HomeMy WebLinkAboutBuilding 08-0142
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/1/ L / IJi'
White
Pink
Yellow
File
City
Applicant
PERMIT NO. t!J?- 0/</2--
n at bottom)
ZONING (office tlse)
IJllD'-nM.-'SS 7JL s;: r
VlUcL L#r-c~
MAl
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
rP~ W~
I'J<. ~(rre'
(Phone) '1<):L - q y?- ')3:1 &
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
c <)fu..1cS A3
~o.rc
(Phone)
(Phone)
TYPE OF WORK 0 New Construction OOeck orch ORe-Roofing
OAdditlOn OAlteration 0 tility ConnectIOn
CODE: ~.R.C. OLB.C.
Type of Gnstruction:
Occupancy Group: A B
Division:
o Misc.
ORe-Siding OLower Level FinIsh 0 Fircplace
fuc.L.tZ;)J'e11 GA u:1f(J lbrt..Cff.
PROJECT COST IV ALUE $ 'I; 000. lD
(excluding land)
I II III
E@J~
IV V
I M
3 4
A
R
5
B
S U
I hereby certify that I have hlrmshed IIlformatmn on thiS applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or iluthorlzed agent tIn the
abnvc-mcntloncd ropn!y and that <11] construction will conform to all existmg state and local laws and will proceed in Jccordancc with submitted plans_ 1 am aware that the buildmg
official ca ' I pel tl r J t cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the propelty to pertorm needed mspectlons
, "f-I-OB
5' Signature Contractor's License No. Date
x
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
$
$
$
$
I $
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Y OUT Building Permit When Approved
I~~
I BUilding Urtlcial
'11'1 (b?
Date
Paid
Date
ThiS IS to certify that the request m the above application and accompanymg documents IS m accordance with the City Zuning Ordinance and m,1Y pmceed as requested TIllS ducument
when signed by the City Planner Cllnstltutes a temporary Certlticate of Zonmg Cllmpliance and allows constructiun to Cllmmence Before uccupancy, a Certificate of Occupancy must be
issLled
Planning Dire2tor
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-91150, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
. .. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /""~~ /AJ1t.tJe1LNerr ~, ~c.
TYPE OF WORK ~-~N cSlA'USo
USE OF BUILDING SF;/:>. .
PERMIT NO. ~ O(~z.,. DATE ISSUED ~~,..
BUILDER S'HAtaAl 4J~ PHONE #~-f'''~-1.H.P
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPft,RATE DOCUMENT
I FOOTING J I ]
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING 1 I J
I FINAL I I J
INSPECTOR
DATE
FOR ALL INSPECTIONS (952) 447-9850
., .