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HomeMy WebLinkAboutBuilding Permit 12.185 ET O O n O 000 1 o a ■0 0 k ID < m $ \ §§7 � � § $ =IT / t § � � 0 % B . �� 9 ¥ s • § q 0 $ . � © n In x z w t m tti o /` � 7 2 1 - I : / § � � i ■ R R . 1' / 000000 k q m q 11' �� ® t�� nl \ 2 � § §A m 0 e $ 2 13 2 \ -zzxx x m z x q 0 U a r - n o8 73 g% o � , \ z A A z F 110 0 - co r17V p m z m o 2 2 0 14 1. A I m 2 oOCOOO �' m t no )* 0 k k 730C • 0 ® E� "0 �21 • z � • �s� % § » �� ■ ■¥ q m al E 2 § r OF -141/6. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd A TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 't►jNNESt;l' I. White File ' Z 16 2 Pink City PERMIT NO . . 3 Yellow Applicant (Please type or print and sign at bottom) A ...... ADDRESS ZONING (office use) ( 7S7 hears eld La e 4-ibv Lie. 0 S LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID k N OWNER 1 j -1 �^ c� (Name) 1 a v hela L— t�lC..C(.S (Phone) (0/d - aq�7_ 3 / (Address) SQi'h€ &S c oc5V e.. BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ['Porch [Me- Roofing 012e-Siding s ower Level Finish ❑ Fireplace ❑Addition ❑Alteration ['Utility Connection CODE: I.R.C. ❑I.B.C. ❑ Misc. • Type of C struction: 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 I hereby certify that 1 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 offici revoke thi permit for ist cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X • , G Signature Contractor's License No. Date Permit Valuation 2 —©cr_tc:32 — Park Support Fee # $ Permit Fee $ GZ 2S-- SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Reducer $ Penalty $ 1 ` Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5 -- c -- 4 .f7 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ r ThisA/ 3 ZO Z 1 atit B_fo Whe App; C ed Paid l� 1 \ Receipt No. `J .,.-0-"Z Date �'�1 v By ,/1 r. .uildil _ fiicial Date This is to ce , tha the .q st in the above application and accompanying docume s is in ac ordance with the City Zoning Ordinance and may proceed as requested. This document when sign ,. , the it / 1, e constitutes a temporary Certificate of Zoning comp ance an. allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued / _.., 3 Z. - 'annin Dieeeter Da Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 P R I R LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 1 72.. rAPS EC-b LAA-C NATURE OF WORK E r w� USE OF BUILDING COS ,l PERMIT NO. ($ DATE ISSUED 3 I?� CONTRACTOR 'AAA -A 4#5 PHONE f':• x'.72.301 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW 11 THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 44011161MIEERiftiarapjWIdill) 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 7 ;i /fr INSULATION ELECTRICAL V1 scaJ ®d- Cs' t� PLUMBING HEATING (if required) .•9 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FIN ALS 9) BUILDING i ELECTRICAL PLUMBING KIC4 ( J4 HEATING hl / 4' 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