HomeMy WebLinkAboutBuilding Permit 15. 012614885 E OI oQOc o a E
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OF PR/0+P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
A
A.O. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z _ �� l5.
,. rii AND UTILITY CONNECTION PERMIT
I. White File
"r�ntNEso�° PERMIT NO. z— �iZ&
2. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom) "�
ADDRESS.14,15s, r✓1/-'1�a 1 IeTrl L— ZONING(office use)
VRiohZ AKS rlit.1 557372
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER ��.2. L�.L�.-]' t�Z,J 1
(Name) cNIP L-. . I�5C 'C—� (Phone)
(Address) 14-13`65 r11 AFT—E. 7144-)L. PR' IRLiiiiICe- 01 r4 553 72.
B I DER
(Co .401.. .me) (Ph e)
(Co .c ame) ho )
('d. - - ,
TYPE OF WORK ❑New Constructs ['Deck ❑Porch [Me-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition eration ❑Utility Connection
CODE: R.C. ❑LB.C• ❑Misc..
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ f ' 60
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5 1
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 constructiOB 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 for Just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
XI 115c�u.—. 21 9'/ 20)S
Signatureac (,License No. Date
Permit Valuation 1aa0 Park Support Fee # $
Permit Fee $ l 41-
SAC # $
Plan Check Fee $ 2&/61 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 $ 66.,;(.2
/
This • ., t I. :ecomes Your Building Permit ,en A, i oved Paid l�e _ ReC 1pt No. 62/
zp
At �i'' Z i ' �
Date z , 9- ,� •
B
Bui dine . .- • Dat•
This is to certify that the request pplicatron and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ":-his document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occu?ancy 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
s
ARNT OF
PRIOR LAKE BUILDINGDEDEPARTMENT AND INSPECTION
INSPECTION RECORD
SITE ADDRESS r1rIf�`- f'
NATURE OF WORK p <)i)Q� JV 'r9, tiJe�
USE OF BUILDING /Z
PERMIT NO. ;$ I Z DATE ISSUED 2-#6—
CONTRACTOR
9 `SCONTRACTOR PHONE W 7_ (2—(/
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
4111111111111,
min3 (Prior To Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH — INS
FRAMING c
ELECTRICAL
PLUMBING
Ids
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
INIMMIN`
FINALS
BUILDING
ELECTRICAL
PLUMBING
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