HomeMy WebLinkAboutBUILDING 08-0493
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. Off. 01'131
I
5J\CJt'<LS \0 1,
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ZONING (office lIse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE~
(Name). .~
(Address)
s-s-.a
S~/' rr-.....
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(Phone) Lj 47 - <f ~ 3-7
TI'I S {~
5f-e::;{\Q..s
BUILDER
(Company Name) ~ (",-.be... Y"'o(.<) vc.-.... ~.~.::....J- r n<. _
(Contact Name) 7C)\...'\. V\... ~ C' c~c..~c.--<=--
(Address) '60, "t 6~_ Ile, \f" \.
(Phone) cr 5'd- q 40--- e:s- /8~
(Phone) 4.1?- -- ql.tO - 7 J of!,
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Firepldce
OAddition OAlteration OUtility ConnectIOn
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
o Mise.
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
3C::t:r? <!X:l
I hercby ccrtlfy that I havc furnished :nformation on this applicatIOn which IS to the best of my knowledge true and correct. I also ccrtlfy that I am thc owncr or allthonzcd agcnt for thc
aOllvc-mcnt1l1ncd propcrty and that .1..1 ClmstructlOn will conflllm to all eXistIng state and local laws and will proceed in accordancc with submItted plans I am aware that the building
(ltliClilI can r' oke thiS )t'rmll for ',:ause Furthermore, I hereby agree that the City official O[ a designee may eoter upon the propcI1y to perform needed inspections
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fcc
Mechanical Permit Fee
Sewer & Water Permit Fee
es Your Building Permit When Approved
7-/7-(J8'
Datc
4~(
Contractor's License No.
Park Support Fee
SAC
#
#
, .- J <-l- D~
-----L_ ~_~
Date
$
$
$
$
$
$
$
$
$
rt~<I d
(~c'oi/ t
Special Conditions, if any
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
Water Tower Fee
Builder's Deposit
Other
#
141'"
TIllS IS to ccrtlfy that the requcst In the aoove applIcat1l1n and accompanYIng documents IS In accordance wIth the City loning Ordinance and may procced as requcstcd Tim documcnt
whcn signcd oy the City Planncr COl1Slltlltcs a tcmporary Certificatc of lonIng complIancc and allows Constrllct1l1n to commence Before occupancy, a Certlficatc of Occupancy must OC
issucd
~ 1<' ClC,. + G f/Q(A f/-4 -', +-
Planninc Director
Date
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS $'",t.~ ~,',I"1JII1II ~~-'
TYPE OF WORK Jh..uL
USE OF BUILDING ~. ~.
PERMITN~.~~ DATE ISSUED el?-~
BUILDER _4 tl_ _. PHONE #'1LfO. S"ltI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOnNG ~\A.:' \A. I.\~
PLACE NO CONCRETE NTIL ABOVE HAS BEE
~ I I I
I FINAL I el-; I '3 / ltf", I
FOR ALL INSPECTIONS (952) 447-9850