HomeMy WebLinkAboutBuilding Permit 13. 0021 J
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of PRlJ CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE . / 11 /3
.. AND UTILITY CONNECTION PERMIT
U
4f')'NESO�r I White File PERMIT NO
2 Pink City /3 Z /
3 Yellow Applicant J
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/ '-/177 2ov ,Q'e s E .16
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER �,_j_
(Name) � . \'� r t t c < <S O ✓L/ (Phone) l /� b 2 I /O
(Address) ) L i 7 L 7 Q we._ A u
BUILDER
(Company Name) _ l � ( � � (Phone) &--- Z 0 9' 2 1(
(Contact Name) :j dl� . • (Phone) oa -2 OQ - 2.11 1
(Address) ' 7 • �- • / C. CL & 60A-on p ei WI II .
I
TYPE OF WORK ❑ New ConstrpOn ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition Iteration ❑Utility Connection
CODE: I.R.C. ❑I.B.C. fadkef' 1 ? R.�/7 sc. bmii,e" i g-enoo L
Type of Construction: I II 11I IV V AB PROJECT COST /VALUE $ 2_0 C 0
Occupancy Group: A B E F HI MR S U
Division: 1 2 3 4 5 (excluding land)
I 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 -men ned property and that all constru ion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official r. oke this pe it fo - j st cat c Fur ore, I her .y agree that the city official or a designee may enter upon the property to perform needed inspections.
X ••- a �� 11 t , / `� /3/ 5 ao / -L-/--/3
Sig ; tr re Contractor's License No. Date
Permit Valuation S 000i - Park Support Fee # $
Permit Fee $ 11-` _- SAC # $
Plan Check Fee $ lb • 5--. Water Meter Size 5/8"; 1"; $
State Surcharge $ Z _ ? Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $ /
Plumbing Permit Fee $ 5 f- * Water Tower Fee # $
/
f
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee 1 $ TOTAL DUE (rtt < - -.7. ;3 $ .25 / y
. �
This Appl •. ion : • comes Your Building Permit When ppr ed Paid 7,57. 1- 9 Re pt No. 6 7 t/ z-
Date f., /0. a B .
Buildin Official jiate
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 Prior Lake, MN 55372
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 4777 COVE ,W6
NATURE OF WORK / •
USE OF BUILDING
PERMIT NO. • DAT IS UED 3
CONTRACTOR ,i , ?, a- FIONE Ls. 11
NOTE: THIS IS NOT A PERMIT FOR A Y OF THE INSPECTIONS B LOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
• ckfin)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING C113 / / 7 i 3
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
rVM
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 1
FINALS
l!!l r to Sodding)
BUILDING
ELECTRICAL
PLUMBING
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