HomeMy WebLinkAboutBuilding 06-0371
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
5/1 '/v(o
I PERMIT NO. 0' - 037' I
File
City
Applicanl
/6~ /7
[)(^-~~ Au {; S E
SD
LEGAL DESCRIPTION (office use only)
ZONING (office usc)
LOT
ADDITION
o
BLOCK
t
PID 25. ()
OWNER
(N ame)
~(}..J-'\ T~\'\\u~
(Address)
(Phone)
'J:; 2. 2-26 - ~ '6'/: 7
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility ConnectIOn
CODE: ~I.R.C. DI.B.c. g Mise.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
-p~,-
PROJECT COST IV ALUE $
(excluding land)
g'Qu
I hereby certify that I have hlrnlshed InttlrmatlOn on this application whIch IS to the best of my knowledge true and COlTect. I also certify that I am the owner or authOrIzed agent for the
above-mentIOned property and 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
"ftiClal can revoke this permil for Just cause FUI~ I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed InspectIOns
x
p.j~
Signature
Contractor's License No.
I~
Permit Valuation 1'11800,00
Permit Fee $ 3'4.75
Plan Check Fee $ 2:2.. h'et
State Surcharge $ .5'"0
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
~ ~ C;;!,,/OCo
l3uildlll!! Oftlcial Date
:::; , /I ~ D{,
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 57.34/
I Paid* ?l:~
Date II I.
I ~~'eiPt NO;:' 2-"17
ThiS 1$ 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 TIllS document
when signed by the City Planner Cllnstttutes a temporary Certificate of ZOnIng complIance and allows constructIOn to commence. Before occupancy. a Cerl1ficate 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
RECORD
SITE ADDRESS J" 5'7 DUTcH AVE:. S'.e.
TYPE OF WORK 5 t X 3,' f.)e1l<;'~ L.~
USE OF BUILDING ~ F~ D I
PERMIT NO. /)ft, - (J '3 71 DATE ISSUED 5/" / () G,
. ,
BUILDER Dp....v/() If" l>P, ~E~..~ PHONE !1f')...ZZ6,-S-1S-7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
'NSPECTOR ~AT'l
I FOOTING J 4?j!! I ~/? /~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING ~e-@ ~<-- I I
J
J
f
( FINAL
I- t/
. I ~? I ~A ~6
Call between 8:00 and 9:00 A.M. for all inspections' .
FOR ALL INSPECTIONS (952) 447-9850