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HomeMy WebLinkAboutBuilding Permit 13. 0189 ® z 1 k § d re m■ u § . §00 < 0 4. � 5 5 52 41 0 a. u. $ 2 2 S i U ��� ■ OOOOQO is, 2 V e n Iv %L� k x ) t C4 o 0 2 § o § �� z to c 0 IC ■ o k k ■ ■ 000< @ a z § k § w §E33 §u• W J k ^§ U.) U 2 �§ §3 - o 0 2 I 0 aa § w cz § 00E3000 i § §§ L L IF O. : ce k \ \ o u u. 2 0 z 0§ b . S 0 R $ @ % z 0 o S f2 i= < a,- # do 2 k2 A z 3 ® w S ® L. �v 2 ■ LU § § .f a 2 § / K 0 § 2 2 2 § k 0 0 ,§. Q U■ 2 0 I 0000 O 0 oO 3 OF PRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v AND UTILITY CONNECTION PERMIT 4 tp Negfl 'C�' I. White File z Pink city PERMIT NO . Iii - 1 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) :i77 C5;07 4 Ze LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER 0 ���' - E (Name) � �� /LS (Phone) lt ) /Z 1�'> � - 7 2 (Address) /Y27 y ,5 s?M:# %�� j Az"-y ///4 / 1 BUILDER (Company Name) 7 �� t1/592,e' IIf /I/ 6 S 4. (Phone) '.1 — Aa2 - 1 , 90( (Contact Name) .47. x'.110. ' (Phone) 1l-- L,7- 3YIL (Address) /ZZ-37 , , -, ee l�i� j / -s-s--5 3 - 7 TYPE OF WORK ❑ New Constructio ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition VAlteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ /��r' 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 I 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. 1 am aware that the building official can revoke this permit f just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections_ X 54..0s Signature Contractor's License No. e Permit Valuation l 5© — Park Support Fee # $ Permit Fee $ 5 Vi'7 SAC # $ Plan Check Fee $ (7 2 4 t Water Meter Size 5/8 "; I"; $ State Surcharge $ -7 - .5' 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 d itAzd 3- i 3 $ 1 (45,1 CI This A/ Becomes Your Building Permit proved Paid 'A` A ���Ef ei No. _7 i P ' / Date "3 ./( 1 T I Y ' 'S T 3 _ B °dine.. - -. 11 Date 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 b6 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 DEPARTMENT OF BUILDING AND INSPECTION INSPECTI RE SITE ADDRESS jet (11 E . NATURE OF WORK frt Ac{ ,�,� - �„ USE OF BUILDING A-- �- PERMIT NO. ( k ' DATE ISSUED -7 ?, CONTRACTOR ■c - < ( V t PHON 4 (52 • `z NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE riggirctF�if i I I ) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING I _ - _-;3 ELECTRICAL - quired) w ,t poojet: • ' • _ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 Y - FINALS BUILDING ELECTRICAL 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