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HomeMy WebLinkAboutBuilding Permit 10. 0944 (2) J w Q H r- J a LL W re - z c w i0 z w 1y a � C 0 a ���� w ❑0000❑ > M 0 0 0 0 -4-'. Z » z m o o W C H OE p p U`. J o �L Z 0 _ z Z - ziz? a c i uj 04 D. O 3 N o 0 w Zcc c 0u' W A. 40, f m 0 a g= u l m = u) — t ..iW <W W us Z X sz. ILI ,,.s a� 3NaTe 0 0 2 000000 i —I— o o re w 1 a a LL 2 p J t O - U 0 O t W W II • •.) U. Z - o fl 8 � � % Z V N 0 N V o n a w � O O (1<z V N Z N o 0 � F- vi Z F- -z�gJZ W Y w re p a A • v w w o 5�maw y a re v 0 us re Ili Z P4 0 , 0 U. U. u u. cn O y V V w 0Z < 0 a 0000)0 U c o f PR / CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,.. e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE b. z AND UTILITY CONNECTION PERMIT U f r y 4N,Neso'CP I. white File PERMIT NO 3 l Pink City O ' a 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) t_ 9 /j . £ 2 c , S0 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID A (Name) OWNER .�6/� 6j/ ��✓t'' (Phone) 102 `, o a I ?0 (Address) ` BUILDER "; , / (Company Name) .; •4,S�'/ / ` Cs4+t J" (Phone) (Contact Name) I /i,ee (Phone) 6 - '0 '701 1 - yevg7 (Address) /1: (96 SW 6 , 4_,/,i6.) 4,4 4:' TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ®Re- Roofing f jRe- Siding DLower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connei%tiion ^, /� ��,�/ CODE: I.R.C. ❑I.B.C. 4''Misc. !�(ill'CAlAL- jr' �� C1 .d:d ileS Type of Construction: I II III IV V A B PROJECT COST /VALUE $ /5 0 Occupancy Group: A B E F H I M R S U (excluding land) i Division: 1 2 3 4 5 1 I hereby certify that I have fitrnishe• fo ation on - is appli :ion 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 - mentioned property and t . all onstruct , , ill co-. • -- ..11 existing state and local laws and will proceed in accordance with submitted plans. I am awa e that the building official can revoke t 's . - rmit f•r j cause. o hereby agree that the city official or a designee may enter upon the property to perform needed ins ■ ction x `_:.�- _,7 0O - 69 7 /0 /5//4. Sig r e Contractor's License No. Date Permit Valuation —1 b ©. — Park Support Fee # $ Permit Fee $ ‘A-/ , 2_5-- SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ .5C 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 $ ‘50.1c This 'I ,lic• • ,n Becomes Ydur Building Penuit When Approved Paid f Z 1 " Recei.t N.. A." j�' Date t o By wS kiL►_ I O Cl to tuilding Ofticia D. e This is to cc ify that th • request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign • the t Planner constitutes a'temporary Certificate of Zoning complian e and all s construction to commence. Before occupancy, a Certificate of Occupancy must be issued. 63 (o Planning i 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 DEPARTMENT OF P R I R LA BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS e t ( 50 S NATURE OF WORK R -or. R66 106, , b C As USE OF BUILDING 12-6c, ,- /fz- PERMIT NO. r o , c k DATE ISSUED io it Silb CONTRACTOR A-c'srrN 0 1 5 . -IAscs PHONE G . ( z • 22 ( -14 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR i DATE 1 FOOTING DC--c-F. _ 4 AN. 1 ► t `Q ►6 .pl (Prior to Backfill) 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEJNATER /SEPTIC kERAMING AL , rrltytr0 detectors aha11 be lo�atxdl NG ih all aleepittg foorri nn each story, hIEMING (if required) 'talk tc s1 . ' i „ sto ��$ ti be upgraded LACE as per die ftqtiiittiletitti of the mr tNE AIR TEST throughout the hou! e. Battery operated 1iuke daMeis tery be Instanea in COVER NO WORK UNTIL ABOVE HAfiifiliffpluftWED 1 loo, SE-w P 1 FINALS iiii (Prior to Sodding) BUILDING rehieSSaIGAL NG 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