HomeMy WebLinkAboutBldg Permit 07-1025
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Date Rec' d
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White
Pink
Yellow
I PERMIT NO. 07 /0251
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE~
(Name) /lEG
7.2r~1fE
(Address)
(Phone) 9..51..- ~<{;:;-~ /<rfJ'
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Constl~lm ODeck OPorch ORe-Roofing
OAddition ("V Iteration OUtility Connection
CODE: bCtI.R.C. DI.B.C. 0 Misc.
Type of 6nstruction: I II III IV V A B
Occupancy Group: A B E HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished information 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-menl1oned property and that all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can rev i use FlllthelmOle, I hereby agree that the CIty offiCIal or a deSignee may enter upon the property to perform nee;:7~0-
Contractor's License No / ~
Permit Valuation 1~ 00 V~OO
Permit Fee $ 3L/. 1S""
Plan Check Fee $ -
State Surcharge $ r-O
.
Penalty $
Plumbing Permit Fee $ 1-0,00
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ .
~-~
Bulldll1!! Oftlcml
It) /2.,Z/07
I Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThIS IS to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requesled. ThiS document
when signed by the City Planner consl1tutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
~.
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
,";#'
DEPARTMENT OF~~f
BUILDING AND INSPEOTION
.~r ,
. .
PRI'OR LAKE
INSPECTION RECORD0
.
SITE ADDRESS 'L W '.0 .... '. "
NATURE OF WORK -:a..~ ~O''-'''', ~tJTtl./M.,..Mt
USE OF f3UILDING S.ISJ)... .. .' ..
PERMIT No. -D7~~2".S DATE ISSUED Jal'Z,~/6'
CONTRA.CTOR GtLEEi . .~5'-Hf:'" PHON.. .1~- ...... 8
NOTE:THIS IS NOT A PERMIT FOR ANy OF THE INSPECtiONS BlSlOW
" 1HE PERMIT IS BY S!:PARATE DOCUMENTl?
f'ii
.._.".'.........................................
'. ..... . i
. T)"FJ.LAcEi NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
- _.: .
\
. .
INSPECTOR
bATE
.~
;ilt
\~~
BUILDING /J
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABPVE HAS BEEN SIGNEb
~. NOTICE
This catd mU$t be posted neat an electrical service cabll1et prior to tough-In Il1spectiol1$
.and maintained until all InspecUons have been approved. On buildings ard additions
. where nos,~t~lce cabinet Is available, card shall be placed hear main entral1ce,)o;'
FOR ALL INSPECTIONS (952) 447-9850