HomeMy WebLinkAboutBuilding 06-0429
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
OWNER
(Name)
Juh tV
(Address)
1. White File
2. Pink City
) Yellow Applicam
I PERMITNO.6t,..~
I ZONING ''''''''''1
~-I
5t-
PID
(Phone) '1'72 Lf1t7-;, }'i! q
BUll.DER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck ~orch ORe-Roofing ORe-Siding OLower Level Finash 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
. CODE: ~.R.C. OI.B.C.
Type of CoDStruction:
Occupancy Group: A B
Division:
I
E
B
S U
PROJECT COST IV ALUE S
(excluding land)
n
F
1
m IV V A
HIM R
2 3 4 5
3"(j() C5L-
I hereby cmify that I have furnished information on this application which is to the best of my knowledge true and COI1'ect. I also certify that I am the awnlor or authorized agent for the
abovc:-mentJoned property and that all consuuction will conform to all existing state and local laws and will proceed in accordance: with submitted plans. I am aware that the buUcling
oftkiaJ c reva e this permit for just cause. Fu ermore, I hereby agree that the city oftlcial or a designee may enter upon the property to perform needed mspcctions.
x
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
our Building Permit When Approved
S-2.4,;b
Dale
Contractor's License No.
Date
Park Support Fee # S
SAC # S
Water Meter Size S/S"; I"; S
Pressure Reducer S
SewerlWater Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE S 4/ ?r
ThIS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requL'Stcd. This document
when signed by the City Planner constitutes a temporaIy Certificate of Zoning compliance: and aUows construction to commence. Before occupancy, a C."l1iflcatc of Occupancy must be
issued
Planning Director
Date Special Conditions. if any
24 hour notice for all Inspections (9!i2) 447-98!iO. fax (9!i2) 447424!i
16200 Eagle Creek Avenue Prior Lake. MN 55372
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /7 (~1- w;/J t-,~~s.t r".,
r
TYPE OF WORK S~t"1!"".s 6'lA.. i.1C", ~MA.C; ~,c..~
USE OF BUILDING $. r=; O. t; I
PERMIT NO. b~'- ~z.-1 DATE ISSUED Sf (0("
BUILDER OW'''IC__ PHONE # 44 7- 338-1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I' ~G I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ r I I
FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850