HomeMy WebLinkAboutBuilding Permit 13. 0565 J
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of PR.t CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �j_ .7 0
AND UTILITY CONNECTION PERMIT
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-.rnNesoSr I. white File
2. Pink City PERMIT NO .
3 Yellow Applicant �✓ -2 ) i �6
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ADDRESS 36,7&I 5 ro c,144,1 C-1-, ' -/ ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
II . R
m No 144 (Phone)
Name) •
(Address) 5Ql i ? .
BUILDER
�C Namej tt 111.0.14p1/45 4 � �� *, itIC • hone)/ 1" 75 37 IaZ
,...<iTtact Named 1 1.1.0 Ls (Phone)
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TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding er Level Finish 0 Fireplace
❑Addition ❑Alteration DUtility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F I I I MR S U (excluding land)
Division: 1 2 3 4 5 1
I hereby certify �r / t 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 -mentt ii property and tl - .11 constru will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
otric' . a f , c this permit c se ermo f , I hereby agree that the city official or a designee may enter upon the property to perform needed inspections -
/ _ ._L BC- 50 .. '
Signature ) Contractor's License ... Date T
Permit Valuation 4/ U Ct c , 0 0 Park Support Fee # $
Permit Fee $ C.r-� 2 T SAC # $
Plan Check Fee $ -------. �� Water Meter Size 5/8 "; I "; $
State Surcharge $ Z. , ()p Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 59 56 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee f $ Other $
Gas Fireplace Permit Fee $ ---- -- TOTAL DUE $ / 1,3
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This Applicatio 1 t mes Your Building Permit When Approved Paid �Y..S- 73 R: pt No. G 9/C, (0
� _ 6. , 1.1 Date 6,., /1. /3 B ' . -
Buildg�tOtticial Date
i
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 be
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
INSPECTION RECORD
SITE ADDRESS 0474 a.C#,.C;6A,/ C.
NATURE OF WORK j4 �'C�
USE OF BUILDING
PERMIT NO. a. .Sss DATE ISSUED dr. 7./3
CONTRACTOR Y 1s'A. PHONE GS/. 753-.
37/Z.
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
IMP
y � y
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING
Iir
iimonow
gmeamommensw
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
LATH I
FINALS
BUILDING
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