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HomeMy WebLinkAboutBuilding Permit 13. 1103 Suite 210 0 0 0 000000 4 0 Q in n! a 00 . 0 ■11 & 0 & o C -4 § �2 i � E § q-a ®� n n® m cif 9 p la ■ 2 0 o b ® z ■ q H ij . � tm � ~ k 73 4 A § T 1 z � � R R O000OO FA ?II \ J \ / » mrItm\ \ 1 2 3 E / k § § §¢§ m 0 CO XI - * m -, q < . \ 22xx § m § A o 2 r - nO O 73 § 0 § § § § . \ /kk 9 1 m / A N I & \ �1 k n CA k 0 0 0QOO N., 1 lh w 0 0 k��� ° m i 2 � 4 § 2 _20 Ci § -i - ■ E . 2 �� m -4 r OOOQOO U 0 > © £ OO O ■n --n-" § $ § �2 _ s � § m m n� z ■ � nn � m�c� §� � ■ a 2 g k k k Z e \ \ $ -4 m 2 § 9 m& % $ 2 q � r / � m �R R � � � ■ tm� � q \ §0O m m x o n_ 0') �k�\�B cn 2 R i q `� r nO O a / . . - 0 • m \ � � � r �� �� o � 2 R § �, \ o oOOOo / r"°m § % 2 g §�9$ » o � �m���o . � ,. 7 2 \ \ qƒ@ z m r / _ PR/0 � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd / / j ` TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AV. /3 AND UTILITY CONNECTION PERMIT r t r N E S I. White File P ERMIT NO. /3 � 10 3 s. rink clay ` 3. Yellow Applicant • (Please type or print and sign at bottom) ADDRESS 2. 10 ZONING (office use) ' { P K . t\/J otC ET f 4 l / t . 6 OITt z CZ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION pm 25.46 0 OWNER (Name) (Phone) (Address) BUILDER G (Company Nam / ' e) Otos'gne r (r n C (V r ('t/t- -TN C- (Phone) a /pi - 6-V / - O o' Vo X 5 (Contact Name) "7 V't° F'° n d I r Yom' - (Phone) 6/ "Z 7 / 2. (Address) 3 c / Fair/ow n Lh / ,r i,o c Ga ke, M IV 5 3 7-Z. TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition RI Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I II III IV V A B /q Occupancy Group: A B E F H 1 M R S U PROJECT COST/VALUE $ / 70 0. C")C' Division: 1 2 3 4 5 (excluding land) 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 . , , 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 revo v.'; • , „'t for just ,' :. Furth / , I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X '' /1 /. ' /Prd_ "; L/ _f S Contractor's License No. Date Pemmit Valuation ( O (:)...0_ _ Park Support Fee # $ Permit Fee $ l 9 r ,50 SAC # $ Plan Check Fee $ ( 2-4 , As Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 5 , _ 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 elitiZD 14.1. 1 $ 3 z _ c , c ok 6 This A , , cati ∎ . .'e ■ ∎ , : Yo� Building Permit A ved Paid 3 q b R eipt No. /d / 7 , it Date j D . 6i, �2 / 1 / Icy— to 3 I3 _ / wilding Official Date This is to certify that the in the above application and accompanying documents is ' . ace. . ce with the City Zoning Ordinance and may proceed as requested. This document when signed by . - ' • ''i . . . er • , , .tortes a temporary Certificate of Zoning complian • : , d . . , construction to commence. Before occupancy, a Certificate of Occupancy must be issued. , I 1 3 Planning Director s : - Special Conditions, if any / hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • a • • • • I • ••••• • • • • • 'Ns • • - . 9 • .40 s E.% X PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION REcORD SITE ADDRESS ( PAiL N «-(c) LLLer 4VE NATURE OF WORK ,q -..1 - Ft NI rcl Zc USE OF BUILDING t /a,.. ,4 / z 4/f? PERMIT NO. /3. 1103 DATE ISSUED c n CONTRACTOR 2�5f6.,'J C P — / ma c PHONE (,t 7. _ 5+ of --.13z 4Z INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE AMIN Prior To Backfill) 11111111=111111111111E R PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING W INSULATION ELECTRICAL 6 HEATING iimmess somnimR TEST 4111111111111MARDER Fig APP► `a4" k /,tr9-c� /2, 4 (x/ 3/3 COVER NO WORK UNTIL THE ABOVE HAS BEN SIGNED 60 11111114 I FINALS ( PRIOR TO SODDING) BUILDING /604 7 4�7 , simmensa HEATING /214- to 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 �n Po 65lw603w0321r r . - VILLA &E COMMERCE 5UILVINO 4719 PARK McouErAm PiziOR LAKE, V, N 55372 SUITE 20,5 POTENTIAL GUILD OUT APPRox. 53o 5F JSUIE } ; 4 i 'ry ttr :�� ttEri NORTNWEsrERN MUTUAL.' C$UITE210 LxPAN810N 9uITE220+t,0Uj R5F SUITEstf ( � I NORTHWESTERN MUTUAL I n 027ROF T�;\ LTIVIY ol f triklT/.R N r~ STAR WeSY \ � � is SUITE SUITE I� Y SUITE 230 I � 26O 230D FAHRENKAMP & CAMERON. C.P.A f10FSLIEN - - - SUITE 200 WEALTH SERVICES ROM 2,29195F rz PFF 3'IEVE Domf; 2OVSKl 651 -2O9-9612 SIEVE00UNTIDE.COM