HomeMy WebLinkAboutBuilding 07-1126
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/1 t-/1
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 07. , 12.0
ADDRESS
\S
s~ frhv
C l f'rh.
11
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID 2..~. CI<j I 6 2.. Cl . 0
BLOCK
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
S5 ~~ ~ .-"- Du"1"\ r5 ,,,{.i.-LL
_ <; fE.ue' / /en / i.-r~
!2/tltAJ CXJefJ 1-/.
It
(Phone)
(Phone)
/; 5/-l(5 {P -?f 5':5'~
TYPE OF WORK 0 New Construction
OAddition OAlteraon
eck OPorch ORe-Roofing
o Utility ConnectIon
ORe-Siding
OLower Level Finish
CODE: DI.R.C. DI.B.c.
Type of Constntction:
Occupancy Group: A B
Division:
o Mise.
B
S U
IV V
I M
3 4
A
R
5
II
F
I
III
H
2
I
E
PROJECT COST IV ALUE
(excluding land)
$
~5'[)~f
o Fireplace
I hereby certify that I have furmshe
above-mentIOned property and
official can fevoke thIS per
on 0 this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or aullwllzed agent for the
structI will confllrm to all eXlStmg state and local laws and will proceed in accordance with submitted plans I am aware that the huildmg
, Fu 1crmorc, I hereby agree that the Clty nfficial or a designee may enter upon the property to perform needed mspcctlons
2D515l(1'5-
Contractor's License No.
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
#
Water Tower Fee
Builder's Deposit
Other
$
$
$
$
$
$
$
$
$
TOTAL DUE
ThIS IS to certify that the requcst m the ahove applicatHln and accompanymg documents IS m accordance With the CIty Zonmg Ordinance and may pllJceed as requested TIllS document
whl'll signed by the CIty Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Bcflll'e occupancy, a Certificate of Occupancy must be
isslIed
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-98511, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 154-77 s/EFrlN V/C.--,
TYPE OF "VORK 0 6C!K-
USE OF BUILDING /G.6S /t!fC..,
PERMIT NO. 01. (I z. (0 DA'TE ISSUED / / , Z I" 0 7
-
BUILDER ~ -J 11erJ\TUt1 PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR 7' DATE
I FOOTING I VI\{ I \ k
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
171:""
I ~ I
7.. ,~).- oi
I FINAL
FOR ALL INSPECTIONS (952) 447-9850