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HomeMy WebLinkAboutBuilding Permit 12. 1196 z 1N aL E LL Z W U Q Z U z 3 . � a.5 g J a c 02 WW c 0 W �OCZWQ a Z Er 4 ----- W ULL LLC9 W p 1 ❑ ❑ ❑ ❑ ❑ ❑ > a 0 ` ` . W = ce `\ \ LL. N O - W z W O a. a. Z 0 0 t 0 LI: a Y O Y O LL J 0 0 0 a a 000.1 P c W S ° _ \ Z c z_xxz? 33 0 y U 0 w maaam W O 0 CO 0 d �0 n0 w W z x cO a 25 cn a 2 U U W a Z I a. a c+ e) x >: z J a ce co 0.4 W W ^ I V Z Y 0 w Y U z a OH a m P F- N U 0 t-- OI O = O O W F— Q oC = H U- a Z < U U W a. J u. r- co a w O� aaDQW O p p a- U - } O W a W Z OOa 0- 0 O u_ u. LL=L.co 0 3 0 0 a vi N ❑ ❑ 5 6 ? a 0 a ❑ ❑D ❑ 0 of PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /a_ ,0 /2— .. AND UTILITY CONNECTION PERMIT ci "tjNNESolr I While File 2 Pink City PERMIT NO / 2 1/ � } J py J 3 Yellow Applicant i 9 IV (Please type or print and sign at bottom) ADDRESS ZONING (office use) q S— Ai k � -', Cl w A o Ll LEGAL DESCRIPTION (office use only) p ID i v.S a c LOT U i(BLOCK cr A ADDITION ) .ac,t:cil1 ten kc txar-, PID J() 0 OWNER C1 l 4Q'( , t ' ( (Name) Ct � - t'`I � ^w; LA-1z_ (Phone 95 t (Address) L)(c t-* oc, kp4_ C-‘ . 6 F . 1 BUILDER (Company Name) CA j Qtf .ter L - A LL (Phone) 9C2 - W 7 • 'e 'Q (Contact Name) Se -e tS-,- (Phone) -CZ - y6V -6P (Address) 1 40 - 43 AII,e.I, -,,, S C TYPE OF WORK [ ew Construction ❑Deck ❑Porch ❑Re- Roofing ORe- Siding ❑Lower Level Finish ❑ Fireplace 10Addition ❑Alteration ❑Utility Connection CODE: DI.R.C. DI.B.C. 0 Misc. Type of Construction: I II HI IV V AB PROJECT COST /VALUE $ /O,S 00e7 . Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. f also certify that 1 am the owner or authorized agent for the above- mentioned propel. • . 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 revo b - s per- for just cause. Fur tIIll]LC,, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X , IC1lia // 'Z Signature Contractor's License No. Date Permit Valuation ©� 00e- Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; I"; $ 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 DUE $ / This ica "on ome s our Building Permit When • , pro - d Paid Receipt No. Date By Buildine Official ate 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 .■ AL . PIa ng 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 Z�- 4:.� -i Ii1. L.) • NATURE OF WORK 2 e> 4 PA,ZK- r Tea USE OF BUILDING I PERMIT NO. DATE ISSUED k 0 /c, 11 CONTRACTOR r- Piz to tz_ s PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT NSPECT R DATE FOOTING ��01( /AIIIIm • 41.01111111111.004 (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ` TER /SEPTIC q/ j FRAMING //fl1 ELECTRICAL RIMMISING - -(if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS GRADING (Prior to Sodding) BUILDING /73 4 7 /I ELECTRICAL 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