HomeMy WebLinkAboutBuilding Permit 14. 0685 . . . . . . _
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of PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 ,ice, /1--
.. v AND UTILITY CONNECTION PERMIT
U trj
4f'HNESOlP I. White File PERMIT NO. /4y ` , /�
(((111
c
3 Yellow Applicant a {I
3 Pink
(Please type or print and sign at bottom)
ADDRESS _.., ZONING(office use)
/ 3 '-4 risk, ,J)- „-t R3c,,a J2.
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER Q
Y- , ` 6, ) te ,c ?J
(Name) (Phone)
(Address)
BUILDER / /
(Company Name) 6 7 I f��)`'•t-i a...5 ,..1..„ 13,.._: ;) (Phone) bid o�5 ick 1-
(Contact Name) £� !� l ��+�"� (Phone)
(Address) ' .7"9 t c L._lc�....,it c /314—...1. 4-, /.4.a.' , • l'''
TYPE OF WORK ❑New Construction ['Deck ❑Porch [IRe-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑AdditionAlteration ❑Utility Connection ) � `2m/11� 3 ),. ., fin`+-'—
CODE:Li I.R.C. ❑LB.C.
❑Misc :14'1••-•—• , ....:Alm 1 i �/� 'Z„ G.�-j'.� Cf� 3.
Type of Co traction: I II III IV V A B PROJECT COST/VALUE - 113.M.=,---
Occupancy Group: ABE F HI MR SU
(excluding land) n
Division: 1 2 3 4 5 �+,
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 an t all constructio 11 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 pe' it fo ust cause F er re,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation , 2/'y Park Support Fee # $
Permit Fee $ r�sPZ- '2_c- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $
/
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 4116,,e 7'f 4'`t e/ $ // 1:5-7
I
J7 • ��
This App lf
t• n� om..Your Building Permit Whe Appr t ed Paid G i l' 7� Re ipt No. i�
�/ Date / -
Ia. f
Building Official P ate
This is to c rtify that the request irrt4e above application and accompanying docu ents is in ,ccordance with the City Zoning Ordinance and may proceed as requested. Tins document
4
when sig by 'City Planner constitutes a temporary Certificate of Zoning co, pliance d allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
r Dire r D to Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /5341 - Potivritefii_
NATURE OF WORK 4 irs.rwasomditit
USE OF BUILDING _, ` 1/,
PERMIT NO. /erfi 11-- DATE ISSUED IrkfirL'
CONTRACTOR ;$17.7 f _ PHONE t „zls
INSTALL EROSION CON 'TOL AN' MAINTAIN LEAN STREETS AT ALL TIMES
INSPECTOR DATE
F
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING q2cily
INSULATION
ELECTRICAL
PLUMBING --C 1. c c,40( )1-f
HEATING
COVER N• WORK UNTIL THE ABOVE HAS BEEN SIGNED
qffiffir
FINALS
agiaMilainallampr
BUILDING 1 LI (ti
ELECTRICAL
PLUMBING C
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