HomeMy WebLinkAboutBuilding Permi12.0008 Ili
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01 PRI��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
Er:A TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT r
i'vN
1. White File PERMIT NO . /
2. Pink City /Z s
3 GOO
3. Yellow Applicant V (�/
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/-5 -70 Fl 12d -
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID 2,5 - . 0 4, o , O
OWNER i
(Name) �� ■�.e_ 1•A &e- - (Phone)
(Address) - /5370 F ,k-t- - 7 v %A—
BUILDER Coin (Company Name) � `� tt ukdw k � if-Amid/vs (Phone)
an l S rlC" - (Phone
(Contact Name) ---...;,).^ 194o✓'aS (Phone) %- a - .913Z, -- .9 0 '1
(Address) 12_2 Mt, �,Ij -t- h. 5 ;ix,/A6vt(1l 0,94 55337
TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
'56Addition ['Alteration ['Utility Connection
CODE: KI.R.C. ❑I.B.C. El Misc:
Type of Construction: I II III IV V A B _
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ �S t 000
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 -me ioned 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 -yoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x 7035 58st- /0 -/7
Signature Contractor's License No. Date
Permit * : • n Park Support Fee # $
itW, ovo
Permit Fee $ 6 5?) SAC # $
Plan Check Fee $ 410/16 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Pressure Reducer $
Penalty $
2_2,_ 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 ( X27 /C.Aj $ /06f . . 48
This A i ti J eco .. es Your Building Permit Whe Approved Paid /de/. z *J Rece No. (, 4
�� A. Date / . /L By
(Z j5 t/
Building Official -41111111111111I 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. - - /02 5 eAre....--
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
P R I R LA DEPARTMENT
UILDIING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 153 rI5i4-
NATURE OF WORK s �prr.S s FZ c. 2 d t
USE OF BUILDING I•
PERMIT NO. i2,_.00L) DATE ISSUED
CONTRACTOR (,, ,,m ,44.. - 13.41<;,n PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PER,MIT IS BY SEPARATE , DOCU M T '� � 4i,&s
too t. Ei t0'7-; (OA ' rdA C Lt- r
w INSPECTOR DATE
FOOTING - 1
1 Backfill) 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
sawsicelliNSERc
FRAMING -7- V?)
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
•IIIMig(Prior to Sodding)
BOLDING 12 '14 41 /
ELECTRICAL (JO- L.
PLUMBING fA 4(
41
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