HomeMy WebLinkAboutBuilding 08-0132
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CITY OF PRIOR LA.KE RUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
D!lt~ R~~' d
3. Z8.08
1 White
Pink
Yellow
I PERMIT NO. ()8. 0/32-1
File
City
Applicant
ZONING (office use)
ICI
/72& l
/OIeoN77J AV6NUt:;:...-
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 7 ADDITION ~'\JOOOteA06,6 ~~'1E.5 2/V'D /tDO;...!.
PID 25~ Zqcf--. 055-. 0
OWNER
(Name)
:D8h Va4/
;l ~ro~7b
"//ve.
(Address)
(Phone)
9 S~ ..
$19'0 - 3"1771
I
SE.
BUILDER
(Company Name)
~~ ~~ELJ:NG-'
(Contact Name) BP-'--{A+-( ~tz....TK.
(Address) tLf1 ~)Cr7\N"r f\:1Ir- W
1-o~W:Uc
(Phone) E>S/-4 rb-J7Z?'
(Phone) bId- -8:10 '-07 ~
M &.f;.ll>
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration o Utility ConnectIon
CODE: DI.R.C. DI.B.C. 9tMiSC /11I5771'-'- (Z) tVIAfDDW.5
Type of Construction: 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: 1 2 3 4 5
I hereby certity that I have tl1fmshed mformatioo 00 this application which IS to the best of my knowledge true and correct I also certify that I (1m the owner or authof!zed agent for the
abllve-mentlllned pwpcrty and that all Cllnstructlon will conflJrm to all eXlstlng state and local laws and will proceed in accordance with submitted plans I am aware that the build1l1g
nfflci.. revoke tlus permIt for Just ca c Furthermore. I hereby agree that the CIty official or a designee may enter upon the property to perform needed lOspectlons
X '? Z-tJ, () i
.....~
Permit Valuation SOO.oO
Permit Fee $ 25.00
Plan Check Fee $ It..>. 25
State Surcharge $ 50
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
~~
Y/d-p!o8"
Date
Burldlllg Ullielal
Contractor's License No, 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 $ +/.75
TillS IS to certlty that the request 111 th,~ abllve applicatlon and accompanymg documents is m accordance wIth the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the City Planner omstltutes a temporalY Certificate of Zonmg compliance and allllws constructHln to commence Before llccupancy, a Certificate llf Occupancy must be
issllcd
Planning Director
Special Conditions, if any
Date
24 hour notiee for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
~
PRIOR LAKE
INSPECTION
RECORD
II L~ 7 TOR-OIJ'TV AVe-.
(2.) WINDoWS
MS /1/1:-
,
PERMIT NO. 0 [) 0/32- DATE ISSUED 3. 28 Of;
BUILDER /1Vt1Zf 1<.. tBf;1'1 ODE L/;vI~ PHONE # (; 5/. 413&. Z 773
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
~~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING- J v1;t1! I Lir{tytf
I FINAL I I
INSPECTOR
DATE
FOR ALL INSPECTIONS (952) 447-9850