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HomeMy WebLinkAboutBuilding Permit 12.0054 2 0 E ( 71 2 II § e § Z WW< - J \ 05 55 z z 7 �.§2ww� 2 0 \ 2 -� S��� W 0 00000 0 g ,� S 0 § N / Ui L d r w z 0 a . a .� o § � � p I � / re §§L- o 0 0 \ c B 2 - ? ?2/ � k b §` 0 k \ 0 w 2 2 ■\ nO E w cn - \ a�§ § 2 000 000 a E o ? , k z < 0 $ 1 1.- o \ 2 z �� } « � ► \ 01 6 0 § K z u) § �R 2 § 2 � ja w \ \ - § � � z 004V (.<11.1 0 Q u a $ to R$ 2 u_u.u. ■ � Q E O _ Q? < 0 0- 0000 0 0 OF Pill CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE . , 7� l AND UTILITY CONNECTION PERMIT ��HNESO� . I White File • / e� / z Pink City PERMIT NO 12. 00 c9' 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) / 47-3 - $ 4 ' ) dj /3 e-ez � ? 720-. eisC-.0 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 25 i yse. 041 V OWNER f ( ) 4.) (�r / / (� (Name) e. - e- - -hje'' (Phone) r2 " Fla' ' 63 (Address) / Y/'c $ -7 ely (5,r 2 1 BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch tilRe- Roofing J❑Re- Siding ['Lower Level Finish ❑ Fireplace ❑Addition 'Alteration ❑Utility Connection CODE: j1.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V AB Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ 4--- Division: 1 2 3 4 5 (excluding land) 1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 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 official or a designee may enter upon the property to perform needed inspections. Signature Contractor's License No. Date Permit Valuation i , - Park Support Fee # $ i Permit Fee ' $ SAC # $ Plan Check Fee $ r ©S ` Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 4 • _ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other -y� $ Gas Fireplace Permit Fee $ TOTAL DUE e4 s' /24 / %L- $ Z71 nis : lic a n Bec ∎ es Your Building Permit When A roved Paid ,a71...-3 C) Re ipt No. (Ery��IT Date / Z(.'. Dat 1 2- A /1rs t..— / Z-G i Z-- i ui "s Offlciat Dat 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 / / . , ( f e2 '' 1 . 2 _ ,,60.. =� -gd nw ,, e - * X t7 Plannin hector Date Spc+cial Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (9.52) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 .rr ,•...j AG ,q'iw^EfAkr:''TM'Y.n -° i,... Y !W " •`4n r"" .''sue.....♦ ..,v..,,,rYCe.,r 1 , YRIp ti la,, k c c-), o f :, „t„,,,., , L4,461t , White - Building Canary - Engineering "''NNtsdo" Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections _A______ Denied _- Reviewed By: '`/ 44, Date: /— 2 3" -(2 Comments: i; ' i er � r h 3e "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." O� PRi°? i t U ' try White - Building yINNESO� Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /3 Gqr /A/L APPLICATION RECEIVED C 1 /7 / 7 -. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4/ 6 3 JID. e — w' - Melt- - - Accepted Accepted With Corrections P p Denied Reviewed By: lb _'�.- Date: 2 1 7� Comments: "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." P R I 2:7=EANNTDOri OR LA K E SPECTION INSPECTION RECORD SITE ADDRESS I i I, (a 3 o1 R,,, (t l,., NATURE OF WORK 4am- r7.t.--,..t-,0,`, USE OF BUILDING i. s ,a, / PERMIT NO. t7_- DATE ISSUED ‘ 6 eA r z CONTRACTOR r c. ,. -(-\___ PHONE (,,f z. -85o - G.s.; NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT 411111.11W INSPECTOR DATE 1 1 I , 1 1 I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWERTWAMITSEPTIG, FRAMING P01 3/// . _ INSULATION ELECTRICAL = mow ., , ., .. 4 . „ . - COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 I FINALS M .: BUILDING 7 S .2 ./ L ELECTRICAL dOillialliti 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 b ili6ttiva:mk,t 43"