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HomeMy WebLinkAboutBuilding Permit 12. 1073 2 0 O § 0 \ 200 0 O OOOO ƒ 0 0 E t , a 0 20 m 0 0 @� ��� 0 m o m ��\ \® �r-� m § k o \ d q , z % z P $ 7 1 \ ' // \ k / � /k • \ x / k ' z Q 0 / / , o m A $ 0 7 7 % % z m 0 0 � _ % ® m x § m m ��� 000000 2 2 Z § q i ,. � / § 2� �t ƒE Q. m -, - . X \Km - 0 o a q/ 0 ƒ -7 q z % � 0 $ o 9 ' § 111 r- f 0 0 / K 0 / k m /\\ o r- 0 f ; § _q 0 �� $ Z 7 0 00000 R. > �$ƒ0m Th t,, z §§§9 / m X 0 0 - � V 53 11 ®z - qr- 0 ( cPlii CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ", . `, ,. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE i ; AND UTILIT CONNECTION PERMIT U . � rj � ,,.... N SO gf' I. White File PERMIT NO . �/j , H 2 Pink City / 3 Yellow Applicant / V (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Ac\ci s...i. u'1 - '-...k VV7ctr I t � (Phone) .5 1 ' ao l (Address) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. H 'yy'`pe of Construction: I II III IV V A B PROJECT COST /VALUE $ (, ecupancy Group: A B E F HI MR S U (excluding land) \ Division: 1 2 3 4 5 1 hereby certify that I have furnished mfoimation on this application which is to the best of my knowledge true and correct 1 also certify that 1 am the owner or authorized agent for the above - mentioned property and that 11 construction will conform ,t02tl existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can re Ice permit For lust ause Furthermore, I efeby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature '--- °--` Contractor's License No. D e Permit Valuation // 41 b CJ C, 0 Park Support Fee # $ , Permit Fee $ 54 ? S SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ w cO Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ \ Plumbing Permit Fee $ Y ." `, ' ` Water Tower Fee # $ Mechanical Permit Fee $ � t j Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ This Application Becomes Your Building Permit When Approved Paid *; 7 S Redeipt No. 6, 7o Date 61. ,r, By[' /I Building Official Date /�s 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 he 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 ?ltd l - t t 4ri INSPECTION RECORD SITE ADDRESS ILO 57 t„..s©ha NATURE OF WORK USE OF BUILDING S FO PERMIT NO. (2 DATE ISSUED q— / 7-- / CONTRACTOR Sk r\ Pv PHONE (Q51 4 185 - -P NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING 1 FOUNDATION (Prior to Backfill) I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER / SEPTIC FRAMING ) C f 2/7/I, INSULATION ELECTRICAL PLUMBING U•5 u Co ,7i 10 / ? HEATING (if required) LOG - FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FIN ALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING � //7// 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