HomeMy WebLinkAboutBUILDING 08-0303
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
s: 2-'1, oj'
File
City
Applicant
I PERMIT NO. OB. 03a31
1 White
Pink
Yellow
(Please
ADDRESS
ISf'7J1
Sf
1- 08,5
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PIDZS-: 2-3C&. () I q.tJ
BLOCK
~':e~~( 4 S sf-~v~'
(Phone)
(Address)
(Phone) 'I :;-grj~~7
(Phone)
ORe-Siding OLower Level FinIsh
o Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAddltwn DAlteration DUtlhty ConnectIOn
CODE: DI.R.C. DI.B.c. )(MISC
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
~s,
PROJECT COST IV ALUE $
(excluding land)
I hCll'by Cl'Itlty that I have tlllnlshcd mtmmatJOn on tlus applicatIOn which IS to the best of my knowledge Hue and conce! I also CCItlfy that I ,1m the owne! O! ,1lItholIzed agent to! the
ab"vc mentlLlned plLlpeny and that~1 constluctlLln WIll conform to all eXIStIng state and Illcallaws and Will plLlcced In accOldance with submItted plans I ,IlTI awale that the buddIng
ollic 'an Icvokc th1S pClmIt to! Just I aust' FUltheImOre, I heleby agIee that the CIty offiClal or a deSignee may enter upon the plOpC11y to peltorm needed inspections
X . oM- - S.~~~___
Signature Contractor's LICense No Date
Park Support Fee
SAC
#
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fec $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
$
$
$
$
$
$
I $
$
$ 4-1.
TOTAL DUE
comes Your Building Permit When Approved
S-)tf-o/t
Dale
ThiS IS to ceItlfy that the request in the above application and accompanYll1g documents is 111 accordance with the City Zuning Ordinance and may proceed as requcsted ThiS document
when signed by the City Planner con~;tltutcs a temporary Certificate of Zonll1g compltancL' and allows constructIOn to commence. Before llCcupancy, a Certlticate of Occupancy must be
isslIcd
Planning Director
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
.---------
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS WE3-?~ /~_..sT
TYPE OF WORK ~ ~_
USE OF BUILDING ;a.S- /f/IC..
PERMIT NO. 08. 0303 ' DATE ISSUED .5. 2- 9~ 0,;/
BUILDER Vo6HL- PHONE# tlZ. e/9.&z4-7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
FOOTING ~ tJ tJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEE SIGNED
"J t -- I I
I FINAL I ~ I ~/p:p
FOR ALL INSPECTIONS (952) 447-9850