HomeMy WebLinkAboutBUILDING 08-0314
O~"E
;\T'f Of PR\OR LAKE
NSPECi\ON NOi\CE
SCHEDULED
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I
ADDRESS
OV/tlER _____ cotfTR.
p"OIlEllO. ~ PERlAITIlO. ~
o foa1\"G 0 PCUIAB,"G RI 0 EJ</G",,0Ifll.1.IllG
o fOU""" 1\0" . 0 IAEC" RI 0 COlAp",I'"
o fAAtA\NG W 0 ",,"fER "oaKUP 0 ..REI'",CE RI
o \NSULAi~" 0 sEWER "oaKUP 0 ..........cE ""'C
0(........ . 0 PCUIABI"G ....,C 0 G"U..E "R '"
-6 sITE I" \c'c1l 0 IAEC" ..""C 0 ----
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~ORK S" i\Sf"CiOR'f. PROCEED
~ 'cORRE~i\ON "NO PROCEED
o CORRtC't Y'A"". ,,^CC fOR RE,..SPEC1\O" BEfORE COVERI..G
owner/conte ~
C,CC ..T- SO fOR ,"E llEX' ,..SPEC1\O" 24 "OURS I" "O,,,"CE.
REQUll<E>lENfS Al<E FOR YOOR pERSONAL ilEAL rll & sAFETY'
J/'IS/'IOTJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
<;. ~ CJ. Gt;
File
('itv
Applicant
PERMIT NO. 08. (j)( 4
I
ZONING (office lIse)
I White
Pink
Yello\\'
(Please type or print and sie;n at bottom)
ADDRESS
/5U:r /dilj{' PHt-Var/
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER L ~A .k /',. 1 ..L. ~~ <
(Company Name) ~ fiff.~-<j41 <- <.A/f'1!)r/"yvql'fl"- /U/
(Contact Name) -1/",.. JYliM /lta~
/f11() 5/)4L~/~ [}~
?S2.- ~lR:r~u1
(Address)
(Phone)
(Phone)
fit//' brk
./1
TYPE OF WORK 0 New Construction ODeck OPorch o Re.Roofing. ;tIe.Siding
OAdditlOn OAlteration o UtilIty ConnectIOn (
CODE: OLR.C. OLB.C. 0 MIs.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
OLower Level Finish
PROJECT COST IV ALUE
(excluding land)
o Fireplace
$
I hereby ccnity that I have turmst . i mformatlon on t S applicatIOn which IS to the best of my knowledge true and COlTect. I also certlfy that I am the owner Ilr authorIzed agent for the
'Ill conlllfm to all CXIStlOg state and lucallaws and Will proceed 10 aecordance with submitted plans I am aware that the blllldlOg
ur erm , I here 'ee that the City OffiCi~q;; e'frn the pmpel1y to per!lJrm ne~~O'''''' 6 8
Contractor's License No. Date
$
$
$
$
$
$
$
$
/l $ 7&. L/(j
{ / .
l~iP~NO ")')77/
x
/
,
Signature
Permit Valuation
Park Support Fee
SAC
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
-i(; ~
~_ ~o_c/
Paid
Date
IllliJdlllg Uf!iclal
Datc
ThIS IS to certify that the requl'st In the abllve applIcatIOn and accompanYll1g documents IS m accordance with the City Zoning Ordinance and may pn)ceed as requested ThiS document
when signed hy the City Planner constitutes J temporary Certificate uf Zonmg complIance and allows construction to commence Bcfure occupancy, a Certlfi.cate of Occupancy must he
i.<';SLlCd
Planning Director
Dale
2.t hour notice for all inspections (952) .t.t7-9S5n, fax (952) .t.t7-.t2.t5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any