HomeMy WebLinkAboutBuilding Permit 11.788 0 J
w Z 1 H
J 2 ti r w
VU Z Lwr„
X5 55=
C�2 wW WC 0
C sr_ Q W Z
M 0000 0 0 > co ce
I U O
ce
N
u. 0 J
g w r Z C
( Y p Y p Z CO U F IQ
O F- M 0 0000 , 0 d W j �:
ui
11_, O w Z Z d' {� - w g N
U
CO 0 w m= W m= CC. M Z t
I O
�U 41111 ,E , / O O Z O
® a�3 MIN la w w
+-- 00000 0 1 0 0 O re w
a a
f- _
0 CO Z �►✓ O
d o co �Z N Z D 1 N W� aC
F N Si Z 2 5 JZ ye cc cc L J q
11 - a la Ce 0w Ce w Z la 00 t 2 O O O v V
N O O IL LL LL Z N O - 3 U U 1.
U=
0 0 a 00DD 0 0 -- 0 'D c
Q si PRro,
,� 1 �' CITY OF PRIOR LADE B .IILDING PERMIT, Date Recd
r � �� T EMPORARY CERTIFICATE OF ZONING COMPLIANCE e ' - 7 / 1
u ∎, iL J trl AND UTILITY CONNECTION PERMIT '
I. Wite File NO. ) //��
3 Yellow Applicant
PERMIT NO / / y) • ,
3. Yellow Ap �(//
(Please type or print and sign at bottom)
ADDRESS i cc/ 33 5# f A, \b S, 6. ZONING (office use)
()No( 4 - - 53 2 2
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
( N a m e ) 1" ` � / � ' ° b --k- al r' ° H0/ 6A 'JD (Phone) ?S2 — 2 2 — S-133
(Address) /$ 1 f Y -Al <ra Q,etO 5, ,
BUILDER /
(Company Name) Si -" ItoL n
A. / L.! 46- 1.-LC (Phone) s� r w Z / ?
(Contact Name) . ! 4 5" ¢ I-10 L~r'\ --- ^ (Pho'' 4: 75 - 2 Z S0 -; 3
(Address) 176/3 - /' CP 57" A . ��rfv c-To^) Nt--- . cZL/
TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding DL Awer Level Finish ❑ Fireplace
❑Addition AAlteration ❑Utility Connection
CODE: DLR.C. DLB.C. ❑ Misc:
` Type of Construction: r D IV V A B' 2
Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ .33 5
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 revo this pen ' ' t cause. urther none, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 204/3/ 77 — l7 — //
Signature Contractor's License No. Date
Permit Valuation s Park Support Fee . # $
Permit Fee $ 4 75" 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 . $ 54, 5-o Builder's Deposit $
" Sewer & Water Iermitree Other ,$
Gas Fireplace Permit Fee $ TOTAL DUE G)fi1.Gefj g la 441 $ • 89, 76
This : , .. 'cabin me Your Building Permit When ppr s "ed Paid ,e q `7.r Re 'pt No. 6126.6
! f/ Date y,. /�. '7
N. Ad. Ai
Build' . W4 to
This is to certify tha he request in the above application and accompanying documen • is in a ordance with the City Zoning Ordinance and may "proceed as requested. This document
when s': by tQ ity Planner constitutes `a temporary Certificate of Zoning compl' nce , allows construction to commence. Before occupancy, a Certificate of Occupancy must be
�� ,
issued. /
e (6 11
i- _Director 1': 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
DEPARTMENT OF
P RIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /5* ' D
NATURE OF WORK f r T i t ' �. 1,0 -
USE OF BUILDIN
PERMIT NO. � �` %�- •ATE ISSUED 4.14ff
CONTRACTOR foleic �r .1 _ e' HONE i' 54
NOTE: THIS IS NOT A PERM! FOR ANY OF TH INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
OEMS
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING PA' q z //
MOM
ELECTRICAL
PLUMBING VI `S
GAS LINE AIR TEST /7 T///
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1 1
FINALS
BUILDING 647 Z z( ir?-
ELECTRICAL
PLUMBING
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