HomeMy WebLinkAboutBuilding Permit 11. 0203 J
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OF PRION, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
f; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
0`1'‘O 1 t
4"'NNESolP I. White File y
2. Pink FCityile I PERMIT NO. l I _ Z a 3 1
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
ZONING(office use)
/'//-39/ kidave L. ,t,./.GJ
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER /'L / C / Qpp
(Name) DGILS °�/de.0 ie.-i.e. -ke t-4 (Phone) �6 — l O/°
(Address)
BUILDER
(Company Name) ..�✓rr��
'e l
(Phone)
(Contact Name)
(Phone)
(Address)
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofin
❑Addition g ❑Re-Siding ower Level Finish ❑Fireplace
❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II HI 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 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,fir t for jt use. Fu er ore, reby agree that the city official or a designee may enter upon the property to perform needed inspections.
,...../7"-...2..,,' ' y-mo i
Signature Contractor's License No.
Date
Permit Valuation Park Support Fee # $
.,. Permit Fee $ /4% 7' SAC # $
Plan Check Fee $ ��/ Water Meter Size 5/8"; 1"; $
State Surcharge $
J-,00 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ .531.5-0 Water Tower Fee ## $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ 5-9�v TOTAL DUE $ d
Ali .. I / � UU , 7S�
' ''n B j our Building Pernut When Approved Paid ( e L Recut NO. 6 Z 0
Date 01/fit/Ll By CC
yf Ir
Buildial 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
PRIOR LAKE
DEP
ART
MENT
OF
BUILDING AND
INSPECTION
INSPECTION R
SITE ADDRESS /(137/ ( CA -
NATURE OF WORK L-.L. l;ice+sit
USE OF BUILDING S P p
PERMIT NO. 11 -.207 DATE ISSUED 4//1 / / I
CONTRACTOR PHO gra_ yc& -9880
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
F I I I
I pimp T504-mri o B c iII)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING /(7,pt. 5/5///
INSULATION
ELECTRICAL L
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST Ngo
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
odding)
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