HomeMy WebLinkAboutBuilding Permit 13. 1253 O Ja N
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oR 10� CITY OF PRIOR LAKE BUILDING PERMIT,
Date Rec'd
A.,/71 \.,-.
, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE _ 13
t, / ._, ILITY CONNECTION PERMIT if-
AtAii S°
' _�l .j AND UT
1wlnte File
2 Fink City PERMIT NO. 13. /25:3
3 Yellow Applicant
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS .
LEGAL9-:7 el •.1--1-it-fru.le—gt.ft r Frt •
p u 15
/ ` S DESCRIPTION(office use only) ,�j Li
4i-
l� BLOCK I ADDITION i ti t\A 1 `� w Oe" ID .77 l7(/ l
�'/- O ' -6
OWNS/V...,4 J 1 I¼ \1'
\M.4-4134,`- (Phone) q S dl- D 37 3 C-(
(Address) '2-7-1 v j k- Rtzgy)2d2 .
BUILDER Nis.
(Company Name) I " /A (Phone)
(Contact Name) 12_ 9--`\ 1jV&7 1 (Phone)
(Address)
TYPE OF WORK 0 New Construction ['Deck IgiForch ORe-Roofing ['Re-Siding ❑Lower Level Finish 0 Fireplace
Addition ['Alteration ['Utility Connection
CODE:"LR.C. I.B.C. ['Misc:
Type of Construction: I II HI IT (j) A � , 'Z• le_
Occupancy Group: ABE F H (CC M R SU PROJECT COST/VALUE $
Division: C ✓ 2 3 4 5 (excluding land)
I hereby certify that I have furmshed mformation 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-men'oned property and that all constnicti n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am mare that the building
official revoke this permit fo Iust ause. Fu Prmore,I hereby agree that the my of&c or a designee may enter upon the property to perform needed' Ip
X
SignatureContractor's License No. Date
Permit Valuation 6 - Park Support Fee # $
Permit Fee $ — SAC
1 32_.��
Plan Check Fee $ `3 Water Meter Size 5/8"; 1"; $
State Surcharge $ 3 - 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'/-)&-t.&2) 11 7./? $ 2 Z 6 3
Ibis App , iii, .„ s Your Building Permit oved Paid (..;1_4-(. (c.� I Receipt No. -,r `!c
/ 4 P' fj' Date I (/ 1 ( 1 By tk (, )
t
Buildin• Official '.. Date
document is in ac ordance with the City Zoning Ordinance and may proceed as requested. This document
whenhis signedto ebfy at the .est in the above application and accompanyingtooa Certificate of Occupancy must be
b �� Ciry.' ,ner c�, mutes a temporary Cemficate of Zoning comph ce an allows construction to commence. Before occupancy,
issued. ,�/
r :1��_ (/ / .
r
DEPARNOF
PRIOR LAKE BUILDINGTMEANDT INSPECTION
INSPECTION FZECORD
SITE ADDRESS '776(.6 y4utK ‘0c65.-
C2()
NATURE OF WORK 1
USE OF BUILDING
PERMIT NO. • Ia. ( 3 DATE ISSUED VS— (3
CONTRACTOR MN WAR-Sc, PHONE ".52_- a - a 7 7
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPE TOR DTE
FOOTING 0/(,- /(//
for To Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
) ),IJ
CATION
ELECTRICAL
/.�,ate►
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
BUILDING -41D1 - l ,, l
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