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HomeMy WebLinkAboutBuilding Permit 10.1035 w z aen Z ~ J atL LY ill ILzcWiVa0 g44 �. N IAI 2 W� Q 44 ~y : w Z�, 000❑00 07 V O c4 _,, ti ,A re _O U. O aa -I L z F2 2 1 i = Qa F - o erzz z= Z _ zzz kliNO 0 MI kOa o a N yn a� 0 coz o o I- ul 000 wZxi 0. a:tide" W0W CO aZ3ava� L:i O tu iF-y� w F- vZ 0_, a +-� zoz� zw Y� vz � W L: .71 a . . . .§, c3 , w a -0MazFw'z0 0� 3v0O u.u. 0 o,VZ 0 a 000000 ( 0 0 0 c of PR% ' CITY OF PRIOR LAKE BUILDING PERMIT, 0 40 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd ,, erl AND UTILITY CONNECTION PERMIT /!' /0 tINNE sO�� I. WhitePink FileCty PERMIT NO. 3 i0I /�� (Please a or .Tint and si n at bottom) Yellow Applicant •/ ADDRESS �(, ('DRESS,0 1 5 re" � 1` SC- Pr%(9(Le\ ,e t\ ^ / ZONING(office use) V LEGAL DESCRIPTION(office use only) V�2�/ /v LOT BLOCK ADDITION PID OWNER q q � (Name) A ✓A v7,,M � �, ' (Phone) 6\ S U \� J 1``"`n (Address) • VNJf,"- (...at1 1--- St- p r,o r-- L4,,L(Q M4 ,Sj 3 BUILDER (Company Name) (Contact Name) . (Phone) (Address) (Phone) TYPE OF WORK ❑New Construction ['Additionon [Deck ❑Porch ❑Re-Roofing ❑Re-Siding K'Lower Level Finish ❑Alteration ❑Utility Connection ❑Fireplace CODE: ❑I.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 $ —11 �0 Division: 1 2 3 4 5 (excluding land) 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 revo .this ermit or just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Signature I I— Ct- 1(19 Contractor's License No. Date Permit Valuation Z Q Q 0 _ (� Park Support Fee Permit Fee # $ $ G Z. ZS" SAC Plan Check Fee # $ $ Water Meter Size 5/8"; 1"; State Surcharge $ $ 66 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ _go Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 75- This Application Becomes Your BuildingPermit When A //7 Approved Paid //7, 75" I Date 1Re - .t0. (o/rpb�j Building Otticial 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 when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, issued. proceeda as requested. This document bet a Certificate of Occupancy must 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 Residential Building Permit Checklist Basement Finish or Interior A.Iteration to Single Family Homes BY: ,//// Date: //• /0, / d Building Permit ,T 70./63 PID: Site address /6,075— Zoning; Legal: L B Subdivision: Eaisting S trucrur.. YES o NO CONFORMS TO ZONENG YES ORDINANCE O ., YES NO Is this an expansion of the existing footprint or 'oinking heig t'� Refer to Planning r Is the property located within the flood plain? Refer to Planning I ✓ - Does the alteration include any additional ldtche� ? I --s• Refer to Planning Does the proposed alteration include any outside ent<ances other than patio doors? Refer to Piag Is the proposed use of the ,Wished space or Refer to Planning alteration for anything other than a normal single family home (office, g_rouu hor„e, day care, etc.)? ✓ THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BLZLDING ?ERti IT FILE TO yI.A.Ii/TAIN A RECORD OF THE REVIEW. PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /( o9 0//66711 `77. NATURE OF WORK i--00/02., Gtr VEL -- USE OF BUILDING ee7 PERMIT NO. / 0 , /035 DATE ISSUED 7/, (0. CONTRACTOR ,577tP7SOA/ PHONE q13. ii 1-"O NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE Ofin." PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL IOC PLUMBING HEATING (if required) .1E ifiglirMalIaraat COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 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