HomeMy WebLinkAboutBuilding 06-1008
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/ I. O(P. 0'
1 White
Pink
Yellow
I PERMIT NO.
File
City
Aprlicant
(;.!008
ZONING (office use)
SE, Prior Lake, MN 55372
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Paul R. Engwall
(Phone) 952/447-1446
17242 Deerfie1d Drive SE, Prior Lake, MN 55372
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
.f ~Y\1 E.
$4--Mf?-
(Phone)
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing ORe-Siding ~ ower Level FinIsh 0 Fireplace
DAdditlOn DAlteration DUtility ConnectIon r
CODE:~.R.C. DI.B.c. o Misc.
Type of 0 stmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: ) 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished mformation on this applicatlOll which is to the best of my knowledge true and COITect. 1 also certIfy that I am the owner Of autllOrIZed agent for the
Jbnvc-mentloned property and that all constructiun will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans_ I am aware that the huildmg
offlnal can revoKe 1111\ pelmlt tor Just cause FlllthelmOle, I heleby aglee that the CIty offinal ()J a deSIgnee may enter upon the plOpelty to pedorm needed Inspections
X .pMt-f /l., C~ ~~tt.U. 11/6/06
Stgnature Contractor's LIcense No Date
Permit Valuation -f/d()tX1, ()f)
Permit Fee $ h 2., 2S
Plan Check Fee $ ~ - ~
State Surcharge $ /,00
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~)l1i~ /~{,~~
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; )", $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThIS IS to eertlty that the request In the above applicatllln and accompanYll1g documents IS Il1 accordance WIth the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner CDnSlItutes a temporary Certificate of Zonll1g compliance and allows ClmstruClIon to commence Befme occupancy, ,1 CertIficate of Occupancy must be
isslled
Planning Direclor
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
De./ile
DEPARTMENT OF
BUILDING AND INSPECTION
12 ~ ~ ~ ·
SITE ADDRESS Z ~ fIW~1!:LD
NATURE OF WORK L. ,-. Ec'fJ1 11
USE OF BUILDING ~ ~ A ·
PERMIT NO. ~ It,O f! DATE ISSUED II /<-~
CONTRACTOR g_ €A1~"'I4" PHONE p tr.'7- JII'It.
NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
S.6.
-
"INSPECTOR
. DATE
:.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,'"J". ,
,"
FRAMING
1NSULATION
ELECTRICAL
1{-J..-1~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
] _ J
FINALS
~~ - -
'~~~
BUILDING
ELECTRICAL
(-0Vf
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