HomeMy WebLinkAboutBuilding Permit 07-0072
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2.14-.07
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 07. OD7zJ,
ADDRESS
ZONING (office use)
RI~D
/~514-- 0 /lIL. (/7 C' t.4 ILl:' L/c;
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2. S. O(P2.
OWNER --.
(Name) \rb '1 ~~VCI.-. ~...e...c:.BEi..-
(Address)
(Phone)
BUILDER
(Company Name) CJCx;;;; ~,~
(Contact Name) LANCG O~
(Address) ~-,<o ~b$~\LVT S" SlZ
(Phone)
(Phone)
~cv- ~
'1 S-:J- ?- 'l2... l4i~ '6
TYPE OF WORK 0 New constr~.' n ODeck o Porch ORe-Roofing
OAddition rAlteration OUtility Connection
CODE: ~.R.C. DI.B.c. 0 Misc.
Type of~struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST /V ALUE $
(exduding land)
I hereby certifY that I have hlrnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or aut1mlzed agent for the
above- oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I i"m awa~e that the buildmg
otTicial n r oke this permit for Just cause. Furthermore, I hereby agree that the CIty official or a designee may enter upon the propeny to perform needed ms 'ClIon!:,!
20 S- "2-0, ~ (0
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
5"6
Park Support Fee
SAC
#
#
Signature
Contractor's License No.
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
~T)jl
$ 3S-; Z$
This Application Becomes Your Building Permit When Approved
~~
B Id 0 I
UI IIH! 1I1cI<1
~/('-f fa 7
Date
ThiS IS to certify that the request in the above applical10n and accompanymg 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
Planning Director
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
I
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /SQ40 fil<<!:17~ C/I:.u.E
NATURE OF WORK rJt-~OA/ / dfiPIf?oaf1
USE OF BUILDING tees Ie /
PERMIT NO. 67()072- DJ\TEISSUED 2.-/+.07
CONTRACTOR e.oe $r/(!"S. PHONE z. 9 z.. ,+.s~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOl/\!
THE PERMIT IS BY SEPARATE DOCUMENT
~ I
I
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
-----.---------
t
..............- - -
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL AB')VE HAS BEEN SIGNED
C ~ -J
FINAl. S
/ ,r-vt
~~~
DO NOT 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