HomeMy WebLinkAboutBuilding Permit 12. 1400 s
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oopt.fPRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /
r4 `AND UTILITY CONNECTION PERMIT /- Z7 /2-
40,NBSolI. White File
Pink City PERMIT NO./Z. /1-00
(Please type or print and sign at bottom) yellow Applicant
ADDRESS ZONING(office use)
I �I �Io�1 ihPL N1� Pnr Lkr 3,S37z.,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)
OWNER 2 A 13)L3 (Phone) b12 -3E2 -6 ZZ 1
�!
(Address) 1 (P 04 \ T+- nkms ‘Qt.,Rl . ‘Qt., 1�+ ) Pni Y -a- _\ fl1{Q 3-Z
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction DDeck ❑Porch [Me-Roofing [Me-SidingLower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: DI.R.C. DI.B.C. 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
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 construct 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 ke this, r a,for ,• cause. Fut. rmore,I hereby agree that the city official or a designee may enter upon the property to perform needed i spections
x 0... 'i��a r4.1 1
iv Si: .•. a Contractor's License No. i
Permit Valuation - 00 0 a 00 Park Support Fee # $
Permit Fee $ Z. as SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ /, C7 U Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 3-4
157 ^�Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Jr
Gas Fireplace Permit Fee $ TOTAL DUE $ /7 75
This Application Be! Your Building Permit When Approved Paid Rec:(�'.No. .
I
t`Z7 I/ Date it, �-7 /� Bey I
I g
1 ,(
Buil �Rfti�tial Date
This is to certify that t •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 /&O4/ 7H/Wr.q PL.
NATURE OF WORK 19 L 5'L L8Y671
USE OF BUILDIN
PERMIT NO. I ATE ISSUED • Z • 2.
CONTRACTOR PHONE G/2.. 3 2.. 221
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
- I I
)
LACE NO CONC E UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
AMING d2 �/�/�
INSULATION /
3-6
ELECTRICAL
PLUMBING 11i`5ual. 638 3
HEATING (if required) FR c
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
: r DING
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