HomeMy WebLinkAboutFire Sprinkler Permit 14. 0785 I
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of PIN CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
en AND UTILITY CONNECTION PERMIT �y 7 ,'471
`n EIRE PROTECTION PERMIT FL.E ;v .
4.NNESO�- 1. while •File
PERMIT NO. it 5
(Please type or print and sign at bottom) Li,
/� i'/ I/ �L e JI ,
ADDRESS ZONING(office use)
-41 r)q eir�K ri it (j t" 61.Z__ au/f-- 2i t C
LEGAL DESCRIPTION(office use only)
LOT ( BLOCK ADDITION 1/( L6,m0:4,-(7
r _
�� ��--• 1����.1 PID :�✓'-, � l .
OWNER
(Name) (Phone)
(Address)
BUILDER �'�• _
(Company Name)4)(E1 r I, ' i�_ F Poi 1 C X i (Phone) �i -4p74 59 I(t '
(Contact Name) A* f/_a .. a J (Phone) (p)2 4)'1-i 7
(Address) 746() , k5f tor-tit> �tKr
aro ,Yr •L, -
'
TYPE OF WORK 0 New Construction ['Deck ❑Porch ❑Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ['Alteration ['Utility Connection
• CODE: DI.R.C. DI.B.C. 7 Misc. rr)fr )(`I i1 Kl
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R SU
PROJECT COST/VALUyE�'�$.�;�
(excluding land)
�/rµ�- ( ) /eall�
Division: 1 2 3 4 5 � ( ,
I hereb 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- entioned property,id 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
officia an revoke this. it just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ill ' c7(j77c 8-1-14
Si. Contractor's License No. Date
Permit Valuati - / R�
A Park Support Fee # $
Permit Fee $ D t' 6' yti SAC # $
Plan Check Fee $ i (C!: �fr 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 $ j
/
// .0.!
Gas Fireplace Permit Fee 1 $ TOTAL DUE $ /./--1/jJ
This Application Becomes Your Building Permit When Approved L f 1 . �\S Receipt No. I 1 C �'
r)
.dlee€ a '-'"
r Dae C , i t .. By j
Building Official ate "I "� %.,
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. Tills document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupz.ncy must be
issued
Planning 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
RNT O
PRIOR LAKE BUILDEPADINGTMEAND INF
SPECTIION
INSPECTION RECORD
SITE ADDRESS �/ T/ € *!I5
NATURE OF WORK /„r'
USE OF BUILDING
PERMIT NO. �� dPeiISSUED iI
CONTRACTOR . PHONE G/ Z . �F, '?.0Z
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
11=11111411.111111"111111WOMIMMIMIMP
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING --e ' 1S1 1
INSULATION
ELECTRICAL
PLUMBING
HEATING tom.,` -1 NS
cdoirsimowr
1111111.1111111Mirt WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
ii1.1101.11111.111111.1111111111111arr
BUILDING NL 06tAtA 1 vo L3/ 07
ELECTRICAL
PLUMBING _ 1/3(14
HEATING S�fc¢_DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGND
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections alnd
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