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HomeMy WebLinkAboutBuilding Permit 15. 1149 2 00� n 000000 2 0 � z0 nw O ■ � � � � � o § o SG • a g 22 2 s � � E � § m 73 m n� % m m m ■ 5. ■ o ■ Z Cl) � -a % t * > q m §®§ 0 P �k IQ 4, o ■ @ n z 2 § ■ % cc xi ., > -1 o r il � / 2 z m m % � r 0 .- ® Q x r o x -110 x m § % 200 000000 / \ - mm t ml— � * irc § 0.1 E ? � ■ . 2 0 § > 000 � 0 q -I 0 0 X222 73 i eu / XI 0 2 ' m /- § � P v / A k I m a 0 ti ~ i OOODQ ■ - ,, n § > 2 » § R ■ mm2Q � ® o EV V V t �) A 0> § \� XTo ■ F 2 - - Im i B _ c 0 n OOO cc ; o > En ° § K ` ` 0 gzBvoo z m m � � § / k 33 3 �| p s rr § § � ■ 0 om § t > � m - P z- t w ■ cn n z . ° . z / n fFr .. \ 00 m m tri 7 >z _e73 ■ r , . r o m 2 0 0 ` 4 0000 o z co _••• ( mr01 R > mc K ? m Tic § § zOS § m § a m j , rmo0 0 k P q o z zxx % 2 4 m � � � o § 2 ■ q I § . � 000000 vI 11Q § 228 § § 13139 $43, lor q no — , • rn 73 m r m ct) r B Co* AKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE l� i. AND UTILITY CONNECTION PERMIT U tri 4'HNESO�� I. White File 2. Pink City PERMIT NO./(4-•// 3 Yellow Applicant �" a (Please type or print and sign at bottom) ADDRESS ZONING(office use) .616-67-- 8/ "'Plfavp Pe. Sf LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER l&f.c./.14.- g .5, Zt �v✓ (Name) // ""J�`� (Phone) U (Address) deu'-- igW R.4,1 BUILDER �L �' ((Z— 0-- b(.1 b (Company Name) .R.- `I .-T , I 15 C"-S u'^ (Phone) (Contact Name) To-t Q , / /� (Phone) (Address) 1(7 a i C 1-t h C A rile. v✓`��"� (/lel Z" TYPE OF WORK ❑New Construction) ['Deck ❑Porch ❑Re-Roofing ORe-Siding XLower Level Finish 1:1 Fireplace ❑Addition ❑Alteration ['Utility Connection PPS` CODE: ❑I.R.C. • ❑I.B.C. El Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (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 official can c ' permit for just caused(urthermore,I hereby agree that the city gn officialor a designee m '"1' may enter upon the property to perform needed� inspections. X oft- Llt .'�. L . Tom' 'ft) -24- (c"' Signatu Contractor's License No. Date Permit Valuation Park Support`Fee # $ Permit Fee $ 14 IS SAC # $ Plan Check Fee $ ,.-- Water Meter Size 5/8"; 1"; $ State Surcharge $ 16 d Pressure Reducer $ Penalty $ Is Sewer/Water Connection Fee # $ Plumbing Permit Fee $ V „SI) Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ /'24 75 This Application Becomes Your Building Permit When Approved (..." Paid /24, ( ReCel.t No. paj. Date / Z c f /S B/jj // .,, (- uildina 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 4646 Dakota Street Prior Lake,MN 55372 DEPARTMENT OF PRIOR LAKE. BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS / 02--- 1v( WO©D 1:455 NATURE OF WORK /6II4LEVd Z- USE OF BUILDING „ PERMIT NO. f . L/ ' ATE ISSUED . CONTRACTOR pH nu r6 C6A/S7L- PHONE Z- ¢qc. e� INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES =liamm_menuamos INSPECTOR DATE 11111111111.11111.111.10 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING (2� /0/4t, INSULATION ELECTRICAL PLUMBING HEATING 1,0 L ilinrlli =11■r COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED WiliNSIMINEM MUM FINALS BUILDING I Alq 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