HomeMy WebLinkAboutBuilding Permit 09-0529
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CITY OF PRIOR I;..AKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
7. {to,01
I. White File I PERMIT NO I
2. Pink Cily l ., 09. 05- Z-CI
) Yellow AJlIllicont . ~ .
(Please ~ or Lrint and s!.8!! at bottom) .
I ADD~~ 55 \()()crl~Y\UCK .l('~(}n llU.L.l11n 051TaJ ZONlNG<_,.)
LEGAL DESCRIPTION (office use only)
LOT \ \ BLOCK
ADDITION
I OWNER
Q'ame) We: Hue. ~~~;~~:
(Address) 14\ ~ li~ . {I
PID
(Phone) (oc) /- :'J?(q - 3m-
pr;nr ( 0 r G I m 11 '5~I~
BUILDER . .
(Company Name) Q-c..QJ)IStl c.. Q< YYl0df'" II n9
(Contact Name) ~ rc d ()I ~ :( r
(Address)
(phone) lOS',. ?1?'0a3g
(Phone)
TYPE OF WORK 0 New Construction
o Addition OAlteration
CODE: DJ.R.C. DI.B,C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
eck OPorch ORe-Roofing
DUtility Connection
II
F
1
m IV V A
H J M R
2 'J 4 5
ORe-Siding OLower Level Finish
Iv X 1(,
o Misc.
B
S U
o Fireplace
PROJECT COST/VALlIE $ ~ I ('"DO
(excluding land)
chat I have furnished information on this application which is 10 the besl of my knowledge lrue and COllect. I also certify lhatl am Ihe uwner or aulhorized agent for Ihe
ed property and Chal aU conslruclion will conform 10 aU exlsllng srale and local laws and will proceed in accordance wi!h submillcd plans. I am aware lhallhe building
C I . , ~ r jusl cause. Furthennorc,l hereby agrte lhat the city official or a designee may enter upon the property 10 perform needed inspections.
<Q0444-1]1 ., / 1(IlJrn
Contractor's License No. ~
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Penn it Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$.
$
$
3, 0 OO~ aO
This Application Becomes Yout' Building Pennlt When Approved
Suildin!! omcial
Dale
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; }";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
TIus is to certil)r Ihalthe request in the above application and accompanying documents is in acconlancc wilh !he City Zonine Ordinance and may proceed Ol$ requested. This dllCUmenl
when signed by the City Planner constitutes a tcmpor.uy Certificate of Zoning compliance and allows conslI8ction to commence. Before OC(upancy, a Certificale of Occupancy must be
issued.
Planning Director
Dale Special Condilions, If any
24 hour nolice for alllnspedlons (952) 447-9850, fax (952)447.4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 11-/55" #V, ()I) ~1Jt:. -nut. t....
TYPE OF WORK ~~
USE OF BUILDING rtft -"'/"-
BUILDER PHONE # .
NOTE: THIS IS NOT A PERMIT F ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING . 1,)'-- I II> l/.zI..~ I I
PLACE NO CONCRETE UNTIL ABOVE 1-tAS EEN SIGNED
I FRAMING I J7 t!> i jZ7Yd I
I FINAL I IJ tift~f~! I
FOR ALL INSPECTIONS (952) 447-9850