HomeMy WebLinkAboutBuilding Permit 13. 0124 J
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd , 1 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
vir ' CV
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/44. 3. ell w �;°.. PERMIT NO. ,
/
• , 13 m fz- 4
3 Applicant \\
(Please type or print and sign at bottom)
ADDRESS 4. / ) ZONING (office use)
56 cc.4z) t 1 s E /
LEGAL DESCRIPTION (office use only) I /
/
LOT BLOCK ADDITION ' .PID
OWNER 1__Qt h S U i (Phone) s
(Name) dic '� 5 S
(Address)
BUILDER
(Company Name) ∎�4' �-� - u ��t _ , ' (Phone) �o� ' S' �' SS 5
(Contact Name) Sl eS li 1 S C� (Phone) 4 - g 0 - 5 S ��
(Address)q 5/ E.t ,6 �l'
/ ,-. �r� Ce7otx �` \ \ I t t ,S Go +4'" (sl. \D —Lk V
TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition 4Alteration ❑Utility Connection
CODE: ❑LR.C. ❑I.B.C. ❑ Misc: __
Type of Construction: I II III IV V AB C,J
Occupancy Group: A B E F 11 I MR S U PROJECT COST /VALUE $
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 I am the owner or authorized agent for the
above - mentioned prop and that all cons 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 can revoke th it for just rthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X Z —1 \ \Z
Signature Contractor's License No. Date
Permit Valuation $ 000. Park Support Fee # $
Permit Fee $ ( , L SAC # $
Plan Check Fee $ (0 30 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 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 moo 2 , A 5,13 $ Z7 1 ,, 30
This Apps* ation 13 o es Your Building Permit When Approved Paid ,' 7j _@`i .t No. r7t��� • /f Date _2 , .y0. 1, B
i
■dt'A....41 - Ali. 2 - 41/ 3
Building Official -- -- ➢a e
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 he City PI.. er co t' tes a temporary Certificate of Zoning cco plianc9 and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. /
/ 'i L/[, Z'' l �, / 3
Planning Director - - -_ . Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
DEPARTMENT OF
P RIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS
NATURE OF WORK A� �Tf��
USE OF BUILDING f ,/. A /� % / /
PERMIT NO. / 3- /Z4 DATE ISSUED l .03
CONTRACTOR 4.f+rc6c. s F 6 ~ mss PHONE d • 4 /4 • ®4��
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
1 ObtiliiiikeMbilditerior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
sammaidiesa
FRAMING 9/ 7 9/22 �,
INSULATION
ELECTRICAL
HEATING (if. required)
F
T
COVER NO WORK UNTIL ABOV HAS BEEN SIGNED
1 fi- A
,ref ?SS /o �j�
1 z _
FIN ALS
Q,(Prior to Sodding)
BUILDING 143 to/6/i./
ELECTRICAL
HEATING
DO NOT OCCUPY UNTIL ABOVE AS 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
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