HomeMy WebLinkAboutBuilding Permit 07-0113 LL
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3 , , 1.., D 7
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 07. 0 ~
~~~. s~.
ZONING (office use)
f< ,sD
LEGAL DE~CRIPTION (office use only)
24-' zS"
LOT BLOCK ADDITION 1360 Olt/CS
PID 25. 0+2.. 0' s: ()
OWNER
(N ame)
(Phone)
(Address)
f) ~8; C o't"J~+eJcJJ-i
(Phone)
(Phone)
q s z. ~ '49 l.-S Iocr
{,/'2-f-{?O- S-oG?7-
L.,..J
::> o--e 0 ~
o Fireplace
x
I hereby certifY that I have f\1rnished Information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authof!zed agent for the
above-mentIOned pro erty and that al struction 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 revok ' s permIt for Just c use rthermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed Inspections.
l
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition DAlteration DUtility Connection
CODE~' . I.R.C. DI.B.c.
Type of 0 tmction: I II III IV V A B
Occup cy Group: A B E F HIM R S U
Division: I 2 3 4 5
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
ORe-Siding
Lower Level Finish
.3 te/1fS.
~-II-07
Date
$
$
$
$
$
$
$
$
Planning Director
o Misc.
PROJECT COST IV ALUE $
(excluding land)
Signature
2o~ Z.O ~ S"'S
Contractor's License No.
Park Support Fee
SAC
#
#
ThIS IS to certifY that the request In the 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 must be
issued
1.56
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
40.00
Water Tower Fee
Builder's Deposit
Other
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
.
DEPARTMENT OF
BUILDING AND INSPECTION
/53f3 0 I2ED 01 J::s RLJ.
L~~~6L-
USE OF BUILDING Ie
PERMIT NO. D7. 0 1/3 DA ISSUED 3. /2, 07
CONTRACTOR D/1NEs ~OtJ5TR-. PHONE 4fz.5/09
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL'"OW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
NATURE OF WORK
INSPECTOR
DATE
~ --l1li. [ I
I) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-- -~--
- - ,
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-
-------
'BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
W(
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850