HomeMy WebLinkAboutBuilding Permit #13-465 oF PRtp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ;— ��
� � AND UTILITY CONNECTION PERMIT �' 2 '�'--�
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PERMIT NO.� ��� z��'"
7 Yeilow Apphcant
Piease or rint and si at bottom)
ADDRESS ZONING (o� use)
I'�`i 2E:1 l.,u � d 2� S� �� � Z� �%� r�� 5� 3� c�
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
�aWTNER �6 W� 1 �- �� Lt�t� �G �"Y��'v� (Phone) �5 Z- �SS ���
(Address) , - ��j �' � � l � � � �
BUILDER
(Company Name) `7 � �.� (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Constr c n ❑Deck ❑Parch ❑Re-Roofing ❑Re-Siding ❑Lower Level Ftmsh ❑ Fueplace
❑Addit�on Alteration ❑Uhlity Connect�on
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc _
Type of Construction: I II III IV V A B PROJECT COST/VA.LUE $
Occupancy Groi�p: A B E F H I M R S U
Division: 1 2 3 4 5 (exciuding land)
i hereby certity that [ have hirmshed mti�rma[ion un thts appl�cahon which �s to the best of my knowledge rrue and currect I also ceinfy that 1 am the ownci or authunzcd agent for thc
above-men oned roperty and d�at atl cuns r etion wdI conform atl ex tmg statc and local laws and will proceed m accordance wrth 1ubm�tted plans I am aware tha[ the buildmg
uffic�al c rev e Uus peimit fo �st ca �iuthermore, I hey�iy agree a[ the ciry offiaal or a designee may enrer upon the praperty to petform necdcd ms echonti
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Signatur Contractor's Luense No Date
Permit Valuation '���� C � ) Park Suppor[ Fee # $
Permit Fee $ J�� s SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ � Pressure Reducer $
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Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permrt Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DIJE g�� �
This Appiic t, n Becomes Your Buitding Perrnit When Approved Paid S. Z - S R 1 t NO. y
� � Date B
� � � . �3
dma Uttic�al Date
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This u to cert�fy that the requcst m[he above appLcauon and accompanymg docaments u m acco�dance w�th the Ciry Zumng Ordmance and may prucecA as �equcs[ed Th�ti ducument
when sigoed by the C�ty Plannei cunsLtutes a tempuraiy Certtfrcate of Zomng compLance and allows consn'ucuon tu commence Befoie uccupancy, a Ccruficate of Occupancy must bc
issucd
Planning Director Date Special Conditions, if any
24 hour noticc for alf inspections (9S2) J47-9850, fax (952} 4J7-4245
4646 Dakota Street Prior Lake, MN 55372
DEPARTMENT OF
P
� I R LA K E BUILDING AND INSPECTION
IN
PE TI N
RE RD �
SITE ADDRESS l ZD L►O/r.r /�O/�'
NATURE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED . 2►�•
CONTRACTOR PHONE D
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 'j- �-�-- �3
INSULATION � °
ELECTRICAL
HEATING (if required) -x `
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.
FINALS
BUILDING � � �
ELECTRICAL
HEATING �- -�-, � ,
DO NOT OCCUPY NTIL 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 availabie, card shall be piaced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850