HomeMy WebLinkAboutBuilding 07-0426
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
( Please
ADDRESS
n at bottom)
/5278 M//LW/fl/
Date Rec' d
&,11
I White
Pink
Yellov.
I PERMIT NO. 07 04zfp I
File
City
Applicant
/--17:)
C4~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2~, ~1(,. 0](., J 0
OWNER
(Name) Sc...OT't
BL O~i)C1 '^-J
952-- 'i'f1-6So 6
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
OAddition OAltera
eck OPorch ORe-Roofing
o Utility Connection
CODE: ~.R.C. DI.B.c.
Type of Construction: I II III
Occupancy Group: A B E F H
Division: I 2
IV V A
I M R
3 4 5
o Misc.
D::~ D~~~;:",'IG :"cp~ f~lo
PROJECT COST/VALUE $ ~ I
(excluding land) I
I
B
S U
I hereby certify that I have hlrmshed m"lImatll n this apphcatlOn wlllch IS to the hest of my knowledge true and correct. I also certify that I am the owner m authorIzed agent 1m the
and that all cons Ictl n wIll conform to all extstIng state and local laws and will proceed in accordance with suhmItted plans I am aware that the btllldIng
'rmlt for ~USl' F thermorc, I hereby agree that the CIty official or a desIgnee may enter upon the propeny t(J pert()rm Ileeded mspcctHlllS
x
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
Plan Check Fee
State Surcharge
i Penalty
I Plumbing Permit Fee
~echal11cal Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
This Application Becomes Your Building Permit When Approved
~~
Buildlllg Ufficial
0-/1 /~ 7
, f)atf
Contractor's License No.
6/l/01
Date
Park Support Fee # $
- -"
SAC # $ '""
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit i $
Other $
TOTAL DUE $ /7 I, 9S
~
PaId
Date
~7 .' /" ~S-
l
~~C'iP' No. ~U' sr
ThIS 1.1 to certify that thc requclt 111 the abllve application and accompanYlllg documents IS In accordance With the Cuy ZonIng Ordinance and may plllcced as requcsted TIllS document
when signed by the Cuy Planner constJtutcs a tempuralY CertIficate of ZonIng compliance and allows construction 1\) cummence Bef"re occupancy. a CCl.uficate of Occupancy must be
issued
Planning Director
Special Conditions. if any
Date
2.t hour notice for all inspections (9S2) .t.t7-9SSn, fax (9S2) 4.t7-.t2.tS
4646 Dakota Street Prior Lake, MN 55372
~
PRIOR LAKE DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /5278 PJ1/ew'Ay ;-ffT e:r:
TYPE OF WORK 05l!1L
USE OF BUILDING ;Z-CJ /1--/ Ie
PERMIT NO. 07. o~Z6 DATE ISSUED (P,(oj
BUILDER t5LOG'OO f-/ PHONE # +4-7. (p~-o6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOKUMENT
. q,~eJ ~ t'"" h:,\.u1\J. ~~NSPECTOR . DATE
I FOOTING pllC I f'b "i"leLJ I
.,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1--- I I I
,J
I FINAL we I PI> 5. ~8 I I
/
FOR ALL INSPECTIONS (952) 447-9850