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HomeMy WebLinkAboutBuilding Permit 11.273 0 } § j � _- 0 F. @Z00< F. N }) o > j $ §) 2 _ 2 § N W0 �E0 w z / G 000000 / u) 1 = ij 0 \ c i 0. CL a w { Z 10 - � o7« . y o w W -J E2 §§ 0 0 o w k ; % Z & 2_IIZ 0 § § ( S_ 0 a. M I Ui I IL 0 eIG § o ® _° w w 2 a2§ a� w u 2 z L. 000000 1 gy m. o o § ? ® i ' 0- O. e • o ® z W w = \ \ \ \ \ Q 0 A % a § § § ± • w a 0 § 2 0 w / % i / $ § jk § u k 2 < §§ re G } \ � (1) z kj § 2 \ \ k ° U { § 0 § o �u_ u_ ?rz � Q 2 0 5 ? « 0 a 00o0V0 0 of P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ¢ Z 0 AND UTILITY CONNECTION PERMIT t, U "f ,.... �P I. white File PERMIT NO i i z7 3 Pink City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 4,4 - 4-4 Sh r d Lake Iwo., l SE LEGAL DESCRIPTION (office use only) 5 r..19 ( 1 4 iq CA 2 5= j P J n LOTOOL BLOCK 1("©I ADDITION V I I �{1Y' i1,(.5�� "P4v, .S 2± ' f iA c! i'1, PID 16;3 g CC 40 OWNER / , hey 1 pi N. (Name) Y'utjek (Phone) (p I 2 , 4) b p . 4 34 (Address) 110677- 7 1,1V Lake Tt 1 1 CSE I ?Y t r L 2 kL MN' S 3 BUILDER '� .' I�i� (Company Name) 0 l C ovn f u.� l pro j t C (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding , j21.,ower Level Finish ❑ Fireplace ['Addition ['Alteration DUtility Connection 1 W.00 ievl CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 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 -ment oned 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 , revoke thi pe for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X //l 1 .0 AA.. n . (et2,so $ 4.2u. 20// Si . i ture Contractor's License No. Date Permit Valuation Park Support Fee # $ 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 . 3 5: ZS This Applicatio .o • comes Your Building Permit When Approved Paid 2. 1/ ' A No. 4 zr�3 a it Date b, 2.1" BM mg •fticial Date This is to ce ify 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 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes '54' 20. // BY: Date: Building Permit # // , 2- 73 PID: Zoning: Site Address /(6 7 7 /ELJ//.0 Legal: L B Subdivision: Existing Structur . YES o NO CONFORMS TO ZONING YES 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 r PRIOR LAKE DEPARTMENT A D�NSPECTION INSPECTION RECORD .A �� / SITE ADDRESS /G47' IL/it� /��/L TYPE OF WORK FL USE OF BUILDING A� L PERMIT NO. /1. Z� DATE ISSUED T . Z4 // �� BUILDER �//lE PHONE # Giz. *n. Tr�7T'" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ��� F.o� �� 1 INSPECTOR 1 DATE PL NO CONCRETE UNTIL AB HAS BEEN SI NED (FRAMING �. 1 1 S�I EZF.l7 Mt `loVAI.• a I FINAL 1 L /z��� I J FOR ALL INSPECTIONS (952) 447 - 9850