HomeMy WebLinkAboutBuilding Permit 12.823 J
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o� PR % CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
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� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 7
47r rNESO S
I. white File
2. Pink City PERMIT NO. /Z , U z3
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
` 1 EZy r "- -37 Pi tOt( IArIL 910 C -5- . 7 2-.
LEGAL DESCRIPTION (office use only) / /met e4. ,G_ s -� , , t - ' d ,„ d � 'cy A-10 - ?, j
LOT BLOCK ADDITION 1 ✓� 6j 6.&04/1441U 1441U PID Z5
OWNER
(Name) � R I A N N ED DE IkiI S C re-e1 -S) C)e-T1- c j (Phone) 5 e t - t `-f �;
'
(Address) 1 S ' ( a Zt pa Ct"'� 'PQ o 2 l.; 1 /IAN 5s-3-IL,
BUILDER
(Company Name) /& I 0 1J () I Lip p . fZ S I C- . (Phone) 6 1 Z: .1 C -4) 1.-1 v i 0
(Contact Name) 1 _ e--r- FiU Ee--c-,C ( Phone) 612-7s7) Le ° 1 0
(Address) Z (' ` J 0 PI I i S (7i`tRY 4 4 %,.. N., L!( - . a 1 C F _ J I LLf r/1(' CS-0 t / 7
TYPE OF WORK ❑ New Construction I :4 Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: I.R.C. ❑ Mist: I W 1r�)p (� S � �� c�
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 $
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furyished 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 tr11%eonstruction 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 per for -just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed i nspections.
X ') C ■ Q 5 7 a 2. e - r3 - 0d +z---
Signature Contractor's License No. Date
Permit Valuation ip. 000 , ' Park Support Fee # $
Permit Fee $ 2 5 , o SAC # $
Plan Check Fee $ ` -7> Water Meter Size 5/8 "; 1"; $
State Surcharge $ 3 _ 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 $ ZZ 1 . 4..3
C454..r....‘—‘, ift/t/(2.—
This Appl a' i n% comes Your Building Permit W n pproved Paid Z L (:
Date y', ,� ceipt No. v f
y -
(
d / F /Z
Buil r in „Official 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 t por Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
ning Director 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
` ®1v iiiiii I ,
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ADDRESS: 1 5 F PID: 26- 05 4549 /
PERMIT TYPE: D�kg C—. DATE INSPECTED: /V /Q / /'Z/
12 $2
ADDITIONS /BASEMENT FINISHES /PORCHES
FLOOR COVERINGS: Exterior Siding
Interior Wall covering
CEILING COVERINGS: HEATING:
BATHROOMS: FULL: 3/4: 1/2: OTHER PLUMBING FIXTURES:
BEDROOMS (addition or bsmt only) # CABINETRY:
FIREPLACES: # Type
OF TOTAL BASEMENT AREA FINISHED: Bsmt Fair Bsmt Avg Bsmt Exclt
OUTBUILDINGS
BUILDING STYLE: FLOOR:
WALLS: ROOF:
HEATED: INSULATED:
FINISHED AREA:
OTHER /NOTES
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
SMOke detectors shall be 1 shall be upgraded
in a Sleeping rooms, on each stc�
p e r the requirements of the IRC
and in halls to sleeping rooms RECOR ! g�iout the house Battery operated
• ,,, oke d ector may be installed ��?
SITE ADDRESS / C .. structures
TYPE OF WORK A .!. i i . P / .
USE OF BUILDING , . /� X.
PERMIT NO. a ., SZ3 D ATE ISSUED 7. 25. 12..
BUILDER j'Jj O(J 5 PHONE # 6/2,-.160.4010
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT , iY SEPARATE DOCUMENT
,h 1, ,„.e. e;-
INSPECTOR DATE
I FOOTING )C 1 /$y , z I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1 FRAMING /MA P W I 1 I
JFINAL 1 0 I / 6 0 1
FOR ALL INSPECTIONS (952) 447 -9850