HomeMy WebLinkAboutBuilding Permit 14. 0780 CA
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OF TEMPORARY
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
CERTIFICATE OF ZONING COMPLIANCE % .4. 4—
.„
AND UTILITY CONNECTION PERMIT
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4PiNNES011% I. while File. Pink City PERMIT NO. /4- 7g)
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESSZONING(office use)
S {P
Li6 SLESA/07 src—• ((5 CA r&—. M
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address) Q
(Co DER i _.-0-01 Chi_ T( (- cT'� ``� (Phone) f CZ.`3 ' r 2,ggss
(Company Name) S �-�`-' "-
(Contact Name) CDIT l J `f EZ'> (Phone)
(Address) l 722:29( 00---49-4) CA 1as ‘b,2.. ._
TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
['Addition ['Alteration ['Utility Connection I /
CODE: I.R.C. ❑I.B.C. 0 Misc. 5I77 //,/ c
)I C 24o"l � Jff�� � � f
.C.
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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 prop•-ry 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 t mit for Just c s Furthermore,I hereby agree that the city official designee enter o��e property to perform needed inspections.
X ..' j�—
7/414/
Signa Contractor's License No. O
Permit Val ation //' 00.00 Park Support Fee # $
Permit Fee $ 3 1 S' SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ , f'u 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 $ -.6- i, 5 v TOTAL DUE $ El, 75
This Application Becomes Your Building Permit When Approved Paid 9 7 I ceipt No.7r 6 t/
Date . tj1- l
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
. •
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS *55 'tgaSAAIT ST•
NATURE OF WORKlt
a ,., API3 '%
USE OF BUILDI "�
PERMIT NO. ' t"--ri DATE ISSUED
CONTRACTOR 0 L PHONE
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
1=imimi91111111.1111111111111111111.16
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
WINNINIS
HEATING
FIREPLACE
GAS LINE AIR TEST
101.11111111111111111111
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
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