HomeMy WebLinkAboutBUILDING 08-0509
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
V{, 11' 0 F"fi:;", ~(( It ~, {
SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Date Rec' d
7.2Z,OO
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. oe. OSllJ
ZONING (office use)
OWNER
(Name) .Jo ~
~h:"ss'--J
(Address)
(Phone)
err-,;; -PJt..{ - y'~~a
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration o Utility ConnectIon
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
Lower Level Finish 0 Fireplace
/ 8~/U)OI'f
o Mise.
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
I hereby certify that I have hlrnlshed mformatlon on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mentIOned property and that all construction wtll conform to all existing state and local laws and w1l1 proceed in accordance with submllted plans. I am aware that the buildmg
otlicial can revoke t is permIt for Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to pertorm needed mspectlOns
~ 7-,1:;2-08
X . r
Signature
Permit Valuation /,000..00
Permit Fee $ f 3'1-. 7~
Plan Check Fee $ .---
State Surcharge $ ..SV
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildtll!! OIliclal
Dat~
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 35 ~
ThIS IS to certIfy that the request ill tht above applicatIOn and accompanyrng documents tS in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certilicate of lomng compliance and allows constructIon to commence. Before occupancy, a CertIficate of Occupancy must be
issucd
Planning Director
Special Conditions, if any
Date
24 hour notice 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 /&/90 j/~j1J,lGt/1 AI ~I ~
TYPE OF WORK ~W~ G8l/t:/-V
USE OF BUILDING /Z8{ /}//.It-
PERMIT NO. . oe, OSV; DATE ISSUED 7. ~z.. or
BUILDER 2'(..GJ.J I "J~ PHONE # S~ -I. f5 (. 0
NOTE: THIS IS NOT A PE IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ML e..I. INSPECTOR
I ~-1.tL -- I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I ,
~oFtt-R"v~ 4
.1 FINAL we IlJ!; ~.-o/4B'
r I
FOR ALL INSPECTIONS (952) 447-9850
DATE