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HomeMy WebLinkAboutBuilding Permit 06. 0079 E n 00000O -0 0 E. k 2 § § . g ®,§� 0o. g m 2 �q § r o § 2 � m dir-E§Z @ 2@ tzi r ■ m ■ »� p o-0 R $ - > § 9 C' -1 m Z z , o� - o % ■ © � o ® � § / 2 q . 0 d m d o r Z 1§ 1 r 0 -- m k kk 000000 ' § X § RI � am® ■ mv > § o 0 » m. § *1 Z ? -0 •, 2s mis m 0 ■ ° 0 v mIP "ri§77m § z 7 q = rood Q ■ 7 § % A a 2 ��X� 7 C v2 2 CO . i�� P m / A o r . x o c—t— —i--/ 0, c m . _ . C300000-000 ? W §2 § k H �/ /73 �P a cf- km2-m q m 55m■�P 2 §> § m » r of PRI°R CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z G, v 7 x AND UTILITY CONNECTION PERMIT \c.) m I. White File l,0 M�NNES��P 2. Pink city PERMIT NO. 047 U 7 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /,082- No/e MW0 Ot) , o,4 D NW /2/sD LEGAL DESCRIPTION(office use only) LOT 33BLOCK / ADDITION NO/eV/WOW CAIS 6:571975.5 2ND PID 25. 37/. 033, 0 OWNER • (Name) �/e/ SC l i C.4 7e4// s 0-Ay (Phone) 952- 140-1 (S' (Address) / (00V2_ WORM] WOOD lO4D Nw ?KkO' s LAKE BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding gower Level Finish ❑Fireplace ❑Addition ❑Alteration ❑Utility Connection .3 /e.015. CODE: II.R.C. ❑I.B.C. ❑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 revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X eitab411 % a-$-ab Signature Contractor's License No. Date Permit Valuation ...3/ 0 00.00 Park Support Fee # $ Permit Fee $ 7¢. 75 SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ /. SO Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 4 0,00 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other Etead[1t.1 avpli(Rfi,„ $ J. 042 Gas Fireplace Permit Fee $ TOTAL DUE $ n 1.ZS This Application Becomes Your Building Permit When Approved Paid /(7. 2-S T Re 'ipt No. _`,Z/�') ;� Date Z. l� GG' Building Official ate 'his 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 hen 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 ued. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 16200 Eagle Creek Avenue Prior Lake,MN 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /ea00Z- Alce�"7-711vC2oL) , NATURE OF WORK /UGf,/6ic' L-- USE OF BUILDING /Ik-- PERMIT NO. 067. co 77 DATE ISSUED Z , . O 6' CONTRACTOR 67ei 67.4.50i� PHONE , //S¢- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 7 INSULATION li/C ELECTRICAL PLUMBING HEATING if required) p laf INIT COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING 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