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HomeMy WebLinkAboutBuilding Permit 12.417 w _k j ti w w$ § § z 4. Lc k 7 0& §wFA o o IL, < E ƒ §C 2 ? _ 1 DODO & 6. u R _ N La , $ n w z § §a § ® 0 q 0 d /- 2 §§ _ o 0 o k W ∎ z B _ 2 — s ?2z 0 c / E 0 0 w �f §UEi I 0 z 3 2 ■ § U _iW _j§ . 0 0 2 e a ■3 � a■ b w w ® 000000 § § W CL a / w w 0 z 0 § g a R / § § $ § k � K / Z i= a « w I oc ce Q. $ k §�� � re § ) % • U. o w ■ w « ■ • o 0w ■ w z Ro1X mzR 2 0 0o U Psi o 0 �U.u■Z§ Q � 0 o Q z 2 0 o_ 1 : 1 ) 2 ( C 1 0 0 0 Q 1 O= / of PRlo� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ,5 /3 /2-- /Z AND UTILITY CONNECTION PERMIT t i Irj ��NNE50�� white File PERMIT NO . /4 4_17 ?. Pink City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS 7© ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �, t 6'17.- r , (Name) W +V �--1 Kiel (Phone) ! '"✓1'� "" - 971 (Address) #S(,10 12.. 1\1 bf Z . ` t L BUILDER l � (Company Name) , 115 'P _AAtall" G(, MPA 7 (Phone) (OW -1 '° c 1 1 (Contact Name) V1+� fl N( 1Z-.1-1....132.... � ,., (Phone)•P (Address) ( .1 ‘4(y�il J�.l'�i�iLiz; vr�- MAP LE. 4 lops/ e.. MN• 5 °a' i TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ['Re-Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ['Addition Iteration ❑Utility Connection CODE: DI.R.C. DI.B.C. Kin, ❑ Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 hereby certify that I have punished 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 o 'tidal can vo. this permit for just cause Fur • • rmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X � � - 2-04- (171 5j/5 D2 _nature Contractor's License No. L7ate Permit Valuation 560_00 Park Support Fee # $ Permit Fee $ 2-5. U O SAC # $ Plan Check Fee $ L / / 2-C-- Water Meter Size 5/8"; 1 "; $ State Surcharge $ � t , v 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 $ L-.` 7 � This Applicati n t times Your Building Permit When Appr ved Paid tr- /6- t 1pt No. 6"015 /1 Date / Bi ding Official D ate 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 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 PRIOR LAKE DING AND IN SPECTION INSPECTION RECORD SITE ADDRESS 56710 i/, / - AAA/ cr/fOke 77141/ v NATURE OF WORK f N M/2/Ol -- m■T' USE OF BUILDING PERMIT NO. /2- . DATE ISSUED 5 /5 CONTRACTOR f /A/ /s'i V ZJS"i GZ) • PHONE (036. • `437/ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 411110.11111 1 1 1. I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING � -736/ INSULATION ELECTRICAL MOM HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING ELECTRICAL altiMMIS 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