HomeMy WebLinkAboutBuilding 04-0480
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please e or rint and si n at bottom)
ADDRESS
L(07lJ (OI1Ct-l-hlMV L.-JJ.
LEGAL DESCRIPTION (office use only)
LOT L{ BLOCK b
Date Rec' d
White
Pink
Yellow
File
City
Applicant
PERMIT NO.
OL/-(jf{q
ZONING (office use)
ADDITION ('~.. {; HtlL5 A,esr 41>0.
PID
OWNER
(Name)
(Address)
(Phone)
'15z- - '1'17' C1z, i
BUILDER
(Company Name) '5'frN~~ flc-S MD V';;
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction jA1">eck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection 0 Misc.
CODE: rMI.R.C. OI.B.C.
Type of l:nstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that I have hlrnished Information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above.mcntlOned property and that all construction will conform to all existIng state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for Just cause Furthermore, I hereby agree that the CIty official or a deSlgnee may enter upon the property to perform needed inspectIons
~.~.~.
-.Q- Signature
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~2~
13uildll1!! Oftlclal
s4i(~y
I Date '
~- 1.'-/.0<1_
Date
Contractor's License No.
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 $ I 'Z.:Z.. ro 9
I ~;c~t. 'Ih,f~
Paid
Date
~~~~'
o"C:."/ } ,
. ~~ '-oi
ThIS IS to certifY that the request 10 tbe above applicatIon and accompanYing documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy mllst bc
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
'-',; .
,
.. ,
.' .. . .',..
. . . .. . ~ ..~.
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS fa ", &Ae H IHA AJ I.N.
TYPE OF WORK DEC/L A/Jf) /."iJJ
USE OF BUILDING s. t::r fj.
PERMIT NO. DATE ISSUED S'/ttl/D"
BUILDER sr~E J(ir2~ PHONE #'2. "",,-IJ9~J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
d FRAMING I I
13e=i;a 1:Jt;UL t5!J1t1UJ ?Lffc~~r
I FINAL I I
FOR ALL INSPECTIONS (952) 447-9850
4646 Dakota Street SE
Prior Lake, MN 55372-1714
March 11, 2008
Steven Kitzke or Current Resident
4079 Coachman Lane
Prior Lake MN 55372
Final Notice
RE: Building Permit Number 04-480
In review of the building permit files it was discovered there is an open permit for a deck at this property. The
City would like your cooperation to provide access for a final inspection. Please call for an inspection by March
18, 2008.
To schedule an inspection time, call (952) 447-9850. If you have any questions feel free to call between 8:00
a.m. and 4:30 p.m. Monday through Friday at (952) 447-9852
Sincerely
Michael Peterson
Building Inspector
www.cityofpriorlake.com
Phone 952.447.9800 / Fax 952.447.4245