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HomeMy WebLinkAboutBuilding Permit 13. 1015 o v ■ 2 D OOO 2 � p S 0 k� O R2 -11'''' % 0 073 3 ■�cs■ z z0 Z � � 6 0 4 : n r oO . 01 ■ s VI 111 % ) Z a o % t 1111 Iol tri v k j 4 % '41 . £ k 7. s t f o hi . r7 o 73 4 3 © 0 o r 1,‘ 0 \� \ til \ % o $ % \ i k q 0 z N Q OO .,% -I s. $ � 0 � 2 2$ 2 » 2 �R,- ® ¥ 0 14 » �¥ � $ * �� 0 �� % 1 % ��a r 4 I a �� $ » ® 0 C S 1p CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ��� 1. white i City 2 Pink Cit PERMIT NO / 015 . 3 Yellow Applicant f Prier*; ;tatprim and sign at bottom) ADDRESS ZONING (office use) l LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER +�_ G { ( �(`�� _Name) M - to (Phone) t l �. C ta-3 (Address) 62-(0 -- . `(A..) e BITII, 1 ;_ < ,�/� A om • an Na. - .. L1C_ • one 2_,- J ( V ontact N... - ...IAA-. . ( •hone) S-5-6 TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing e- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ['Alteration ['Utility Connection ( 1I CODE: DLR.C. DLB.C. ❑ Misc. Type of Construction: I II III P/ V AB PROJECT COST /VALUE $ Occupancy Group: A 13 E F H I M R S U (excluding land) Division: I 2 3 4 5 I hereby certify that I have fumished 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. I am aware that the building o' '. revoke this permit just c se- Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. _ ----"! II ■ r Signa r - ntractor's License No. - — 51r Date Permit Valuation Park Support Fee # Permit Fee $ SAC # % Plan Check Fee $ 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 $ '79 . ,.f This Application Becomes Your Building Permit When Approved Paid t 71 Ri i - pt No. cOZ Date , /4. B /, Building Official 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 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 INSPECTRON INC. CODE COMPLIANCE INSPECTIONS 15120 Chippendale Ave., Suite 104, Rosemount, MN 55068 Phone 651 - 322 -6626 • Fax 651- 322 -7580 • Toll Free 1- 800 - 322 -6153 INSPECTION REPORT PROJECT TITLE PERMIT NO. 1 3 -- /U/ 1 Ad PROJECT LOCATION /ADDRESS 3210 8 1 Ad JURISDICTION Pr /Or- LA.&. OWNER CONTRACTOR SCHEDULED FOR: DAY taa DATE Vi /3 TIME O RE- INSPJFOLLOW -UP 0 INSULATION 0 PLUMBING FINAL o FOOTINGS ❑ FIRE RATED WALL BOARD ❑ MECHANICAL FINAL O POURED WALL 0 FIRE ALARM SYSTEM 0 FIREPLACE FINAL O FOUNDATION • 0 FIRE SUPPRESSION R.I. 0 GAS. PRESSURE TEST O SITE UTILITY 0 FIRESTOPPING O FIRE SUPPRESSION FINAL ❑ FIREPLACE ROUGH IN O FIRE/SMOKE DAMPER UIIAING FINAL O PLUMBING ROUGH -IN 0 FIRE CODE INSPECTION )PROGRESS O MECHANICAL ROUGH -IN ❑ ISTS STANDARD 0 COMPLAINT ❑ FRAMING 0 ISIS OTHERSYSTEM 0 WORK IS SATISFACTORY. OK TO PROCEED CORRECT WORK, THEN OK TO PROCEED O CORRECT WORK. CALL FOR REINSPECT BEFORE COVERING. O STOP. WORK IMMEDIATELY! CALL INSPECTOR O INSPECTION REQUIRED. CALL AND ARRANGE FOR ACCESS. Comments: baiLi -404-zes*(144 1 ,4 6 -404_,2-4 0-6_2 7,.../-4-er-4 1 INSPECTED BY (PRINT) 1A S TELEPHONE NO. /id 2Z -/f,6 Zie. DATE INSPECTED: , dP43TIIlME ARRIVED ON SITE: TIME INSP.COMPLETED: TOTAL INSPECTION TAME: INSPECTOR SIGNATURE: 4L/