HomeMy WebLinkAboutBuilding 05-1050
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
'+
Date Rec' d
Cj.zzo5'
1 White
Pink
3 Yellow
File
City
Applicant
PERMIT NO. 05"./05"0
ZONING (office use)
~3
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZ5.001.07..3.0
OWNER
(Name)
(Address)
(Phone)
r;/;J,70/-7583
.,
4~J (),
. J' ~
BUILDER Il. ~. ./ ~~ .
(Comp'ny NameL C(~ ~.::: VY,. ~5
(ContactName)~- -(..~-----~-
(Address)
(Phone)
(Phone)
"'
9~':) - 8}(/- :S toJ D
~I J. -85 9- 71~t:/
TYPE OF WORK
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group:
Division:
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
A
B
ORe-Siding OLower Level Fimsh 0 Fireplace
B
S V
PROJECT COST/VALVE $ 1~1a>(?~ .:;::::::.
(excluding land)
o New Construction ODeck OPorch ORe-Roofing
OAddition ftAlteration OUtility ConnectIOn
o Misc.
Permit Valuation /0.(1'1') 00
Permit Fee $ , /q{ 50
Plan Check Fee $ (J..t{ t.(~
State Surcharge $ S C)()
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
mes Your Building Permit When Approved
IO-(c/---cK'
Date
~9 0 ~ 668 f;;n7...
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
q~
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
5038<;
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE ~
Paid
Date
ThIS IS to certIfy that the request in the above application and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIs document
when signed by the City Planner constitutes a temporary Certificate of Zomng compliance and allows construction to commence. Before occupancy, a CertifiCate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
'"
PRIOR LAKE
INSPECTION
RE ORD
SITE ADDRESS 'IJ.
TYPE OF WORK ~ -, '"
USE OF BUILDING Co.......,,.c.,.. ,
PERMIT NO. 05. /05"""0 DATE ISSUED /(), ~9. oJ
BUILDER ~ c!MJ" (l~:IJ .,,..~ PHONE # nr- Sf,IO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I FINAL I fl4l-1 I 1. f tJ~
,
.-
FOR ALL INSPECTIONS (952) 447-9850