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Building Permit 14. 1233
_W z _ 1w J- ILI 0 IQ Ill 0 ilWWy R J O �'�l wotLILUo' Z Q �J 0000 ❑ ❑ zt. ( o o O 24. — w O p a' 2 W Q O. 4. Jo u. N G �• z Q-, YY= i z � Z tt��� O u. J m c �p 4C p p < �- W F' O O O z o w S Z K Z - SSZZ ,J o U 0 4, 0 O W m2R'ru. F y IU QCL. y U a ' a2/ CO ACXz o' a. 3vJaX .� x k. ( ��/ 000000 ww 0 0 - u; o o W ...-1 a a ! p J Yv M z C3 o Q < Ci W o o= t- z tolik o z N a - , « $ a2, O i= 0 a /-' FN-- < 3�a nl RI codJ Z z N OW co W W ~l3mJz 11.1 N W V rex Z OO�y F re 2 • J q Cy 0 3 O utu. u. 3I'H p Jr 2 V O oz < 0 a ❑00 ❑�❑ V 3 v v I. v of PRj0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /` Lf x AND UTILITY CONNECTION PERMIT ( � '� /� / U en �'NNBSO�P I. White Fite - 2. Pink City PERMIT NO. iv„. 1 3 Yellow Applicant e (Please type or print and sign at bottom) ADDRESS ZONING(office use) • St) ( PGIv,1e paSS W t 7 VLcv LWt ivIi) t -)2.5q- - P 1.1i� LEGAL DESCRIPTION(office use only) / ICJ ,^LOT 2DDITION /�'' ✓ rY/" © Li-BLOCK 1J M6775", ve3-.evaq-o OWNER '''' UU VVIA (Name) 61\R I ' A (Phone) - 0 LaSC- , (Address) 3�3 6 �1 Y �U 4� (�Q f j 05 R';- BUILDER (Company Name) S a4 /) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ['Porch ❑Re-Roofing ORe-Siding V Lower Level Finish ElFireplace ❑Addition ❑Alteration OUtility Connectionpp CODE: DI.R.C. DI.B.C. Mise. tv - kxlf-� . Iri 61' Type of Construction: I II III IV V A B ��V Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) 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 o er 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 . ns. I am aware that the building , official can revoke this peril. for just c Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform ceded inspections. X IIP IN, Signature Contractor's License No. ate Permit Valuation 4000 ..00 Park Support Fee # $ Permit Fee $ litl, '5 SAC # $ Plan Check Fee $ Water Me - Size 5/8"; 1"; $ State Surcharge $ / Pr-• ure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 5 '60 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $/3'O , 75 This Application Becomes Your Building Permit When Approved _ / / Paid Q ' eipt No. 7)-m Date /e.... /, /41--- Building Official Date This is to certify 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: <C •3/. Building Permit# �t.. 13 PID: Zoning: Site Address 36,3/ pal,v/r - P4 Legal: L B Subdivision: Existing Structure:altr NO CONFORMS TO ZONINGYES 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 4 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? s/ 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 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 3(0: pi -" Pie/-. NATURE OF WORK _0% �41-&-YQ--- USE OF BUILDING PERMIT NO. /¢_ /033 i DATE ISSUED i0 . 3/-/if-- CONTRACTOR JPff1 PHONE 577. 210. (r57-7 INSTALL EROSION CONR OL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE =iiimIVIIIIIIIIIIBIIIIIIIIIIIIIIIIIIIIIII PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS - IIIIIIIIIIIIIIIMIIIIIIIK FRAMING 03. .1 i./z C INSULATION ELECTRICAL PLUMBING - HEATING 11=11111.1r - 1111111111111111.16 - COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED FINALS BUILDING 1 1/// 1 ELECTRICAL - PLUMBING - 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