HomeMy WebLinkAboutBuilding Permit 13. 0318 J
W z _•_Z N.. r1�i
LL W (r
O = VUW 0 IQ
Z k'
5552 >o
V' 2 W W y Z Q 41
N
>
❑ ❑ D ❑ ❑ ❑ re
' W 0
` U. Nt
a O
cd...j Ct X
W wZ
W > j Z Z O 0 Lc0.
Jo F- E o o C J O V W z
X z re z _ xxzi W ` 13-co)
N • V d 2 2 W rt m _ a Z
N � �i
O O Z o
_j 111 .,� W W W
000000 Li: go
Jre z a w
_._S o a cr
� U.
° 2 z 0 co / 9 3 �t a
z oII
O = 0 00_ a Z N v W
aO N z z22g Jz W ce ix o a o
u.V CO W H Z � rc rt t V
O W D de NZFW- 3 U V Cd
Wa CI z
} 0
N p p U. Z li y 0 N
t) ? Q O a D ❑ ❑ DJ�❑ V D D •
c
eof Peio� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
a c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
oi AND UTILITY CONNECTION PERMIT 4-,„ (ei,.6
4.4NEso'ty'
2..
� whitepink FileCity `I PERMIT NO. /3 3 / I
(Please type or print and sign at bottom) 3 Yellow Applicant
ADDRESS
II) io C re I ZONII�G(office use)
rIx;kd@Yw
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION
1 PID
OWNER Drat t V mm j� (Phone) (/Cj/
-0065 .
(Address) l ICI 0 Sad r rete 1 W Rio,- . itKe ///1u 529;k
e
BUILDER
(Company Name) (Phone)
(Contact Name)
(Address) (Phone)
TYPE OF WORK 0 New Construction ['Deck ['Porch
['Addition ❑Re-Roofing ['Re-Sidingwer Level Finish 0 Fireplace
❑Alteration ❑Utility Connection
CODE: DLR.C. DLB.C. [ Misc. / Z..v
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
i
I hereby certify that I have furnished information on this application which is to the best of my knowledge tnie and correct. I also certify that I am the owner 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 plans. I am aware that the building
official can revoke this.'rmit for just cause. Furth ..ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
SiX
Si:ier e Contractor's License No.
Date
Permit Valuation Park Support Fee #
-/OCG. U $
Permit Fee $
7/4 73 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1";
State Surcharge $ $
5 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee #
Plumbing Permit Fee $
$ 5`1; j-0 Water Tower Fee # $
Mechanical Permit Fee $
Builder's Deposit $
Sewer&Water Permit Fee $ Other
$
Gas Fireplace Permit Fee
$ TOTAL DUE $ /30,
7,5
This Application Becomes Your Building Permit When Approvedy �
71J
Paid �,,,�;0, 7� ceipt No. �GO6
1 Date !f- / �y y
I
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
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any
4646 Dakota Street Prior Lake,MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /¢19O 8AD t ei/C..
NATURE OF WORK hd _ a
USE OF BUILDIN ,/
PERMIT NO. A if• BATE ISSUED .�. �3
CONTRACTOR • j"r PHONE G
INSTALL EROSION CON -TOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
11111.1111111111111111111111
FRAMING et, (11 , 1)\)11
INSULATION
ELECTRICAL
PLUMBING
HEATING
0111111.11 _
.1111.111111111111111
x6151-1147 F.1*- PLP
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
LATH
FINALS
BUILDING
ELECTRICAL 1
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