HomeMy WebLinkAboutBuilding Permit 13. 0229 J
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P R% CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
NNFSti°. I. White File PERMIT NO. t3 - v 2_ 2
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 7 - /3`7/
(Name) e/ #'/C_ il riec' V 1 f e A (Phone) d'
(Address) 7/ — 7e-1 -S ~f- 5 7 - A- J /° i Z it, frkiki
BUILDER !,� L d
(Company Name) 1 / . 7 J 2' - �4 M) �� (Phone) � /,,z ' Z ° 7 f d
(Contact Name) 0 _6 (Phone)
(Address) >2 je 3 -7 // /'G AJ v - JI l /,4 ,e,,,, f l - /)- i,c) ,
TYPE OF WORK 0 New Construction 5Lnrick rch ORe- Roofing DRe- Siding ❑Lower Level Finish 0 Fireplace
['Addition ['Alteration DUtility Connection
CODE: [T.R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II III IV V AB PROJECT COST /VALUE $ pldj G' 6 61 - e 6
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
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 - mentioned 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 ca revoke this permit for Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X - ' ,) - 7. S S VV 3 /� // 3
Signature Contractor's License No. Date
Permit Valuation / 000 Park Support Fee # $
Permit Fee $ Z 7,c--/-15-- SAC # $
Plan Check Fee $ I ,� 7� 24 Water Meter Size 5/8 "; I "; $
State Surcharge $ & -S-C) 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 I $ TOTAL DUE eilu 3 . 2S. /.3 $ 341C ` 4.7
This Ap ' licatio t ecomes Your Building Permit en Appr. ved Paid ..39 . 6 - 7 R c t No. (.0 e5S 0
/ 'A A Date 4- ¢ - (3
walk Z5 13
Building Official Date (
This is to certify that the re. ucst in the above application and accompanying documents i• in accordance with the City Zoning Ordinance and may proceed as requested. This doe ent
when signe y the City P nne - constitutes a temporary Certificate of Zoning mpliame and allows construction to commence. Before occupancy, a Certificate of Occu must be
issued '
` "F- "ft..- 7..`
Planning Director ill 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
P R'O DEPARTMENT OF
B
U LDING AN AND INSPECTION
INSPECTI RECORD
SITE ADDRESS
NATURE OF WORK \-c-
USE OF BUILDING
PERMIT NO. t ;: zZ ` DATE ISSUED ? 3
CONTRACTOR t - rtC.Nr ,ter =i PHONE ,/z
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING 1 // y7
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
L____ 1
FINALS
GRADING (Prior to Sodding)
BUILDING f � 3 (
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