HomeMy WebLinkAboutBUILDING 08-0411
CITY OF PRIOR LAKE BUILDINC PEIrnIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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~_ __.~_ L . '-'. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I", $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee =:1: Other $
Gas Fireplace Permit Fec TOTAL DUE $
Paid ~~.;
Date
ThiS IS to certify that the request in the a l Icatlon Jnd accompanYll1g documents is 111 accordance with the City Zomng Ordinance and may procl'ed as requested ThiS ducumcnt
v.'l1cll signed hy the City Planner Cllnstltutcs J tcmpurary Certificate of ZUl1l11g compliance and alluws constructIL)Il tl) commence Before occupancy, a Certificate of Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date
24 honr notice for all inspections (952) ....7-91150. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake. MN 55372
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 3 3~ 4-- ff.CM ~ C lfJ... N. 0 ,
TYPE OF WORK DCc-~
USE OF BUILDING (k.~ A Ie. I I
PERMIT NO. 0 ~ - 4 U DATE ISSUED' <a /21 { 0 e
BUILDER C.N,..Ol.M-l.. ~r;~ \o~4) (~C-. PHONE # 44'1" g ~s8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FINAL
INSPE~TOR /' DATE
, FOOTING I)/ 1/)/' I 7 ~ 1- ()I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
~ )
I /?lJ If'fd
FOR ALL INSPECTIONS (952) 447-9850
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fltUl UI..jU tl,113 11',jEEF: I 1',11;;
Itl No.b12-888-b4)~
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SNIVeIIOr'B eertifknle
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4TH ADDITION, City of
Minnesota and reservinR
SURVEY FOR: R.S .r,1. Homes Inc.
DESCRIBED AS: Lot 7, Block 2, ISLAND VIEW
Prior Lake, Scott County, ." \~l.QO
easements of record. Sl~'3~\.g
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
Date Rec' d
~.2-108
White
Pink
Yellov..'
File
lily
Applicant
I PERMITNO.tJ8-44J
ct- Gnck .JW
Pn QJ\ LoJ<:e, mkJ 5537.:1-
ZONING (office use)
Q
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER..
(Name) ,:)Cl...i"'f,", p e)Q,C'X\rY\o.(l
(Address) ~re.rY\Q,"* Cvc.\e NW
BUILDER
(Compan y Name f.J..\.x 0. ~ yD F~')(. t...e r' \ L':i1 ":) l tY_ .
,
(Contact Name) -r;, ( (" 'j E:Jp" U,-1.,ct,
(Address) L/ 110 "0..\ lel Gx:h.L"':>tr\...oJ ~ '1d" ~ '
PID
(Phone) 10 la - d~O "-1C11-t
E",O'-1 \ rLY'~ mN 5S~/d.
)
(Phone) Cl5;}'. qq5-~lc?)~
(Phone)Q5a.QQ7r gw<6
(Y),.J
TYPE OF WORK 0 New Construction ~Deck OPorch ORe-Roofing
~ OAdclition DAlteration o Utility ConnectIon
O OM&
CODE: I.R.C. I.B.C.
Type of Constmction:
Occupancy Group:
Division:
A
B
I
E
II
F
I
III
H
2
V
M
4
A
R
5
IV
I
3
ORe-Siding OLower Level Finish 0 Fireplace
B
S U
PROJECT COST IV ALUE $ \ 3 IOcx:.'::)
(excluding land)
I hereby certIfy that I have hlrnlshed mformatlon Oil this applrcatlon which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or autho!lzed agent for the
JboYC-mcntlOI1cd property and that all construction will conform to all existIng state and local laws and will proceed in accordance with submitted plans. I am aware that the bui1dmg
Ilfticia call revoke thiS permit for lust cause Furthermore, I hereby agree that the city official or a deSignee may enter upon the prllpelty to perhJfm needed mspcctHH1S
Permit Valuation
Permit Fee
$
$
$
Plan Chcck Fee
State Surcharge
Penalty
Plumbing Permit Fcc
Mechanical Permit Fee
Sewer & Water Permit Fee
f'f\N .;10.111 ~(..l 'l
Contractor's License No
Park Support Fee
SAC
#
#
~:L,-O~
Date
$
$
$
$
$
$
$
$
$
ThiS 1S to certify th;1t the request in ':Ile a l lCat10n and accompanymg documents is in accordance with the City Zoning Ordinance and may procced as requested ThiS dlK'ument
when signed hy the CIty Pl.lnnef constitutes J tcmporJry Certificate uf Zonmg compl1ancc and allllws construction to commence Bdnrc occup;mcy, a Ccroticate Df Occupancy must he
i.<;SllCd
Water Meter Sizc5/8"; I";
Pressure Reducer
Sewer/Water Conncction Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
~~~ ~~~
Planning Director
Date
24 hOllr notice for all inspeetiolls (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any