HomeMy WebLinkAboutBuilding Permit 13. 0145 J
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OF PRioR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
.op CERTIFICATE OF ZONING COMPLIANCE Z 2,0 . I Z
..
en AND UTILITY CONNECTION PERMIT
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4ofNeSoct. I. White i
City 2 Pink CitPERMIT NO. i-3 ! 45
3 Yellow Applicant .r
(Ple lit and siat bottom)
ADDRESS .�gn t ZONING(office use)
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�— to \ i t d-e v-tA-e s 1 TvrA..t I S
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) 14-0't7 01-e ( • 6 1,"0'1 1 k 0'1— (Phone 01 C'.. . —a.10 r07g/
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction ❑Deck ['Porch [Me-Roofing [Me-Siding Xower Level Finish 0 Fireplace
['Addition ❑Alteration ['Utility Connection Z_ /elyiS
CODE: DI.R.C. DI.B.C. 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: A B E F H I M R SU (excluding land)
Division: 1 2 3 4 5
I hereby cern' that e Minis informatio• n thi 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 nd t .t all consult do, wi conform to all existing state and local laws and will proceed in accordance with submitted plans. I aaware tha the building
official can revoke this perm fo•just cause F rth rm.e,I hereby agree that the city official or a designee may enter upon the property to perform needed ins ions.
X O _ 0 t&—
e) a- O t1
7 ature Contractor's License No. ( Date
Permit Valuation 2-1 O C 0 . 00 Park Support Fee # $
Permit Fee $ G Z,Z SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ /, o 0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ .6 44., 5-22 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ 51./.S ) TOTAL DUE $ /7 2: . Z5
This Application ecomes Your Building Permit When Approved Paid /7 Z,Zc Re pt No. fo$15
Date 1, 10,/3 B ,
7_, vv.i3
Bu' ire 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
PRIOR LAKE DEPARTMENT OF
BUILDIiV
G AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS J,L/ A / J ` 0
NATURE OF WORK .1-�4::**?L-1
USE OF BUILD! Z...... ._
PERMIT NO. i ,y A1AC��-� DATE ISSUED 3• %,�-
CONTRACTOR :L_r [--. PHONE - 47L i
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL •W
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
11111.1 I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
RAMING A° 31/Z?fr
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST pr) I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I =
FINALS
•
• BUILDING
1/3//6 7
• ELECTRICAL
PLUMBING
1111111110111111.111
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