HomeMy WebLinkAboutBuilding Permit 08-0649
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
e. 21_ tJt:>
File
City
Apr1icant
I PERMIT NO. 08. Ot.411
I White
Pink
Yellow
n at bottom)
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ZONING (office use)
PID
(Phone) "'~\ '"'-~\a.. ~'" 00
'::.,-' , ''- ~(:)~ ~c.~<..__
(Phone)
(Phone) \..c\~ ~~, '-\ ~ \a
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) ~~__~~___
x~ "'""-'-':>
(Address) "~c...&
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BUILDER
(Company Name)
(Contact Name)
(Address)
<:::. 'P'-. "'^-\:::.
\) <L.C: .....-......
ORe-Siding
OLower Level FinIsh
o Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration o Utility ConnectIon
CODE: lJI.R.C. DI.B.c.
Type of ~lction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
~ Misc. ~\.",----::.'-
\.
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$ .~\~OC
PROJECT COST IV ALUE
(excluding land)
I hereby certify that 1 have hlrnished Information lHl this application which IS to the hest of my knowledge true and correct. I also certIfy that I am the owner Of autlwrIzed agenl for the
ab"ve~mentlLlned property and that .III constructIOn w1I1 cl1nf,"m to all eXlStmg state and local laws and Will proceed in accordance with submItted plans I am aware that the bulldmg
"ttiClal can revoke tillS permIt f'Jr iust cause Furthermore, I hereby agree that the crty official or a desrgnee may enter upon the proper1y to perhlfm needed mspect!ons
x
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Contractor's License No.
%.\~'I~_~
Date
~.............."'-~
Signature
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTALDUE ~
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
.SO
Sewer/Water ConnectIon Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permtt Fee
Paid
Date
This Applic .
$
$
$
$
$
$
$
$
$
3.5. z.s-
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ThIS IS to certify that the request m the above apphcatlon and aecompanymg documellts is m accordance With the City Zuning Ordinance and may proceed as requested. Tim dueument
when signed by the CIty PI,lI1l1er cunstrtutes a temporary Certificate of Zllnmg comphance and alIuws CllnstructlOn tu cummcnce. Before occupancy, a Certificate of Occupancy must be
i.ssued
Planning Director
Date
24 hour notice for all inspeetions (952) 447-985ll, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /499 B ::r6F~6I2S p~SS
NATURE OF WORK LO W EI!?. L6 (/'6 L
USE OF BUILDING ~ 1'..e...
PERMIT NO. 0 e ~ 0' ATE ISSUED 8' ~ 2.. (. 06
CONTRACTOR -1tJ/6/VS"1/fNA/ PHONE '/Z. Z,Z/. 717(P
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
HEATING
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