HomeMy WebLinkAboutBuilding 06-0472
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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
J Yellov.'
I PERMIT NO. O{o- +12- I
File
City
Applicant
{fA
ZONING (office use)
LEGAL DESCRIPTION (office use only)
~-I
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
'\2, LlL.
C(ou-hf2~/L
(Address)
(Phone) ftl( l- .- &[39 <JC{CJ ~
,
%& ?,~S'S S
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility ConnectIOn
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
2 3 4
o Misc
A
R
5
(P{)O D
(J
B
S
U
PROJECT COST /V ALUE $
(excluding land)
I hereby cert' that I have furnished In!i)Jmation on this application which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authoIlzed agent for the
cd roperty and t all co~on will conform to all eXIstIng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
ev e thIS per ~ t!:ltiS:ii,.Fllrthermore, I hereby agree that the CIty offiCIal or a deSIgnee may enter upon the propel1y to perform needed InSpectHlns. .
.' "ZO>'7otf7B tp-s --6
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 $ /4-1.//
I
':1- f1
<),
I ~;ceiPt No, iiJ?~ !
Paid
Date
ThiS IS to certify that the request in the above applicatIon and accompanYlllg documents is III accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner CllnStItutes a temporary Certificate of Zonlllg complrancc and allows Cllnstruction to commence. Before occupancy, a Certlticate 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 DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~4 \3 cevAfl.. ...uc.,Q S'r .?j-, LS.
\
TYPE OF WORK C>GC-{c::. .
USE OF BUILDING \"2-e-$ A /tL / /
PERMIT NO. O~ 1::71- DATE ISSUED ' fc:./~ /00
BUILDER \-\:~ lME'. \/'--'> ~ I ~ c;... PHONE # bf"2. &~B . =3 "S ~S-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'R
FOOTING ~
PLACE NO CONCRETE UNTIL ABOVE HAS BE N SIGNED
I I
tIJ / I
I ~l.n'b
I
FOR ALL INSPECTIONS (952) 447-9850
I FINAL
No S~l'ir