HomeMy WebLinkAboutBuilding Permit 10.889 J
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ol CITY OF PRIOR LAI E BUILDING PERNIIT, Date Rec'd
( . R?O
� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
v ', % � __ , g AND UTILITY CONNECTION PERMIT
t. Whits File PERMIT NO .
2. Pink City I L) --g G
3. Yellow Applicant `V I
(Please type or print and sign at bottom)
ADDRESS /4/4/D/ Enclave eotcrt /vW ZONING (office use)
rt r Lake-, M'A/ 55372
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER -r � T
(Name) To,, /2 1ot'ier + get TO • /JirIneP.IV (Phone) 95:2 (SS
(Address) /44o £nc a Vei (,o' ur7 NW �eor flake, AV 55572.
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address) �/
TYPE OF WORK ❑ New Construction ['Deck ['Porch ['Re- Roofing ['Re- Siding [Lower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection
CODE: [1I.R.C. I.B.C. ❑ Misc.
Type of Construction: I It III IV V A B �'
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ f Z
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have firmished 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 otliciai or a designee may enter upon the property to perform needed inspections.
X arilA -49 b(Ot icid
Signature Contractor's License No. Date
Permit Valuation 30oo` , Park Support Fee # $
Permit Fee $ 1x SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1 "; $
State Surcharge $ ' .. Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee /NG• W./4• $ Q .50 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ 51 TOTAL DUE $ (g g, 't 5
This Ap . lica' • . Becomes Your Building Permit When Approved Paid ,, .;y .1. Recei it No. f ' ^3
/i ,,l s 16/ Date CM o B i
!AL. _ ro
B riding Officia Date IM
This is to certify that the request in the abode application and accompanying documents is - accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed b the r ity Planner constitutes a temporary Certificate of Zoning co.. t lianc: and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
..(-111......_ ,„ 6 /6
Plannin 911 1 1 11111. rate Special Conditions, if any
DEPARTMENT OF
P RIOR LAKE BUILDING AND INSPECTION
IN
RECORD
SITE ADDRESS 144 4- ( c C. 7. N.1, �.
NATURE OF WORK >= iris►+ L Cs C-
USE OF BUILDING R ` s (rz
PERMIT NO. 10 -Bsck DATE ISSUED 10 (57
CONTRACTOR PHONE ' c z - s , ka -1185
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
tvaivioNitk
1 N (Prior to Backfill) 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
ATER / SEPTIC
.. a
FRAMING (Z tl Ili (fl
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST 9
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1
FINALS
*Mafia (Prior to Sodding)
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