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HomeMy WebLinkAboutBuilding Permit 12. 0159 0 ❑❑❑❑❑❑ S 0 > N0 I Nmz-opo m m Ivo mp N ❑ ❑ ❑ Lir -4zti c m m n o xi g macPCO to o 0 0 0 r v Z N O'4 C a ° 71 73 7 73 m z i o0 n� � a rzi 0 ilarr z --1 5 to ~ o > z mm . > 0 a tttf O `' z ill.; 0111 71 rp ��mZ 0 73 XI o 0 3rn� �*3r _ Eilo X m m m if rnr-1mi3 13 n CO z v v 3: rn m O 70 COz /_ : iill Dczioo� Gzi 3 v z N Nni r ?� '� Z r z y 'b �1 0 2 • liii tq O n ` 73 CE ...6„ , NI ❑ ] CD�❑�❑ 4 + ��tT� 3p4 Ra • a � • znv 71 "t om Z 0nZnamm -� P III a r-1zz m r-a cn GI o� reio�P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3' '7 (2— ,�. ti AND UTILITY CONNECTION PERMIT U trj I. White Pile /� ~0NN6SO.C� z. Pink city PERMIT NO. // /571 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) / ?3J/ £' C6e. 4Joa' Cr. Ste; LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER /� / (Name) 1r'h/ ( e�A- (Phone) (Address) 1)73/ 4419,_.LcA ?' dr: s� BUILDER (Company Name) - 9a r,-e do AiS%✓tuar/✓,, ",,d% (Phone) (Contact Name) __Sv/��. •'��/'-% (Phone) '/P- 'PD-_5 J2f (Address) „/f?) A./44-.., drM-7,--,de.-4,/ LK1' <ss�5� A . TYPE OF WORK ❑New Constructionti ['Deck ['Porch ❑Re-Roofing ❑Re-Siding e Lower Level Finish 0 Fireplace ['Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A BPROJECT COST/VALUE $ - ©C30 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 u care thermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. IX / V 4..-......___,•.03. c7, 1 Z Signature Contractor's License No. Date r Permit Valuation 3/ 00 C)0 Park Support Fee # $ Permit Fee $ 747 75'"' SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ L,I r Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 54-. . 19 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $/3 0 7, This Application Becomes Your Building Permit When Approved Paid / 1-- Re ' t No. 652-Sz.— Date 3 et,/ Z B . Building 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,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 P R I RLAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS / 733 I fat Dc MO t-/ Cr_ NATURE OF WORK L 0 ire - LeVtZ USE OF BUILDING /0f/i -- PERMIT NO. /2- - ®/--��" DATE ISSUED ,3 - q _ /2._ CONTRACTOR _ /Z-- CONTRACTOR P 6-I &)AJ-C PHONE lel/Z - 440 . 6Z)77 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 8/5 04 INSULATION /tic ELECTRICAL PLUMBING _ HEATING (if required) tfr COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I FINALS vitarsiarissirs 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