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HomeMy WebLinkAboutBuilding Permit 13. 0352 a OXO n 000000 o a ■ n 2 nn , O ■ � 2 -nmm 0 0 CO tri o \ co _ _ m z > E• 0z co RI ' % t 2 � Q � Q P zxi - ? 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Pink City `� Please r Tint and sign at bottoms 3 Yellow Applicant DRESS /� /P1� C/ e'` � ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID w F r S /-q- ame CLI1 /!l, (Phone) (Address) BUILDER �� ompany S, /IC 1�I ivi(ex.--Su�Gi.-0)" ALL on �Z 34 i- eoZ-/ act Na*) TIrt #�� ' ress� /fl,,Q ( e) TYPE OF WORK 0 New Construction ODeck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition flAlteration ❑Utility Connection CODE: 19I.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby certify that I have famished 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 .ropeiry and that all constructio• ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can rev •this permit for just ause. thermore,I hereby agree that the city official or a designee y enter upon the property to perform needed inspections. Signature .: '�L� ter` `� — --Z-9--1.3. Contractor's L. Date Permit Valuation to C7O -- Park Support Fee # Permit Fee $ f 7/7 S v SAC Plan Check Fee $ ' Water Meter Size 5/8"; 1"; State Surcharge $ $ 5-f- - Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # Plumbing Permit Fee $ $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other Gas Fireplace Permit Fee 1 $ $ TOTAL DUE $ This Applicat' n Be o -s Your Building Permit Appr.ved 'J ' Paid Receipt �, moo. r / . _ 4 -7 1 Date 4- 1/ 5 By , �'� Building Official Pate This is to cert➢ tat the request in the above application and accompanying docume s is in acc dance with the City Zoning Ordinance and may proceed as requested. This document when Signe t i y Planner constitutes a temporary Certificate of Zoning comp ance and ows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. (C ---'-. r ✓r_5 in Director Dat 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 BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS NATURE OF WORK USE OF BUILDING PERMIT �N jam - �S�z r ' EI SUED 4-021 CONTRACTOR s%V^-4 ,- ‘re-.2A-)SP-114.fr -i7isra PHONE z INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE= fill) PLACE • ONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING fie $,h INSULATION ELECTRICAL PLUMBING t f`^s P -04A? HEATING GAS LINE AIR TEST COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED I HOUSEWRAP MrI I FINALS BUIEDING � 6Pt) il'ZaELECTRICAL 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