HomeMy WebLinkAboutBuilding Permit #14-0043 �� PRI��' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� D'��, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� �' AND UTILITY CONNECTION PERMIT
�r ��'
`�'NES�
1. White File pERMIT NO . r M � J
2. Pink City /� /"/fLi�
3. Yellow Applicant � GG/' !�
(Please e or 'nt and si at bottom)
ADDRESS ZONING (o�t'ice use)
J�7 / 5� � S'�" S r � r L u
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) �` i +n-� � � v l : e �c� l� v� s w�, (Phone) � D � - S� 3 - `��8 �
(Address) �7 � f `� S 5 -
BUII.,DER p
(Company Name) � e . � � fJ v , � (Phone) �� � - � (Q q " � 4 �D
(Contact Name) +� � S `+tnn � (Phone) l n r � ^ � `-f q - 0� a �
(Address) � ( p �--�-�.i � ( ( ��� �
TYPE OF WORK ❑ New Cons�on ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
�Addition Alteration ❑Utility Connection
CODE•� R.C. �I.B.C. `�Misc: � � � — f'�✓'��
Type o�Constnution: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ /�� 00 .�
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 ceriify that I am the owner or authorized agent for the
above- enrioned property and that all construction will conform to all elcisting state and local laws and will proceed in acwrdance with submitted plans. I am awaze tl�at the building
offici an revoke t,�jis pemrit r just cause. Turthermore, I hereby agree that the ciry offiaal or a designee may enter upon the property to perform needed inspections.
X a� �-t 3 � --� � 3 1 /a �r �-(
Signature Contractor's License No. Date
Permit Valuation �-- Park Support Fee # $
Permit Fee $ ^l SAC # $
Plan Check Fee $ , Water Meter Size 5/8"; 1"; $
State Surcharge $ � sp 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 . -L-L �� $ �
This App ' n B mes You�Building Permit Ap oved Paid ei t NO.
� Date Z
1 /
' din Official ate
This is to certify that equ in the above �plication and accompanying docume is in ccordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the ' 1 r consfltutes a temporary Certificate of Zoning comp ance a d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
�' �
anning Date Special Conditions, if any
ce for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
DEPARTMENT OF
Bl,J�LDING AND INSPECTION
.
SITE ADDRESS � � � �. � � -� � �- ��—��
NATURE OF WORK — �-�
USE OF BUILDING
PERMIT NO. -�'"-°' � DAT I SUED f�-�
CONTRACTOR ��=z:�� � r���PHONE -z • ���.
INSTALL EROSION CONRTOL AND AINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
�Al�(Prior To Backfill)
RDER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
PTIC
FRAMING 7� � �
INSULATION � �
ELECTRICAL
PLUMBING (L_ ' ; � �-
HEATING � � �
TEST
RDER
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
� IOR TO SODDING)
BUI 'LDING ��.t_.� 2..`t- ►
ELECTRICAL
PLUIIABING �� 2Z �
' HEATING " c � - �,
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGN D
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