HomeMy WebLinkAboutBuilding 04-1081
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
10, IB, 01-
(Please
ADDRESS
3(,15
/3,4.JJWOOO
LEGAL DESCRIPTION (office use only)
fY I/.,,; L- 0 eN .f
ADDITION
OWNER
(Name)
:SI II
b <"- .s {Ii
(Address)
I White
Pink
3 Yellow
File
City
Applicant
PERMIT NO. 04-, (0 9 I
Url-
ZONING (office use)
~/
(pm-
PID 2 s: Z-+$. ()tfk)
(Phooel7 S~ '/'/7 -7 NY
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-R~ng
OAddition o Alteration OUtility Connection 'fJ Misc.
/,O'J<' /6 ..
CODE: KfI.R.C. DI.B.C.
Type o(C-;;nstmction: I
Occupancy Group: A B E
Division:
II
F
1
III
H
2
A
R
5
IV
I
3
V
M
4
B
S U
ORe-Siding OLower Level Finish 0 Fireplace
~f)~ .J77u/ew~
PROJECT COST IV ALUE $
(excluding land)
I I heleby certlly that I have hlrmshed mfOlmatlOn on thIs apphcal10n whIch IS to the best ot my knowledge true and correct I also celtIty that I am the owner III authOrized agent for the
I above-menl1oned ,~VJel ry and that all constluctlOn WIll conform to all eXlstmg state and local laws and WIll plOceed In accordance WIth submllled plans I am aware that the bUlldmg
I i\ ~" ;::"'~ ,,," "". r"rt'" =". , ',crb, '"" "" ", "" "ffi,,,' oc , d'''"," =, "FF' """ ", """"', ,,, p" 'ocm "'j ;"'~ f70
~ Stgnature Contractor's Ltcense No Da e
Permit Valuation -2. ,rt70 . -"
Permit Fee $ , 7~?r
Plan Check Fee $ -~
~ -
State Surcharge $ ,/, .z..s
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
~~~~-
Buildl11!.! Otlicial
/"/-u;/~
' Datt-
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 ~~rtj 10 -1/J ,04- $ 7c c;..u
i#.
I ~;C8tNo~9mJ
Paid
Date
/l~~~ ,
J O-CJ 1- L(
ThIS IS to certify that the request In the above apphcatlon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg comphance and allows construction to commence. Before occupancy, a Cerl1licate 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
4646 Dakota Street S.E.
Prior Lake, MN 55372-1714
April 10,2008
Jill Boeser or Current Resident
3675 Basswood Cir.
Prior Lake MN 55372
Final Notice
RE: Building Permit Number 04-1081
In review of the building permit files it was discovered there is an open building permit for a shed at this
property. The City would like your cooperation to provide access for a final inspection. Please call for an
inspection by April 17, 2008.
To schedule an inspection time, call (952) 447-9850. If you have any questions feel free to call between 8:00
a.m. and 4:30 p.m. Monday through Friday at (952) 447-9852
Sin;1felY ~
I Ii) (1/-
Michael Peterson
Building Inspector
www.cityofpriorlake.com
Phone 952.447.9800 / Fax 952.447.4245
..,
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ..?c: 7S-~.~c.u..J C;.,.
TYPE OF WORK /iJ'x.&-;. 'H--~"'Y H9-
USE OF BUILDING
PERMIT NO. 1 &.fO~ DATE ISSUED /0. .).C. 04- .""~
BUILDER jp~ __.~__er PHONE# s"~7-r/S,..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
, 1.- - I I 1 .s ,.,t.e .;z.;tS /jJ_ I I I
- PLACE NO CONCREtE UNTIL ABOVE HAS BEEN SIGNED
- I II
I FINAL I I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
"