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HomeMy WebLinkAboutBuilding Permit 12. 0946 5 O O n ODQoO V 0 > E0 Cl) § o K 0 ■ x$7100 § m § mo m xi 0 / a xi M 73 n m m X m Z O Z k 0 73 % tr qq CD Z m J®§ Q P �k 4 ■ cn n z § z ■ § o 0 z q ► z nx d § k D . mm » r O nOOOOOO o \ m m 4 mrm > mr ) E ? �� z § mx & nE ■ j cn m , kt �k � k m 0 k q 0 o z No r � § 2 - z § § 2 § m r � To p m 0 0 / 0 lb � 0 1 A 000000 | §z 73 o � � n §'0§ '0m% § ® m - 41 Z § � © n 4 m7 F @ _i - - m � i 0 0i PRI��P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 0,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT U x 4�XN — I. White File '�,- PERMIT NO. 2 Pink City Z r• 6111-4 ; Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1-7662_ -✓ -t tet c)r LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID "Sn- ItiO6 eGY3--b OWNER (Name) ,3 t t.-•• a L-. eL Cv qs ton (Phone) (Address) k'73 r,"L DAerct 4, tom+ .4t- SE 1 BUILDER � tt - (Company Name) �� C(w.tj I�-r rir rk-4- a s S (Phone) CS)-2-C1—DO`z"'L (Contact Name) C‘k AO t kt-t,S (Phone) GS 1 -7.-S'3 -002.-1_ (Address) 2-S 1 O WA S IN.,.....-1- , w 3 c.-t Ann.) , TYPE OF WORK O New Construction ODeck ❑Porch ORe-Roofing ORe-Siding ower 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 B PROJECT COST/VALUE $ 4c tda O• `7 Occupancy Group: A B E F H I M R 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 co • •n 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 st us: ermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. ��3� i4o t /� /t2- IX Signature Contractor's License No. Date Permit Valuation 4k600Park Support Fee # $ Permit Fee $ el 'L SAC # $ Plan Check Fee $ Z r Water Meter Size 5/8"; 1"; $ State Surcharge $ 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 $ TOTAL D • $ \4:- _-(c- . Thi l• ,he tion Beco t • ' •ding Permit 'en Ap -1. (4.7)oved Paid '"- �) Receipt No. 4 f( 2-4. ` Z Date S/ti L By Building Oicial late This is t, •rtifylhat the request in its above application and accompanying documen.is in ace••dance with the City Zoning Ordinance and may proceed as requested. This document when s . •-by City Planner constitutes a temporary Certificate of Zoning comp(',nee and ows construction to commence. Before occupancy,a Certificate of Occupancy must be issued �y 0 i z— 'I Plannin Direc• (�/) 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 RI RLAKE ` DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS _ I NATURE OF WORK i% u, USE OF BUILDING A-- ft-- PERMIT NO. t z 9 DATE ISSUE a Sof J- t S-3 -e9c'Z Z CONTRACTOR RK' III `"`5 PHONE NOTE: THIS IS NOT A PERMIT FOA E ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPAR INSPECTOR DATE I1011111. I I I to Backfill) � I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING �• r Cz' INSULATION /14 Q/ (-7 ELECTRICAL PLUMBING q RP ',�'��&,/ ��/Z HEATING (if required) dieM11111111" Gas COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED • I I FINALS gillaniamkto Sodding) I BUILDING 42f (28/ Co 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