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HomeMy WebLinkAboutBuilding Permit 11. 1161 0.) S ❑ ❑ ❑ 0 000000 U 0 > Ec) m 0 0 0 0 omEm0OO 0 2 0 m b r o P3 X 0 3 mPc3z m M N Om r m m 5 z Z �o r - n i > Z m 0 -�� zO -i -1 m t0 o > m N Z z ` O co INIIN O C z n x Z -+ m m ol 0 n z G ;: r o _ m "0 '9 • m o O 000000 - m m mm i II CA �7 X m m m m r Dm r C r O . -I m o o s 3 ms m 0 N .� , z g v m Tmx x w m 0 Vl o zi a Q m - C) 2 .c- _= G1 3 X hi 0 o l rmoo m 4 P c -� o z z z r >cc hi 0 Z w o m Q N T A x = m i n 0 ❑ ❑ ❑ ❑❑ D z � m m 3� - 4 _ 0 � r v ro ro y M m,����r -4 ` - Nz " z m PRi o� - o CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd t t, / U TEMPORARY CERTIFICATE OF ZONING COMPLIANCE B / AND UTILITY CONNECTION PERMIT /O. / 6. 8 d 4- ':?- :Y Arry Es° _____,./1 lei/3W_ 1. white File PERMIT NO . )) _,./� 2. Peek City G 1 l l W 3. Yellow Applicant , (Please type or print and sign at bottom) ADDRESS ZONING (office use) 13 © j 5 s*._ . s.,E -Pr 1 Lo-Ke- MM RISP LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PIDZI". 117. 04 b OWNER `j (Name) /C e pit tz- Per t- ice_ -/ e 4 e r 5 za r', (Phone) (Address) G. ./,3 o/ U 6-. S L J )r ; e> 4 et IC'' ,0Ai BUILDER n� (Company Name) .' v ( ,a.- A n tic, _to( 1 6 u ; l et e r s - � ►'c , (Phone) 9 c= - c7/2 -- c 7 S' (Contact Name) ; ' € r-n i e M — A a 1,... a. id (Phone) G / - — 3 C.9.53 iii (Address) 7 $ 77 /Sp 74- 64. Gtr. / Se, vQ _ / x) TYPE OF WORK jj New Construction ❑Deck ['Porch ❑Re- Roofing DRe-Siding ❑Lower Level Finish ❑ Fireplace DAddition DAlteration DUtility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: 6A l✓ Type of Construction: I II III 1V V AB ' Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $" 94 4 G o. Division: 1 2 3 4 5 (excluding land) I hereby ce , , that I ha - • wished inform. don on this a • .lication which is to the best of .. ... o ledge true and correct. I also certify that I am the owner or authorized agent for the above -m • *ned ...e and . i . . ction . nform to all existing star • ocal laws and will proceed in accordance with submitted plans. I am aware that the building official trey• e . e i f e. re I hereby agree that cial or a v may enter upon the property to perform needed inspections. fr ' ■/111 -'. gna e s Contractor's License No. s Date Permit Valuation Permit Fee $ 5 co Plan Check Fee $ 3( 01 . State Surcharge $ t 1 Penalty $ Connection Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ rl 4_ So Deposit Sewer & Water Permit Fee $ Other Gas Fireplace Permit Fee $ TOTAL DlUE , / /, _ INVADirii This Applica .. n Beco •.:. Yo . : uilding Permit When Appro ed Paid i � " Recei it, No. , �3'//� f / / A Date B Mme/ A AI 4.!'� le Z ti Bui ding i fficial 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. tij /1 0 / Pl.. ..::Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • • PRIOR LAKE !BU D AND INSPECTION INSPECTION RECORD SITE ADDRESS (;; s NATURE OF WORKc- USE OF BUILDING /rz- PERMIT NO. ( DATE ISSUED t L', r t CONTRACTOR rtA � �- c .z� I . PHONE z: :rf- c" / NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING , - : /I 1 �t /1 1 I FOUNDATION (Prior to Backfill) E 17r /4 /, PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 4TC,- P 12 2? / INSULATION ELECTRICAL HEATING (if required) VB 427/ i? einenik GAS LINE AIR TEST A.. 7 P4 r /„///, COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS GRADING (Prior to Sodding) 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