HomeMy WebLinkAboutBuilding 06-0341
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / I
AND UTILITY CONNECTION PERMIT 1; 2" (0 (,
(Please
ADDRESS
f'l~ ).,
~/;"''; ~
(~, 7"
I White
Pink
3 Yellow
File
City
Applicant
\ PERMIT NO. O(Q. 034-/1
ZONING (office use)
/<1
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID,Z6: ztp1. 006.0
OWNER
(Name)
/IJ(~o~1 hvy/~~
!b676 j",
(Phone) 9 ~ 2- /:7~ -;;J fj,-&
C~ 6/'3- ~636-~OO
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
~V~ al-c.G
(Phone)
(Phone)
V
M
4
A
R
5
B
S U
ORe-Siding OLower Level Fimsh 0 Fireplace
s:;.. ",....,(1 Lv / V () t/I {"'
,
PROJECT COST IV ALUE $ ~ I ~ /JOl? .0 D
(excluding land)
TYPE OF WORK 0 New Construction DDeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectlOn
~.
CODE: ~.R.C. OLB.C.
Type of d;nstmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV
I
3
I hereby certify that I have hlrmshed mfmmatlOn lm this applicallon which IS to the best of my knowledge true and correct. 1 also certify that I am the owner or authOrized agent for the
JbDVe-mentlOned property and that all constructio will conform to all eXlstmg state and local laws and Will proceed in accordance with submitted plans I am aware that the buildmg
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Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
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 (~ZJ ~~3.0~;> $ ~tf5, Ie:,
~~ceiPt No. Zf/i/:jfl?
~~~ ~;~
This Application Becomes Your Building Permit When Approved
~:{rL~" ~e~
BUlldll1!! Official
ThiS IS to certify that the request m the above applicatlOn and accompanymg documents is 111 accordance With the City Zoning Ordinance and may proceed as requested. TillS document
when signed by the City Planner conslltutes a temporary Certificate Df Zonmg complrance ,md allows construcllon to commence. Before occupancy, a Certificate of Occupancy must be
isslIed
Special Conditions, if any
Planning Director
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 IS~~ Af'1f !'c,AIr 1t1'
TYPE OF WORK -5j IV" wl"'l1 /&.':- 'fa ~ls"i~<.
USE OF BUILDING . F-: ~
PERMIT NO.. O~. a3 4-1 DATE ISSUED '2 ~"
BUILDER mlc,NAEt.- ~~ PHONE # IZ ~ 2.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
_~~~!l!Ac.. ~.I. tlFi~Ac.,
PLACE NO CONCRETE UNTIL ABOVE H
FRAMING
DATE
I FINAL
f/l1P
I
BEEN SIGNED
7-u,-d?
/l-~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850