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HomeMy WebLinkAboutBuilding Permit 13. 1006 E 0 O n ❑XOQOO 1 0 > 50 $ 0 0 * 0 ■ � 2 � �� o o ■ n n 0 73 73 ° o 3 � z■go � z 7:1 2 k r § § co r ■ rC § k2 in 73� k 2� ■ -I s z $ "IogQ P o■ c 461 2 ca = 0 z§ R S �} \ > n - -,o 0 9 c d § a » © z .V M 73-i r § 7 4. rn o z x z l' 8 8 j� O ❑ ooOO ‘,;,-"Q o m § 00 ' E � 0 § E � ■ ■ I n6 � n6 2 K ? m q § §§ 73 § m 0 ■ $ g A f 2 >OooC) q �/ 0 z 0 r -n §§ ■ ruc t 2 § m / � .0 P M st 0 z ■ 0 m OOCOQO / krnmE§ Q c -o -o -oz q � § -E's k\ § � s -nx � a E ■ -1r Q OF PR/04. CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd a, t TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /3 AND UTILITY CONNECTION PERMIT ~ikNEs01P' I. white file 2 Pink City PERMIT NO. 42 /6 7 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESSZONING(office use) (9 C7 f)0 i life- A s ))/ w LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) �-en f'^Q-e T kV`e PI e k- (Phone) f S 2-4 4 7—�J�`O 22. (Address) S/'., . 5(,)C) PO ih"t"-e pass A)kJ Pk-t orJ-c1k'p, pm 5:5-37 BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ❑Deck GPorch ORe-Roofing 012e-Siding kLower Lvel Finshh ❑Fireplace ❑Addition ❑Alteration ❑Utility Connection /6/1 CODE: ❑I.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II HI IV V A B PROJECT COST/VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) 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 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 Iofficial ca,? oke this permit for ca_usc. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X... . s ..e`T? /3 21913 Si ature Contractor's License No. Date Permit Valuation 2_ 006 . 00 Park Support Fee # $ i Permit Fee $ (�/_ z . Z SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ / 0 0 Pressure Reducer $i Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 4 5-0 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee I $ 6 O TOTAL DUE j V 72+ 7 This Applicatio • i es Your Building Permit When Approved Paid - R.'i t,t No. if \,./ �� . (3 Date . /� �t Br But 7"g 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 DRO PRIOR LAKE BUILEPADINGTMENT AND INF SPECTION INSPECTION RECORD SITE ADDRESS 3 000 0/114-c,&55. s` NATURE OF WORK 1.4WL.4011Z gr USE OF BUILDING PERMIT NO. • DATE ISSUED . 3 CONTRACTOR PHONE INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE 111F1111111111111111.11111.1111:1111111.1111115 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED vesimisROUGH - INS Tf FRAMING 051 'f; INSULATION ELECTRICAL PLUMBING HEATING FIREPLACE . GAS LINE AIR TEST igiellalialMW COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED flarialle LATH FINALS BUILDING 07AV4-- ELECTRICAL PLUMBING 4 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