L B Subdivision: Existing Structure: YES r NO CO TORti1S TO ZONEN - G YES `t0 ORDI AJ CE YES 1 NO Is this an expansion of the e:.iztng footprint or Refer to Planunig building height? - Is the property located within the good plain? Refer to Planning Does the alteration, include any additional letchens? Refer. to Planning Does the proposed. alteration include any outside• Refer to Plat-+ +; entrances other than patio doors? Is the proposed use of the aistied space or Refer to Planni it altera on for anything other than, a normal single ✓ family home (office, roue home, day care, etc.)? THIS CAEC LIST MUST BE COMPLETED A f'D INCLUDED IN THE BUILDING PERMIT [IT FILE TO MUINTAIN A RECORD OF THE REVIEW. PRIOR LA KE DEPARTMENT OF DUNG AND INSPECTION INSPECTION RECORD SITE ADDRESS X465 We l2 / / 1-A/ NATURE OF WORK 1-0 W e &b1/61.- USE OF BUILDING ` f/ /z_ PERMIT NO. 10. &(z- DATE ISSUED 7 / 9 - / b CONTRACTOR (SOS T PHONE 447 5 7 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1 1 1 111111.1.11111111 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 1 FINALS Immimmumengr BUILDING q-\44 it011P ELECTRICAL PLUMBING 1p,12 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