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HomeMy WebLinkAboutBuilding Permit 12.845 F 0c, n 000000 'V 0 > E ® n n Xl M 0 ■712 - o 0 5 3 4 § n on § §x @ t M z m cn \ @ k r , � m m m ■ �'o■ § en �-0 ■ .� q q > 2 $ �o § . Z■ ■ tO * a d w 0 z z z „ 9 § $ . o \ k isk 2 0 k M 0 ' \ 0 z z ■ : "..0 \ l � % 0 0 \ 00000 z m A2 aII ■ ■-0 § u ) ® © � 2 � ©� x m ■ -0 n • u, § k -0 ƒ 0 zzzz E ,7 z k No _ / } . \ � X 2 § 2 2 ik % z 5 CO �\ r 13� P m § m n k 2 . 1 000000 / > 0 � mm�§ • m M 2 E��� > , �00� § m m ma ) 2 k i 0 m p CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 7 17 7____ rn x NEgd tt' I. White File PERMIT NO f Q 3 pelf Applicant / /7 3 Yellow Applicant (J (Please type or print and sign at bottom) ADDRESS ZONING (office use) 13.43 \-&,`I C VC c L S t R e L.-1 ill hl LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNEIr j� t — / (Name) —t 1 -Q. lJ 4"/ (Phone) ./ 3 4' `� (Address) S CS cAsp+d BUILDER. (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 1:1 New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection ,, `` / eE23 ) �/J CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. , Type of Construction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 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 1 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 just se. F� , ereby agree that the city official or a designee may enter upon the property to perform needed ns spc tions. x /` / / a7/ 1 / ` Signature Contractor's License No. Date Permit ValuValuation / C C (_ . L G Park Support Fee # $ Permit Fee $ 1 3 7 SAC # $ • Plan Check Fee $ Water Meter Size 5/8"; 1 "; $ State Surcharge $ . 5 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 $ 3.5..26 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By 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 DEPARTMENT OF P RIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /5346 C/fC - NATURE OF WORK L- 0 W USE OF BUILDING /3 ‚9/,t PERMIT NO. /z - 04-.. ATE ISSUED 7- 2-7 / Z CONTRACTOR Pe-r5 C c,/ PHONE Co(Z. 706 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1111111111111 1 I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 6)A INSULATION ELECTRICAL MEM HEATING (if required) 0-)C- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS BUILDING ELECTRICAL HEATING E/1"V / 3 / DO NOT OCCUPY UNTIL AB 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