HomeMy WebLinkAboutBuilding Permit 07-0372
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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I White
Pink
Yellm....
File
City
Applicant
I PERMIT NO. 01. 0372.1
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK S ADDITION
(Address)
PIDz.C;"sr7.D~S' 0
OWNE~/~.. ... II}
(Name) ,II (i '- r?'
{ ( /1 / (Phone)
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BUILDER
(Company Name) \d / 1-( /~
(Contact Name)
(Address)
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/~ I)\! I (-
(Phone)
(Phone)
TYPE OF WORK 0 New Construction !~peck OPorch ORe-Roofing ORe-Siding OLower Level fimsh 0 Fireplace
OAddition OAlteration o Utility Connectlon
CODE: ~I.R.C. DI.B.c. o Mise ---~-_...-
Type of onstmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have hlrnlshed mfmmatlon on thIS application which is to the hest of my knowledge true and cunec! I also certify that I am the owner or authonzed agent 1m the
ahove-menl1oned property and that ,Ill constructlllI1 Will conform to all eXlstmg slate and lllCallaws and will proceed in accordance with submitted plans I am aware thaI the huildmg
nfflcial cap revoke th./J permit lor jlllQcausc F\lrthermore, I h?eby agree Ihat the City official or a deSignee may enter upon the property to per!'Jlm need~'d mspectlons
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X . 'J -. " ,- ..'
Signarure Contractor's License No.
Date
$
$
$
$
$
$
$
$
I
538 {fJ
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fcc
Water Meter Size 5/8"; I";
Pressure Reducer
Water Tower Fee
#
#
Gas Fireplace PermIt Fee
$
$
$
I $
$
Sewer/Water Connection Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
\~~
! ~lttieial
5/2.//07
Date
ThiS IS to certify that the request 111 the above applicatJllI1 ,1I1d accompanYll1g documents IS 111 accordance With the City Zoning Ordinance and may proceed as requested ThiS document
when Signed by the City Plannel constltu!es ,l templlrary Cerl1ficate llf Zlmmg compliancl' and allows constructllm to cummence. Bcfllre llccupancy. .1 CertJfic.lle of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) ....7,9850. fax (952) ....7,..2..5
4646 Dakota Street Prior Lake, MN 55372
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /755.3 ;e1i;6~W(Jd(} ~r: ~t-.
TYPE OF WORK AI~ ~'I' A.QJJlr/~~
USE OF BUILDING
PERMIT NO. il/IJ37Z. DATE ISSUED Z ~.,
BUILDER T~ r-t:iiJ,lNlf MC"t~J.eHONE # -Zz -4~~C(
NOTE: THIS IS NOT A PERMIT FOR ANY OP-tHE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR ~ D~E
I FOOTING l;if I <'?f 7'/'" ;:;
PLACE NO CONCRETE UNTIL ABOVE HAS BEtN.~ IGNED
I FRAMING /1!*:~c ])COt. ~ I
,I FINAL I
FOR ALL INSPECTIONS (952) 447-9850