HomeMy WebLinkAboutBuilding 07-0838
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f. +. 07
File
City
Applicant
I PERMIT NO. 07. OB38 I
1 White
Pink
Yellow
(Please
ADDRESS
",%,
C}
ZONING (office use)
~I
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID z,~, cf'S-4-. 0/(,.0
BLOCK
OWNER
(N ame)
DOUI
/77
g,..o Lc..J~
(Phone) ~/2. 9~P 3~~?
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIon
OReS";" I ~ow:";] (;;'htJ/O ~;:'P~2I> oJ ~ ,,1 """"
PROJECT COST IV ALUE $ ~r6?P ~ :1
(excluding land) I
I
CODE: ~.R.C. DI.B.C. o Mise.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: ~ 2 3 4 5
I hereby certify that I have furnIshed mformatlOn on thIS applicawlIl which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or autlHlnzed agent fm the
JbovC-mcntlOncd pro Try and that all CllnstructlOn will conform to all existmg state and local laws and \vill proceed in accordance with submItted plans_ I am aware that the buildmg
()ftiClal can revoke 1- permit fo 1st cause Flllthclmmc I heleby aglee that the City l,tfiClal or a deSignee m(lY enter upon the plOpCl1y to pet tmm needed InSpCCtHlI1S
X _ 9/4/tJ7
Contractor's LIcense No ~e
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ ,00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8", I",
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
$
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
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r
::j.P . () L
?/V/07
{ ( Date
lllllldll1g UIJiClal
ThiS IS to certIfy that the request III the above applicatIOn and accompanYlllg documents IS III accordance WIth the CIty Zoning Ordinance and may pn>ceed as requested. TIllS document
when signed by the City Planner CllllStItutes a tempurary Certificate ot Zonlllg compliance and allows constructltlI1 to commence. Before occupancy, a Certificate of Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
'"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /7785 ae;19~ 7l::A/L-
TYPE OF WORK /2 J(' Ib 51-
USE OF BUILDING tees ,4-//L-
PERMIT NO. 07. 063B I DATE ISSUED ? -f'. ~ 7
BUILDER B~()WtV PHONE # fJ,12... 9(,8. 3z..(P 7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPE<?TOR '/ DATE
I FOOTING I lIW I <q~i&"ll7
PLACE NO CONCRETE UNTIL ABOVE H~ BEEN SIGNEp
I FRAMING I f/V~ I 3- 2,rv(} 7
I FINAL
1/0.// I - j/l'D;O) I
FOR ALL INSPECTIONS (952) 447-9850