HomeMy WebLinkAboutBuilding Permit 12. 1245 u
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o 11141 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Q0' , 4/.. /Z_
AND UTILITY CONNECTION PERMIT
4 NESO'1t� I white File
2. Pink city PERMIT NO. /Z /i¢S
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
14 I°1 4) C (lut s i -
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWN - '
(Na e) : R 0kt- i (Phone) %2 -- - 5c , Z 7
(Address) k . Sc)- Eo " en") 55 q 35
BUILDER
(Company Name) C- 1 �
- ' ^u"zshi,UCXWJ (Phone) tQ5( (: 33-c )()
(Contact Name) e. ---S (Phone) ta- -121- 4Ce 5
(Address) WO WEO(Gtwazi7 Cnt t t= )N-O (.\,L5, wtvo SS tt Z
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch DRe-Roofing DRe-Siding ❑Lower Level Finish 0 Fireplace
DAddition ,l Alteration DUtility Connection
CODE: ❑I.R.C. B.C. ❑ Misc.
Type of Construction I II III IV 45 A 40 PROJECT COST /VALUE $ 1 } j ,SoD.cTD
Occupancy Group: A & E F HI MR S U
(excluding land)
Division: 1 2 3 4 5
I hereby certify that I have tarnished 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 -me i oned property and that all c struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official ca evoke his pert jt r just use Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Pit
X ) _t -1"L
Signature Contractor's License No. Date
Permit Valuation (O 090. — Park Support Fee # $
Permit Fee $ SAC # $
t -
Plan Check Fee $ `Z t ! B Water Meter Size 5/8 "; 1"; $
State Surcharge $
5-- 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 VIAEO 161/A 1 1 Z $ 32_12. `t 8
This Application : , come- Your Building Permit Wh Appr ved Paid ,24H- 9 Receipt o. ` .v i L-
1 Date /4(.5i//1.-- By
A ..,I- / l tallillihs. (o 2_o r t2_
Buildiita Oii7R ■ Date
This is to certify that t request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signi by t e •fit Pla ner constitutes a temporary Certificate of Zoning mplian c and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issued
rii - ---
' • , l in: ate 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 BUII DING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS [ G i � -� As "
NATURE OF WORK - r"ra- 1_7R., -o
USE OF BUILDING I ( (L-
PERMIT NO. DATE ISSUED to/z.1 (7--
G t 41 s o c- Tk PHONE ro(? ._zez -150e)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
[ fc TiNG .1
1„FOONDAMIC(PriortoBackfiII) I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH-INS
FRAMING tI I S4
ELECTRICAL
PLUMBING
HEATING (if required)
,G S
N_.1 RISS?'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
,G -(Prior to Sodding)
BUILDING p/l
ELECTRICAL
HEATING
DO NOT OCCUPY UNTIL ABOVE 14AS 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
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FPOM OFFICE 129. FROM OFFICE 128.
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