HomeMy WebLinkAboutBuilding Permit 10.0059 OOX0 '
C) 000000 x °
5
N
* 0y -n - ii -n2
En
0 0 m
3mr> c3Z � Z "
b R.p
y
0 v3
� D zZ z -
0zx
N ° = o
C m p 0 D i z nrmm
Xi 01 T 0 D 0Ilkii
t& 073 >rr za :4,3 I
X o p 00000❑
73 0 i m "0N >m3
m 41 x m m m , m mi3 "Cl n p
-4 N ° -n! 7o z m
E zo 0 0 3 S m
e.
o �, - > 0 0 0 0 M c
m Com -4 Zcc z m
N
z w
In
A 0
x m N
0 n II00000 1 0
w m p3. 73 ,30
tnmmc0
7.
41 z ~Dmm41r
D 73 'n73 r m
� n f z
m -4ir 0
3
CITY OF PRIOR LAKE BUILDING PERMIT, Date Re//0
c'd
O� PRlp�
e. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
2, 4". i
F. AND UTILITY CONNECTION PERMIT
U tvl
tf NNES°
I. white File
2. pink City PERMIT NO./D 5-?
,0P
�
3 Yellow Applicant
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS
/ 6 / . .0 Kt./A ,uS Td P A o
LEGAL DESCRIPTION(office use only)
PID
LOT BLOCK ADDITION J 1,1172-
OWNER /jD 1M6 0 If .44-120/A)G (Phone) q 6L y'7 7
( ame)
(Address)
BUILDER (Phone)
(Company Name)
(Phone)
(Contact Name)
(Address)
❑Fire lace
TYPE OF WORK ❑New Construct}on ❑Deck ❑P° Re-Roofing Re-Siding ❑Lower Level Finish P
DAddition [ ❑Ut
Alteration ty Connection
Et/Misc. (O" M 4 n/S 11 L p'Yl pSTA/Qt
CODE: ❑I.R.C. ❑I.B.C. ` n V
Type of Construction: I II HI IV V AB PROJECT COST/VALUE $ i���l;�' ' 1
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
. I also
rtify
hat I
the
r the
I Bproperty and that all construction n onwill onformhis oto allexisting state and lon which is to the best of cal laws and will proceed in y knowledge true and accordan accordance with submitted plans.ownerI am aware that the buildingthorized agent
above-mentioned
official can revoke this permit for ju cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X �`n" r Contractor's License No. f/ Date
, Signature
Park Support Fee # $
Permit Valuation
Permit Fee $
$ 13 2 . COSSAC
Plan Check Fee $ 8(a . f3 Water Meter Size 5/8"; 1"; $
`�,� Pressure Reducer $
State Surcharge $ 3 V �+
Sewer/Water Connection Fee # $
Penalty $
$ Water Tower Fee # $
Plumbing Permit Fee
Builder's Deposit $
Mechanical Permit Fee $ $
Sewer&Water Permit Fee $ Other $ Z ZI ��
Gas Fireplace Permit Fee $
TOTAL DUE ;
Application Becomes Your Building Permit When Approved Paid 2-Z/. I f
Rei-'•t No.���
This PP Date 2, r /C-) I B
Building Official Date Sw f°° OP WO ,*'1
a e Certificate es ed. This Occupancy must nt
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
be
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,
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
BUILDING. • . . wri LAK
ANtVNSRE�0NREiiiyhall be upgraded
as per the reuiof,; the IRC
0 6le. Battery operated
SITE ADDRESS - ' '' gay be installed in
NATURE OF �o/� d EI/�9/(/,S� exis ng structures.
USE OF BUILDING /l,/
PERMIT NO. G 10of v �.,
CONTRACTORD' E ISSUED Z_ �_
0 ' � �/ /
NOTE: THIS IS NOT A PERMIT FOR ` �
THE PERMIT ISA SEPARATE Y OF THE NE
. - �/O�N = /4/ DOCUMENT INSPECTIONS B LOW
osO ' INSPECTOR
/�' I DA
TE
PLACE..
NO I
CONCRETE UNTL ABOV
/A/170WS E HAS BEEN
ROUGH _ INS SIGNED
kliINSUL111111111
ATION
�C
ATION E' f
ateliumg,
ELECTRICAL
all1111111111111
inu
HEATING (if re �%�
.,,,,,...„..
requirewarammenrommmi
_ __.. „ ,
d)
um�
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
r 111.111.111111111111111111111111111111111111
�,-�-- F I N A L S
BUILDING
main......___Malialill
ELECTRICAL
�, �!�
PLUMBING11111111111.111111161111111111111111111
HEATING111111011.11111111111111111111.1
DO NOT OCCUPY UNTIL AIIIIIIIIIIIIIIIIIBOVE HAS BEEN
This card must be NOTICE SIGNED
and rdposted near an electrical service cabinet prior to rough-in
and
maintainedno service Inti net inspectionss aeh havebeen approved.n . Onm 9 n inspections
shall be placed near maifi'€ �' _t s �� ��t
X11 be located
FOR ALL INSPECTIONS MaI seeping I ''1s, on each story,
(952) 447-9850 in halls to sleeping rooms