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Home My WebLink AboutBuilding Permit 10.568 J� Z Z H ui d' Lk. E � J f"WW � U W Li ZUU z 4., c ' 5 5 Z > t 0 4 W U ti LL Q Z E" cc Lx1 p W 0000❑❑ LU O N 0 W L. z W , � Z , z = O 0 w -J 13 fi F= c OOLL 0 W Q C OOQQ P 65 W o S z ce z —= =z? W c N N 1 0 w m =w N z . 3 � , W W w X 4. a 23 a 2 � ;, V V z L ) 0000❑❑ . LU a a L _ H ce \ p Z Di O W Q ray .. V z , U O � ' � g (n 0 LL U p c. 0 Z O o w H 4 ~ F � - ,4 a FL z <z u) Z N V U J W a� <n Z ZQ Z z W Y W W '' q O W w w OD <I O o O U _ N O O OO � zLLN U U r a U= Q 0 a ❑ ❑ ❑o❑ 0 ' 6i 0 ❑ E �4 P i , (l(/ 30 i' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT d r 1 '�'N 9 9 t. White File PERMIT NO. Q 5w g 2. Pink City � 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 4560 Embassy Cir NE Prior Lake, MN 55372 LEGAL DESCRIPTION (office use only) • LOT BLOCK ADDITION PID OWNER (Name) Kevin and Barb Lilland (Phone) 612 - 741 -5312 (Address) 4560 Embassy Cir NE Prior Lake, MN 55372 BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) • TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding Lower Level Finis10 Fireplace ['Addition ['Alteration ['Utility Connection 3 20')5. CODE: ❑LR.C. ❑LB.C. ❑ Misc: 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) 1 hereby certify that I 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. 1 am aware that the building official can revok th' permit for Just cause. Fu ermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Signature Contractor's License No. Date 0- 5 //ti Permit Valuation 3, 000.00 Park Support Fee # $ Permit Fee $ 74.., 73 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ / •5 0 Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 50. 00 Water Tower Fee # $ Mechanical Permit Fee $ V Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ . TOTAL DUE $ / Z &, 2-7-5 This Application Becomes Your Building Permit When Approved Paid /Z - Z Re ipt No. .0,e_5 Date 7 - 6V 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 S.E., Prior Lake, Minnesota 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: Date: 30 // Build', g Permit # `0 S PID: Zoning: Site Address 466 Q 6/9 ssy e)t2 Legal: L B Subdivision: Existing Structure: YES or NO CONFORMS TO ZONING YES NO ORDINANCE YES 1 NO Is this an expansion of the existing footprint or Refer to Planning building height? ✓ Is the property located within the flood plain? Refer to Planning V Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single family home (office, group home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L: \TEMPLATEWLTCHCK.DOC PRIOR LAKE BU DEPARTMENT DING AND INSPECTION INSPECTION RECORD SITE ADDRESS 1 5 6 Eile4 ,55 (/r& fie NATURE OF WORK L.0 WC-t t USE OF BUILDING /2 PERMIT NO. /a - e DATE ISSUED 6- 30- / CONTRACTOR Li &L./WO PHONE (a/ 2 -- 7g- / 53/2- - NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I � 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 0‘ tt INSULATION ELECTRICAL PLUMBING a �. li \t\ to HEATING (if require) (,I1.)6( lr, /P /�2 /P COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED � I � FINALS BUILDING -11p ELECTRICAL PLUMBING HEATING ' y 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