HomeMy WebLinkAboutBuilding Permit 09-0431
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~ . 2,(, . oj
File
City
Applicant
PERMIT NO. 9' ..: q g I
I White
Pink
3 Yellow
(Please
ADDRESS
l L-) 2.2 '-
C~~\e,WCJO~ ~
N -
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Phone) _( '1'52.) 4LI ':{ . 0'S \ ~
OWNER ,.
(Name) t-' \ C, ",^o...e: \ 5o..,->Q,V'
(Address) ,LI 2. 2. L) c.CJ..'V\~ ~\ Wee> ~ ~ '" 1\1 G
BUILDER
(Company Name)-.R :J(')~'5 o-'^ ~ "5<=*\
(Contact Name)
(Address) , .,.
I hereby certify that I have hlrnlshed mt(lrmation on this application which is to the best of my knowledge true and correct. I also certIfy tha m the owner or authOrIzed agent for the
above-mentlOned property and that all construction WIll conform to all eXlSung state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revok' ermIt for Just cause urthermore, I h reby agree that the City official or a designee may enter upon the property to perform needed mspecuons
C, -2." -oCt
La"r\ ~l."NJ C!..1-\' a '"
(Phone)
., ~.
~
ORe-Siding
OLower Level Finish
TYPE OF WORK 0 New Construction
OAddition OAIter 0
eck OPorch ORe-Roofing
OUtility Connectton
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise
B
S U
V
M
4
A
R
5
III IV
H I
2 3
I
E
II
F
I
PROJECT COST IV ALUE
(excluding land)
x
Sewer/Water Connection Fee
Contractor's License No.
Park Support Fee
SAC
Permit Valuation "5
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
$
Water Meter Size 5/8"; I";
Pressure Reducer
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
<J
o Fireplace
$
Date
$
$
$
$
$
$
$
$
$
TOTAL DUE
ThIS IS to certify that the request m the above applicauon and accompanying documents is in accordance WIth the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the CIty Planner consututes a temporary Certificate of Zonmg compliance and allows constructlOn to commence. Before occupancy, a Certltlcate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /~ Z Z 4- t!ANPvf?WcJlJ 0
TYPE OF WORK OelYc. .
USE OF BUILDING . /Ur H/;z,
,
PERMIT NO. or;. () +3 I DATE ISSUED if. '2 (, oF' 07
BUILDER 12. :lONG'S! Sa,J PHONE # 37~. S'~7y
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
-:f}5PECTOR ~ DATE
I FOOTING I Y/~)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I aL~Vl · I I
I FINAL I fI, I 7)/41:;
FOR ALL INSPECTIONS (952) 447-9850