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HomeMy WebLinkAboutBuilding Permit 13.1178 E 0 O 0 d3 c O O - 0 o> $ 0 O ■ �2 -n -n"I 0 § 0 1G 4 0 2. 00 0 . M dgc c 08 m z m ■ m m n Xi up -ri • r " 0 0 c a > 0 0 m ttl . m 2 0 o c co 0 q > 0 § § § >\ 0 z m rn rn § 2 r z 7 0 X z q 0 0 hi 0 00000 z § x mmm mr g� P:.1. \ o 0 0 IC mxX - 0 n ■ -. u ' 1 m 9 § 0 >00 0 3 k. m q q o Z . r zXX z 2 t § � �� o X 0 • 2 0 Ai i ..- , A . . 0 0 0000 1 N J >220c § Re >0 © CmmM N t A ;> q 0 . � 0 q . x � - te r § - - �i 0 () PR/04, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec d ti \ i4 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �? \ r� AND UTILITY CONNECTION PERMIT /0, 2 % J 1. white File PERMIT NO. t . . 7 3. Y . Pe City ow Applicant 3 1 8 3. (Please type or print and sign at bottom) ADDRESS ZONING (office use) 56 33 F, i!?1.l -w4 Sji-og -E4 T I t_ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER 1 (Name) _ S`t.S,4tJ s K-o V P-A-J\ ; 4in11 ro (Phone) qS ' .-37. 5` (Address) 563 i-t4-1121.44,A.1 s ogs e.,m L.- BUILDER r (Company Name) � I L- ©E7 vl O l)EU N (7 l AJ Cl-,. (Phone) '15 9-. a-31 '' Si `IS (Contact Name) (Phone) 01? - '1t1 , a ry a (7 (Address) 3 933 k). 1LI 340 5;411Ac6 E /14nl, 6537 TYPE OF WORK ❑ New Cons on ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace [' Addition Alteration ❑Utility Connection CODE:1LR.C. DLB.C. ❑ Misr: Type of Instruction: I H III IV V A B eo Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ `3, 850 F 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 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 official ca revoke this permit for just cause. urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ,,; ,., A 4 ,8e 63884 10 .9-/ - /3 S' ture Contractor's License No. Date Permit Valuation / 000 Park Support Fee # $ Permit Fee $ 1- 7--7 SAC # $ Plan Check Fee $ 0( Water Meter Size 5/8"; 1"; $ State Surcharge $ - —7° 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 $ This A , , 'ca . , Becomes Your Building Permit ' .. A . , • red Paid i7 e. 527 ceipt No.. 'J) �.F Date /U. 2,T.,/3 ' / A t _• L o 00- iS -- Dar This is to certif that i v • uest in the above application and accompanying docum is is in cordance with the City Zoning Ordinance and may proceed as requested. This document when signed • / e • Planner constitutes a temporary Certificate of Zoning co Hance a d allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. / �h C' 0 �� ' r' �, (5 r Planning Director a Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake,MVlinnesota 55372 PRIOR LAKE D EPARTMENT OF B UILDING AND I NSPECTION INSPECTION RECORD SITE ADDRESS 5_5'-38 t p_, L AJ NATURE OF WORK USE OF BUILDING 5 ,3t /-- PERMIT NO. f 3 . ( /7S DATE ISSUED 107.1.._ r3 CONTRACTOR 'Mt L ©c yr ,, (" - PHONE (9 (a -`fir --a/ 3 INSTALL EROSION CONRT AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOINIIIMP1.1 To Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING , - /O / /l INSULATION ELECTRICAL labWeeNessmiNc-d ,e/fAt Awt„7 ( # 7 ;1 414ESPINSProa/7 n74* J Jr RAISNWPOMOiaraifi COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED FINAL S Ai IMMII PIML R TO SODDING) BUILDING i re /®� 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