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HomeMy WebLinkAboutBuilding Permit 13. 022 J 0 W 1 _� 3 J f"WW R 0 kl II Z UU a Z k W 1 02WW N Z > � w \ (� ,� D �V W ULLLLU' z 1 0000❑❑ 1 W Q' re T 11111-; O N O SI W L Z J z Y Y= z U~ 4 F _ Fe 0 0 '. J O 0 W 1- U 2 Z Z? •� U c a p $ x w Z u- 1 W � ' v) �. y N 0 a DU/ n0 o O Z ►- C:4 JWd J A, W 4., a vo • w z 00000 0 cc re O W Nr a a LL _ H • J W , �I k 0 < U 0 Y l v Z • U p G �\�° o� 0 0 Z L U ,� O� _re O O a 2 N V U "' 1 �J a a ° - 0 z Z a p ? g J z W Y LU Y p Q q U. U w W w 0 n a < I I • o o v U O IL a o Z OO � zLL — s U 0 N U? Q O a ❑❑ ❑❑ O ❑ ❑ C PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT � NESO�� I. White File Pint city PERMIT NO. /3 Z Z 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 7 l ,tv — ; - 1 64 l LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �Q� y � (Name) C "' '\ 1 1 6 (Phone) (QSa Q.A - A 0 (Address) 1 BUILDER _ - — (Company Name) ` �V ( � T. �-3I C ' v c_. - (Phone) (D 11 .- . © L y (Contact Name) i)G f E I TACT (Phone) (Address) , - S39 SM Pq E , N , ,5°-3 t S\ ., -e.SrV `" -frn N _ ri TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding f ower Level Finish ❑ Fireplace ['Addition ❑Alteration ❑Utility Connection / ` CODE: ❑LR.C. DI.B.C. ❑ 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 l I hereby certify that I have furnished informatio on this app ' tion w rch 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 pro. ° . that all constru on will co, grin to a existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revo t is : t for Just cause .,'rthermore, ereby a ee that the city official or a designee may enter upon the property to perform needed inspections. X ii !—A4 0i &C00 7e.9 > --f -/3 Signature Contractor's License No. Date Permit Valuation 3 p (.) 0 U Park Support Fee # $ Permit Fee $ / 74% 7,. SAC # $ Plan Check Fee $ _ — Water Meter Size 5/8 "; 1 "; $ State Surcharge $ / , 57) Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 3 % j Water Tower Fee # $ Mechanical Permit Fee $ 7 Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ - �. ---- --- TOTAL DUE $ j' ' 7 This Applica, , Becomes Your Building Permit When Approved Paid /.3.0 "75 Rec t No. (a l�� Date /. 'il a B .... AO Ildina 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 pro ed 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 • nticate of Occupancy must be issued. Director Date Special Condition if any Planning Pe Y 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 P R'OR DEPARTMENT EPART MENT OF BUILDING AND INSPECTION INSP RECORD SITE ADDRESS F� iwi. NATURE OF WORK • / USE OF BUILDIN hl PERMIT NO. ! 1 CONTRACTOR • DATE ISSUED AV NOTE: THIS IS NOT A PERMIT FOR ANY OF PHONE GI44,7 THE PERMIT IS BY SEPARATE DOCUMENj- BELOW INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS g ROUGH - INS BEEN SIGNED FRAM ING INSULATION - �® illIIIIII ELECTRICAL - PLUMBING HEATING (if required ) i V - _ minomonimm....._11111.11111111111111111111111L..._11111111111111111111111111 C , ' . _ _ _ _ _ minim ma in m inn m FINALS BUILDING ELECTRICAL ini ine Imo m i 111111111111 PLUMBING ■ HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED This card must be posted near an electrical service cabinet r' and maintained until all inspections have been approved. where i service cabinet is available, card shall been near placed O main buildings and additions r to rough -in inspections aln entrance. FOR ALL INSPECTIONS (952) 447 -9850