HomeMy WebLinkAboutBuilding 07-0709
CITY OF PRIOR LAKE DUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
Date ltec! d
!'; :10/0/
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Pink
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File
City
Applicant
PERMIT NO. 07. 0
I#ZiP
!?IUPU (240~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone)
OWNER
(Name)
PIDZ,)"\ -vr~ 0) 1 ~ ()
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
A d (n.rbk,~
era..! Lv\U'"?
"311') tJ.,.,)
1>W ~
~tVl tJ, >
TYPE OF WORK 0 New Construction ODeck OPorch
OAdditIon OAlteration o Utility Conn
(Phone)
(Phone)
61j.. t.Ji) /')11
OLower Level Fimsh 0 Fireplace
CODE: OLR.C. OLB.C. o Mise. -------
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
x
ed mformatlOn on this applicatIOn whICh" to the best of my knowledge true and correct. 1 also certify that I am the owner or authomed agent tor the
Jat all construction will conform to all eXIst1l1g state and local laws and will proceed m accordance with submitted plans I am aware that the blllld1l1g
or Just cause Furthermore. I hereby agree that the City official or ~;n~160 yn the pmpeny to pert()rm needed ;71' 7
Signature Contractor's License No. Date
I hereby certity that I have him
above-mentIOned property
()fficial can revoke this p ,
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Iltnldlllg Uniclal
Date
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
.60
rhls IS to certify that the request In the above application and accompanymg documents IS 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by thL' CIty Pbnner constitutes a temporary CertIficate of ZOl11ng compliance and allows constructIOn to commence Before occupancy, a CertIficate of Occupancy must be
isslled
Planning Director
Special Conditions. if any
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Apr 23 08 07:37a Jeff Granowski/Eric Larso
952-892-0561
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /4-(,Z(P $vot.6 bOq6
TYPE OF WORK /Ze. ~~~ /M/P ~"fIOb
USE OF BUilDING ~ . L-ef .4'/A-
PERMIT NO. 07.0709 bATE ISSUED 8~30,O 1
BUILDER /-lL.-t-- U~I"?e-N PHONE If (,IZ. ~Z. 65f4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMI~~JlY SEPARATE DOCUMENT
. bJop~b lD~.,\t:1 51 P/N(i INSPECTOR
~~.e..0# whir I . 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l-f~ I I
~ lotZl.~~'.
FOR ALL INSPECTIONS (952)447-9850
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
1
1
J
rFINAL