HomeMy WebLinkAboutBuilding Permit 09-0244 (Ministry of Reconciliation)
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
Yellow
File
City
Applicant
I PERMIT N~Z41-
Ga te Hrt1-
1tJ..3
5 treet SE,} j)l'Of~ La Ae
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER f) . Letnl(e q52 - if-lo- 22 2 S-
(Name) aul (Phone)
(Address) 5//~ GaLetucuJ 5 t Sf. R"o}' LaKe
BUILDER
(cOmpanYName)~.t~' ~
'J --JJ - /y. tJ ~./. A _ _ )
(Contact Name) /f/~ ~~
(Address)
(Phone)
(Phone) q S'dJ -- YY 7 - C, /7
TYPE OF WORK 0 New ConstnJ~ti.9n ODeck OPorch ORe-Roofing ORe-Siding
DAddition [W.lteration DUtility Connection
OLower Level Finish
o Fireplace
CODE: OI.R.C. illLB.c.
Type of ConstructiOll" II
Occupancy Group: A @ E F
Divisi ..-._-"--T
o Mise.
Ao c> WAC-\,... ~ FUlz.. t!>F-\C-, ~
00
PROJECT COST /V ALUE $ <fI, 5'00".
(excluding land)
III
H
:1?
IV tf/
I M
3 4
AdV
R S U
5
x ......
" Signature Contractor's License No. Dlne
Permit Valuation Park Support Fee # $ ~
'3o~,. .-
Permit Fee $ 8fJ. '2- SAC # $
Plan Check Fee $ 57.j~ Water Meter Size 5/8"; 1"; $
State Surcharge $ . <::)0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee I $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
allows constructIOn to commence. Before occupancy, a Certificate of Occupancy must be
Special Conditions. if any
notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
.;z \13:J-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'- White File
2. Pink City
3 . Yellow Applicant
ZONING (office use)
LEGAL DESCRIPTION (Office use only)
LOT
BLOCK
ADDITION
PID
I OWNER . -I
(Name) fA.. (/) ()f-rcJ (JU
I (Address)
BUILDER /I f
(Name) (/[(:P~ -n'M ,/Jrv ~c..+r('.f)
(Contact Name) -K- Vrf -.Jj~
(Address) ( '{
;J.p t.(;H(' /( 1(1-HO/"]
(Phone)
TYPE OF WORK 0 New Construction ODed OPorch ORe-Roofing
~CRTe' 1kIO 6XI.J'pNq SPIU~~~r(),e (JQV5~
17) ~ oPR7'15 71f(i',..... nLower Level Finish 0 Fireplace OAddition OAIteration
. r(RL'- .
~ J; .I"l PROJEcrCOST/VALUE (exc1udingland) S 3 0
(Phone)
(Phone) if Id-. - s.x I ~ I (I
~ (,IZ. Z90. +70/
ORe-Siding
OUtility Connection
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
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter on the roperty to rform neede inspections.
( QLj. r--
Contractor's License No.
5-(5-,
Date
x
00
Permit Fee $ 25, 00
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee S
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
'\
Park Support Fee
SAC
#
#
#
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; l"i
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
r ., I ""'.-. ..."" 1'-1;;
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Gl((p &A~r..v!b+ ST.
NATURE OF WORK f2:E~ot>etl oF1=-( u;
USE OF BUILDING ( c A-/~ . J
PERMIT NO. oq. .z. 44 DATE ISSUED bit ~ ! 0'1
CONTRACTOR !ll~ I~T~~ of REC4Ic..LlA'TI~ PHONE 4 i1 ..~ ("1.5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
...
_riOr to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
COVER NO WORK UNT
L Sf>~/NKLGf2-
3,
)
'-t. HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
~-~~~~
FOR ALL INSPECTIONS (952) 447..9S'SO
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