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HomeMy WebLinkAboutBuilding Permit 12.1314 I c ( 0 0000 -0 0 > §n 114 n 6 a o o K ��K © § A 73 c m m 0 § � � � k �� x& 1 �� § §§7 § �-0 -Iq » Z Qom za 2 • c ■-1 k u) § 1 § 2 *a. m X m § z ill r o x -n '0 Z Z k O 1Uh1 o \ ��� � % * } ill r O xi q . a p. 2 m 2 . ,- 13 - a 9 m 4 o 2 k q . % § m \ � • c § . \ | es a < 000eoo x X22 §§ N L > © ����® , oz ri E t T r � z � nn - \ \ ,- r � i 0 q 04 C PRI�� : I � , CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ` f AND UTILITY CONNECTION PERMIT ° , Z Z j `vArE S`' 1. white File z. Pink City PERMIT NO. /2 , /3 I4_ 3. Yellow Applicant Please or print and sign at bottom) ADDRESS ZONING (office use) ® 61° 1;lt t r AiW 'Pewit - vice , Mil SS 3 12- LEGAL DESCRIPTION (office use only) LOT 2 8 BLOCK 1 ADDITION Yh e W r lAs so`f PID OWNER , '"'� (Name) N A a rk- MICA el �.J eA C e (Phone) 1 i5 - 2 - `i 5 Ia -2 01 (Address) 3000 B✓c- Ti N w 1 r C-Ivice, MA/ 53 2 -- 6 ea iv *16 - 0 '625. BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding ower Level Finish yFireplace DAddition ['Alteration ['Utility Connection fil ye / CODE: DLR.C. OLB.C. ❑ Misc: Type of Construction I II III IV V A 13 Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ 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 can revoke this permit fir just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x �� 7,_ /A /V- g‘f',20/2 — i f. ,, tune Contractor's License No. Date Permit Valuation O - 6 0 Park Support Fee # $ • Permit Fee $ 3 '1 , 1 S SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ G _CO Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ r° Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 5 5.6) TOTAL DUE tei e0 (0131112--- $ ! /-1- 2 -5 Application. Becomes Your B u i l d i n g Permit When A p p r o v e d Paid C l N ? � r c Receipt No. ' ' - ' - / - r - Date - 3 / / Byk B ding 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 S.E., Prior Lake, Minnesota 55372 EPARTMENT OF PRIOR LAKE B U I LDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 3000 BOSdAT 7N-Cot NATURE OF WORK ha £EYE i C/r'1 USE OF BUILDING EC 3 AIX PERMIT NO 12. tali?"' DATE ISSUED ( CONTRACTOR Z'FN E PHONE ..'!' 1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE Aar PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INIIIIIIIIIIMIIM FRAMING II StI r7 INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING l eki I I III II f1® F1_7CTRICAL li c" ile r l T DO NOT OCCUPY UNTIL ' : 'VE HAS BEE 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