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HomeMy WebLinkAboutBuilding Permit 12.861 0 � 62 . w Z ,z< �.... LL Z W W Q 0 W k U U ; �, � Z aaa� W .8 0 .wwN . 0 °a W O ce Q z W ULLLLU' C' ? E., 0 ❑ ❑ ❑ ❑ ❑ ❑ > ce LU N 0 W L Z O Z YYZ co • 0 0 1 re . 2 0OLL.� O U U w v F 0 000< 4 - z ►= n a o • • Z Z— 2 2 Z— U c t U O w LL a O :LE O (1) U Q. 2 S W� g 2 ii.... N WQ = O 0 Z - Q 'I% a�3�n 0 v ce w CIG ❑ ❑ ❑ ❑ ❑ ❑ 11 Oa' O w a Cl. LL J re z Q O w ww 1 O Z U LL. _ o w YU �� z U '4 H co a �!� a - Z (7 a Z a a 4 C z U. O N Z H Z f g Z W Y re cc `0 Q A U W ' W D Q 11•1 2 Ow w Z OO� - M O O O ai U % 0 re Z O LLLLLL?' , U U r a v? Q O = ❑❑❑❑ 0 _❑ ❑ of PR10 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd . ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 Z AND UTILITY CONNECTION PERMIT 73 . 40iNESdo* I. white File pill: A PERMIT NO. - 06 ,, 3 City / Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) I 172 iii- wilder ._S CevrT • LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Phone) / ( n OWNER .,vny w J / � '"�"' / ► r Q �^ '` � , . PI A% 1 7 2.14- k l z_e erNe..7,,�` C...007 Pr lot- / /?,k � j /' A% 1 BUII DER 6s/-22.1--7 O (Company Name) A. i i — , __ Al C IPL/ A' LA (Phone) (Contact Name) i pti- �/ 5c_A. 'e (Phone) 7/5 69 ©'5 7 5 (Address) + s � � r ,t) i , i/ .� 'L . / .l /V /V s TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding (Lower Level Finish iplace ['Addition EAlteration ❑Utility Connection # ie-14/5- /` _p CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.- �,y� Type of Construction: I II III IV V AB PROJECT COST /VALUE $ 3 v 9 Occupancy Group: A B E F HI MR S U �� (excluding land) Division: 1 2 3 4 5 I hereby certify that I have furnished information on this ap• ' at:" ' hich is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the above-menn• ed property and iat all con uction will c• /orjro all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building (Alicia /yoke this perm�rust caul/ Furtherm> r S, agree that the city official or a designee may enter upon the property to perform needed inspections. X . .414 / /, .. _Y., /.` 8G2Go77/ 7- Y/'/ � r Signature Co tractor's License No. Date Permit Valuation 4 0 Park Support Fee # $ Permit Fee $ Q 7 SAC # $ Plan Check Fee $ v Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 2....0 0 Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ ,r¢, St) Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 51, TOTAL DUE Cici%Ge) 1 3f, 17.... $ /7, ,25-.. , This Application Becomes Your Building Permit When Approved Paid U Receipt 1 ..,.. 7 V Date i `/- By ` Building 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 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 BUILDING AND INSPECTION INSPECTI N RECORD 0 SITE ADDRESS I Loa _ _ c/ . NATURE OF WORK L 0 7 ,, 4 7 " USE OF BUILDIN �.. PERMIT NO. BATE ISSUED a CONTRACTOR PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1 1 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING ] ('- INSULATION R t 2 2 I v ELECTRICAL PLUMBING HEATING (if required) 1 v' FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I � I FINALS BUILDING ) - ;�t2 ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOV 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