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HomeMy WebLinkAboutBuilding Permit 12.328 O J Vs) 71 2 - a kit : Jr W 0. Y M gg a � V o m , O 2 W W N 0 0 0 1- kOZZls m V — 000000 J J 4 9 °- J o r A 1 W = cc a Z 0 a a J r m u. Z C W 6 m _ _ Y © ,N 3 kY Z V w 0 W 0 r" g c9 OOC9z ' 2r 0 v d a j R V S o w m ce re z m W 5 . 0 ! V1 a 6 �z a m ( 0 I a gXW gz l � i_! N r4 `g '' �� a � 2 ` t �� W W Z X O a 3 u) k ' Z © a 4 •n d- ,1 ft re p J o ' - a _ _ � t X UJ V Z 2 J �' 0 O ±, oC g o Z o , �� o (- � , © if 1 Sri 5 OWO O z w Fes J J A. _„ 4 W Fe Z 0 .,c 1- N Z ■ QQ n N V V -J AC a N z zp?g J z W N 0 / Y IU OC L A a A. OW W Z OO�N F O O Z 0 V L N G O ...... ? u. vi O 0 0 a a < O a 000060 0 ❑ ❑ c o f PR / CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z,, U , AND UTILITY CONNECTION PERMIT L 3 . I t1i I. white File 2 Pink City PERMIT NO. 1 . 3 Z 0 3 Yellow Applicant [ (Please type or print and sign at bottom) ADDRESS ZONING (office use) I (t,5(7b IiinkIrk Svc LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID O WNE R I:60 r ela Hl kke... (Phone)q ,52.- Z 12-' - i 1 ) -/ (Address) 1(45 blj / 1 k1 re Pr LAcLe 1 MN, e 1 BUILDER (Company Name)C-(J f11S CI ifi 0106 1 -I_1 (Phone) p, �f (� (Contact Name) ,\; Cu r i "IS r �, (Phone) q ,52- 2.9 Z q - 1 -1 (Address) \ j W, 1 �j� �L �l _ ) 1 N ( 3 TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: [al.R.C. ❑I.B.C. Misc. iJt ' ier r Fb 1 y Type of Construction: I II III TV V AB Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ Division: I 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application w.ich 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 a d that all construction wi. onform to y existing state and focal laws and will proceed in accordance with submitted plans. I am aware that the building official ca. - o i this pe' it for j 't cause Furth . ore, I hereb /gre . city official or a designee may enter upon the property to perform needed mspecti s. X � ..ter b�S�, � �� /(? ��� . y ature 111111P Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 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 1 $ TOTAL DUE ` $ ,, f' 0 This Applicati. Becomes Your Building Permit When Approved Paid Receipt No. Date By A lk,_ 7. 3, i Z.-- Buil to Official Date This is to certify th. t 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 DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 0 ` E NATURE OF WORK l ir'. USE OF BUILDING z 4 A, PERMIT NO. - JATE ISSUED 4 Z CONTRACTOR _ 'AUU7S G . -- 0 .5 PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR ATE 101111111 ler- Ti A/c:, . I g.1 I a�r3 ry PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) 41111111111.111.116 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS BUILDING j4T o C L-os& ELECTRICAL ► o z—. PLUMBING 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 4 • Co ' J O •