HomeMy WebLinkAboutBuilding Permit 06-0882
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
WOrJD OVi!\ '\ tt~ti
Date Rec' d
9,2-706
I White
Pink
Yellov,"
I PERMIT NO. O~.088Z-1
File
City
Applicant
ZONING (office use)
pt/.o
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
mame)
PAVIO It. N~L.6o^,
(Address)
PID z5. 32.3. 0/9. 0
,
(Phone)
BUILDER
((Zpmpany Name)
(Contact Name)
(Address) ... ~
TYPE OF WORK
(Phone)
(Phone) 61'7-'5'1171ILf
Deck OPorch ORe-Roofing
o Utility ConnectIon
OLower Level FinIsh 0 Fireplace
CODE: OLR.C. OLB.C.
Type of Construction:
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)
$
I hereby certify that I have hlrnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
abovc-mcnl1oned property and that <lllelmstructlun will contl)!m to allexlstrng state and local laws and will proceed in accurdance with submitted pbns I am aware that the buildmg
llttlClal can revoke tillS permlt for JU 't cause F ereby agree that the CIty ottlcial or a deSIgnee may enter upon the propt'lty to pert()rm needed rnspectlllns
x
Signature
Permit Valuation "h()OO.OO
Permit Fee $ / 0 3.00
Plan Check Fee $ (,(',95
State Surcharge $ Z.O(J
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
ecomes Your Building Permit When Approved
q-J4~~
Date
Contractor's License No,
1;2.(/06
Da e
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE ~ q. t9.0~ $ /7/. 'IS
, ,
I~;~O
:5U4~
Paid
Date
/71. r.56
'I. .Jh ()
ThiS IS to certify that the request In the above applicatIon and accompanYIng documents is in accordance with the City Zoning Ordinance and may procL'ed as requested ThiS document
when signed by the City Planner CllI1stltutes a temporary Certlticate of ZOnIng comphance and allows construcl1on to commence Before occupancy, <I Certltieate of Occupancy must be
isslIed
(&a.l
0< if<- I~c;~)-'
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9R50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /52.04- WooO DUO::::- TleAIL
TYPE OF WORK DeCK--
USE OF BUILDING ~s ,41/~
PERMIT NO. oc,. 0882- DATE ISSUED 9. 29. Ofo
BUILDER /lN7ZJN ~NSTK-. PHONE # (,/2.599. 7//4-
.,..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I I
- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~. I I
I FINAL I I
FOR ALL INSPECTIONS (952) 447-9850
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