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HomeMy WebLinkAboutBuilding Permit 15. 1394 c n OOOCOc = 0 > E n n a © o K . E 73 Cf) 1r1 z m � 4 CO m o C:5 r mm 40 m § � §§ § � 2� gal t.4 0 § - m Z0 0 z° c ■ � A -n 0 z 0 § z -4 Z !» m X % 0 r z r � . x % k oo 4PHIz 000000 47 m § m m IF° m13Cotmr 2 _ Cl) oQ2mo & n co ? 2 � � ■ ■ ■ ■ m o , n § 2 nl 2 q > 000 6) z m CI 0 1111 rin § o _ D § z \ Z K 17 § § m z R m r o x 0 m § 20 X) li K • ❑ 00000 - at / / km . � § § m 0< -0 -o -0 � � mm %� � § ch xi xi r z m -4r o 04. A.of PR/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd t• TEMPORARY CERTIFICATE OF ZONING COMPLIANCEill 03. ( s--- AND UTILITY CONNECTION PERMIT 44x250'0* I. White File 2. Pink City PERMIT NO. /5/3?4 3 Yellow Applicant (Please type or print and sign at bottom) ADD Bei(mo ZONING(office use) n (4..irie____ RI LEGAL DESCRIPTION(office use only) f LOT '7BLOCK3 ADDITION a6,16r2O4 L` PID Z5 0//-622 o OWNERtp ` r ,�/ ¢ ( ?CXJ'Q lie ;. 1► 1 vl t e, L ` t �I 15— (Phone) (Name) t2 (Address) BUILDE ..5.A.)(--, 101(+- dc/c t-/34S R (Company Name) )irç IPhon ` (Contact ) ` (Phone) (Address)i;tc� E TYPE OF WORK 0 New Construction ['Deck ❑Porch ORe-Roofing ['Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection /�A�� /- €�L ct CODE: DI.R.C. ❑I.B.C. ❑Mi 1 i Y` Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU r411010 . (excluding land) Division: 1 2 3 4 5 ? *i F, 3W'J 614 ' I hereby cc�u fy that I have furnished information on this application which is to the best of my knowledge tt and correct, I also certify that I am the owner or au honed agent fo he above- toned property th. allcons uction will conform to all existing state and local laws and w' proceed in accordance with submitted pla s. 1 am a arc that the bu ding o tci 1 c yoke this. //c j caul' urthermore,I hereby agree that the cityofficial ora esi may e3717 pew to perfo d .echt �� op) 11 Si; ature Con actor's License No. Date Permit Valuation Support Fee # $ Permit Fee $ 71-- 7.5— SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ / 6-7.) Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ J7) J. Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 7) TOTAL DUE $ This A tion Becomes Your Building Permit When Approved Paid 7• �C._ Receipt NO��. %7� c.�a�" Date 1 E=2-�'- .l S By j'/ Building Official Dpfe 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 4646 Dakota Street Prior Lake,MN 55372 PRIOR RNT O BUILDEPADINGTMEAND INF SPECTION INSPECTION RECORD SITE ADDRESS /6 03 fferreAVe. NATURE OF WORK OW PERMIT NO LDINX51 USE OF ia fa SUED 1,. /fir. CONTRACTOR PHONE / INSTALL EROSION CONRTOL AND MAI TAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 8?I 11,111V INSULATION ELECTRICAL PLUMBING HEATING FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED 44111111.." 111111.1 FINALS BUILDING '?fiZ1 ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL Ag-VE 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