HomeMy WebLinkAboutBuilding Permit 13. 0014 J
Lai Z Z 2
rz liw W Q U ui 41
4 Z
U U Q �
�55gz >
an.ac
w O� w wy C9 Q •ti
o W UtLliO Z 4�.
i 0000❑❑ >
r
re
6 m o o
w =
N
w _ » m C 0
1- S O O LL J O U U 4 '
w 1- m 0 00(9Q w j
X a O w Z_SS U c a
N 0 d m S w� m S
0. Q Z O 3
EI WQ yj ?W W W Z X c e 4 , e a23v�a2 w w w w
ct
L 0000❑❑ ° ° Z `�
° _
a a w =
re 2
Y w Z O Z U O
8
ow
� 0 4C • a N. j
re 0 Z ° Z W Q W cig
iti5 ° 0 Q Z_ O N Z H W W ' J W CI
U. 0 W CC W H Z' � Q W z et re O Q O
Ow r w Z OOaUZ1- 2 0 O O y 0 V
n' 0 0 www=M[A 3 U 0 N
U < 0 a 0130040 o . 0 ❑ E
, PR/
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
4 1 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /
AND UTILITY CONNECTION PERMIT i Z/
1. white File PERMIT NO . /
2. Pink city / � -. �G� / tf
3. Yellow Applicant �]"
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
6 06 F t_..,..,n Short` I re:, ( E
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) N\ o.-.'� -{- `+ v c c. ,._,— ko ` (Phone) (..e () _ cg, , C) - S`l 3'
(Address) Co c r-- r L- -k . , SV - try,-, I SE
(C DER (Company Name) 1 l � e / ( � \ (Phone) QS a - Y cep( - Co 2 oG
(Cotax ., � � �� �� : � • t..40/ hone
(Contact Name) r , (Phone) I Q ( — ?' `C 4 " r-,c) a-(
(Address) 9 1....,k-t_,, 2 ((e.. ( l , Lwv. ((e i\-,
TYPE OF WORK ❑ New Constrn ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding Lower Level Finish ❑ Fireplace
❑Addition teration OUtility Connection
C3) Vi i' D ° VJS
CODE: [JI.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F II I M R S U PROJECT COST /VALUE $ C c_)c)
Division: 1 2 3 4 5 (excluding land)
I hereb edify th I fu in tion on th o which is y g trurtify that I am the n authorized ge fo the
abov - ntioned at propertyhave and rnished that all construction wil is confo appli cati to n all exi sting to state the best and locof m knowled
al laws and e will proceed e and in correct. accordance I also ce with submitted plans. ow er I or am aware that a the nt building r
o al n rgvoke this permi or just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
-----: * ao 7( !a - rY — l
Signatu e Contractor's License No Date
Permit Valuation 50 — Park Support Fee # $
Permit Fee $ i SAC # $
Plan Check Fee $ TO. C Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Z 9?-2 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 $ - � v TOTAL DUE $ t3-57/
. yy
This Ap ati, n B +.■ Your Building Permit Whe Appro Paid A51 LI Receipt No. ' igc`-
Date 1/ 3/1? By ,,,�
�� ---■/
LA v ildinl Official .gate
This is to certify ,th t the requef 1 th- above application mid accompanying documen is i accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by.#he City lan . on 'Iii s a temporary Certificate of Zoning comp ' ce d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
'o ( -3
Planning Director � ate 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
PRIOR LAKE BUIL DEPARTMENT OF AND INSPECTION
INSPECTION RECORD
SITE ADDRESS
ms's
NATURE OF WORK
OF BUILDING /�- / /
PERMIT NO. r - DATE ISSUED /a- / 3
CONTRACTOR / i ;S7 , -.r .9PHONE i2
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING 1
1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING w FA I /(. ' /s
INSULATION
ELECTRICAL
.44
.J required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1
FINALS
alPittitiVrdding)
BUILDING % ✓ 2 /�
ELKTRICAL
a
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