Loading...
HomeMy WebLinkAboutBuilding Permit 12. 1186 = 0 0/I n 000000 0 > zg 2 0 n 0 ■ -nk- ,-n i' 0$ 0 q n 0 °°0 kgc�c0 m m §o k R m §q m Z > E0z z (Am u -0 § t �\ / d ® �Q • P z- o z w ® n z 0 0 § co 0 0 § § n z 0 I. ) m A \ 0 > 0 -.,,,%. ¥ r o ■ I • m 2 0 0 al 000000 Z -§§ C � ® * O z o o �� § -4§ XI ® r r � m = ■ 0 @ \ m f \ � _ . > 000 0 k z m 't \ \ 0 ' r ' ]kk 2 -71 E ® 0 J m > , I. z 71 m 1 5 r� p o V. 0 { 0 m . \ 0 h . )00000 \ m / > 0 k kk0§ |§ 2 %E - 0 - o �x V 1 \ k 0 �� VI 00 -- ■ q • x -n x • E § I ¥ y - -I r- z'-- OF PRI CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 4 , TEMPORARY CERTIFICATE OF ZONING COMPLIANCE U x x AND UTILITY CONNECTION PERMIT 4 .7 .,, 4t' I. white File pERMIT NO 3 Y 2 Pell ow Applicant y 12 1 l r Yellow ` �i (Please type or print and sign at bottom) ADDRESS ZONING (office use) l 73 7) $"/4 cif '' Is .-1 - 1 LEGAL DESCRIPTION (office use only) //�� LOT )-/BLOCK ADDITION FA t �'1/t Gw 6e..A PID OWNER I /� (( / (Name) 1� 1 t5 C. / ` 1` G ` JaAi 1 f . (Phone) i . �) — 7,1-050 2. (Address) 11131 / 46 C4 a."G- . 10 `l e4 r L kg. L. 1 BUILDER (Company Name) A0 dls'4 f/ (Phone) e, 711-0s0 Z " (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ('Deck ❑Porch [Me-Roofing 12e- Siding ❑Lower Level Finish ❑ Fireplace DAddition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V A B by Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 0 . ['` 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 -mentio 'd property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can r oke this p . mit for dust c se Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections - X `6 ' ,'' 2 gnature Contractor's License No. Date Permit Valuation ZSetr, 4 1 1...e) 6 . — 3.100.. Park Support Fee # $ Permit Fee 14.1` f 11.15 %(22.5° SAC # $ Plan Check Fee 31 D i • Water Meter Size 5/8 "; I"; $ State Surcharge $ k. Z ( , . GO =116. 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 155'31 $ This Appi' t' 'o t ecomes Your Building Permit t en pproved Paid L5 / �j1 Receipt No. (p? 3 Z24 Date I O / I I Z By _, 41116 uildin ro Date � L This is to certi / hat request in_the above application and accompanying documents is i ccordance with the City Zoning Ordinance and may proceed as requested. This document when signed . ' • , Planner constitutes a temporary Certificate of Zoning compli. ce d allows construction to commence. Before occupancy, a Ce of Occupancy nit 't be issued • 4 /Iil∎ (0 7 (2— ' an °. Da Special Conditions, if any t l 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 ( 1 3 .` L. �s �-- NATURE OF WORK- .4 USE OF BUILDING C-� �'-- PERMIT NO. (2 - DATE ISSUED CONTRACTOR _ \ -i& Le . M ( f76 PHONE I z • I /R -0 S© 2- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING 1 1 FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS -S / SEPTIC FRAMING .INSULATJON -ELECTRICAL - PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 t4 0-4-/- FINALS GRADING(Prior to Sodding) BUILDING pp�'�r -:P1 MFBIN€ :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