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HomeMy WebLinkAboutBuilding Permit 13.1240 5 0 n OQOC 1 0 D i o 0 n i-nII 0 0 En �4 n o 0 0 . s ■ � 0o m m m �o o 0 ■ s mic■ ■ ■ � � tl hi , m m x m E ■© z g ■ m -1 % ® J §Q P z- 2 � - . . q z § 0 ■ 0 z n Qv » > © z § . m m % o % m 721 r Z 7 11 I- t m 2 0 0 m § m m ` 1 E -orn*®- I »m /, o= z o o . mx& - n b ■ -0 f 0 � ` zzzz z m z X . q m -, d >000 Q s- m N. q U 0 X 22 - z c z Z ' m � � � 0 § 11 0 0 gi 2 . 0 0 0000 ti E 2 ���n§ ! § x _�§ m x 4, z § _ 00 E � § in XI �■ 2 m -Ii 0 C PRI p CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT . �� " � I white File PERMIT NO 2. Pink City /3 12 _4-0 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ',SEZ ( 44 5.444.4i ' t.. i,�L A LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER � � l iZ IZtzYI `"'s 1 1 l(c: ✓t c"CSZ (Phone) %S 16 v "S (Address) 13E26 U 2 1-,e_vt_� -- to 4 AL & II,DER ( � j / 6/2 2 (Company Name) 5 LA.�- �-Dl i 6i Tz LL�„r (Phone) Se "4 573 (Contact Name) r 147 Ft, l ),u. a� ' I t , 1 (Phone) �r� Z-3 09 - � ��� (Address) J3l 5 PalV i =e) •ti 01 -5' i , lt) 5�S e TYPE OF WORK 0 New Construction ❑Deck ❑Porch DRe- Roofing DRe- Siding sower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection rUx t CODE: DI.R.C. DI.B.C. D Misc. Type of Construction: I II III IV V A B Z! 042 _ Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ (excluding land) Division: 1 2 3 4 5 i 1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 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 .c:i'l e i s per it for just cause. Furthe , ore, I hereby agree that the city official or a designee may enter upon the property to perform ne i ded inspections. Ec6,3 - 705'3 AOL 5 Zcf „.i -- gnature Contractor's License No. D ate Permit Valuation 3 f - U 0 , 00 Park Support Fee # $ Permit Fee $ 74% 7 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ / - Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ c-.4-.---0 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ gals s !' O This Applica Becomes Your Building Permit When Approved Paid f i U, 73 't • ceipt No. 7 J1 y Date /7, i , 4.. ding Official Date This is to certi 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 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: Date: /1. S• 17 Building Permit # t3 • 'Z40 PID: Zoning: Site Address /301& /1674417N4Ali nee. Legal: L B Subdivision: Existing Structu • : YES o NO CONFORMS TO ZONING YES NO ORDINANCE YES NO Is this an expansion of the existing footprint or Refer to Planning building height? Is the property located within the flood plain? Refer to Planning ✓ Does the alteration include any additional kitchens? Refer to Planning ✓ Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single family home (office, group home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L: ■TEMPLATE\ALTCHCK.DOC N., 'Mee • *;Nist \AA% 1 16 4 AS"i:Vialk 1 1 4\ 4:le to • 1 1 $ PR I 0R L DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /3 . .r N Wi NATURE OF WORK LW USE OF BUILDIN PERMIT NO. D • E ISSUED //. S /3 CONTRACTOR PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1 I I I I PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING ` /Z S 3 INSULATION s ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I I FINALS BUILDING Pi /zi ELECTRICAL PLUMBING l� HEATING 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