HomeMy WebLinkAboutBuilding Permit 13. 0531 1
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O . .4) CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
ti x TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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1. white File PERMIT NO . i ? 1
2. Pink City 1
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
64o 6 '15cA -j t :(
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER I �(` /'
(Name) C � k( S Lc q J. 7 K KL ') (Phone) 'lt S - ! .4 `ham ( I" 4 O 8 /
(Address) �ls ii& / •
( C o DER f N t v 'J c ( 50. ?� *4-,
(Company Name) cc� T �
(Contact Name) i. I ! a ■ . Non, AA ll C �j�j (Phone) [ ( (a -- t t ' t S ` / -R 0
(Address) (ACF. [ U j(J j TtA Co tl c k� o n , I V �u it Aro, . /H N , / _nom ,
TYPE OF WORK ❑ New Construction DDeck XPorch DRe-Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition XAlteration ❑Utility Connection
g6Q 2 B0w. i ter- -
CODE: .R.C. DI.B.C. ❑ Misc:
Type of
III
I II III IV V A B
Occupancy Group: A B E F II I M R S U PROJECT COST /VALUE $ Z `, S
Division: 1 2 3 4 5 (excluding land)
1 I hereby certify th I ha : 4' -lied ' fo . atior� n th 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 p 1. • . d i at . . struct o , ' 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 Alit, . just ca h e. Fur erm. e, I hereby agree that the city official or a designee may enter upon the property to perform needed inspe ons.
X ! i? i V I(66- 5 ��3
Signa re Contractor's License No. Date
Permit Valuation t10 00W- - Park Support Fee # $
Permit Fee $ 2 00 , — SAC # $
Plan Check Fee $ ( eq. r - Water Meter Size 5/8 "; 1 "; $
State Surcharge $ —0 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 $ 4 o s
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This Ap / icati e1 : eco .. es Your Building Permit Wh : . Appro ed Paid �-7 U ceipt No. 6 % // J
* Date ( ..3 , f 3 y
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1 ,
: u'di :official late (I
This is to c• . n that : request in the above application and accompanying docum: is is in : ccordance with the City Zoning Ordinance and may proceed as requested. This document
when signer w e # Planner constitutes a temporary Certificate of Zoning co ■liance . d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
ALA. Z '
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G • laming Dt , : 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
PRIOR . DEPARTM OF
BUILDING AND ENT I NSPECTION
INSPECTION RECORD
SITE ADDRESS 64
NATURE OF WORK =+� "a\t__ 11,
USE OF BUILDING S' .4/
PERMIT NO. /3 - . 3-/ DATE ISSU S _
CONTRACTOR v f a ( 6=( -- " 5 c).
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
/) JP Ff C,7 COM.4 1 DATE
FOOTING G `I [AA �N v,(ltily"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION 1 flit/0
ELECTRICAL
MOOMNIONS
HEATING i 9b >7ci
F
EST
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH
FINALS
iSIMIN uI RIOR TO SODDING)
BUILDING -4 816Sl
ELECTRICAL
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