HomeMy WebLinkAboutBuilding Permit 09-0757
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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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at bottom)
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LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name)
13oi$
5 '-().. '1
o ~ L L.-Iv j)
if {~r:: I c;:- t./u C ( ,4.- C ~e .~
(Phone)
952 Y}d-t, ... 6~bJ J
/-~ At}-
(Address)
White
Pink
Yellow
I PERMIT NO. o~o7S7l
File
City
Applicant
ZONING (office use)
tRlol( LI &
;It TV
BUILDER ~ONI" ('vI. Ii- i. <l:"- C..-V )\. ~ J Lie
(Company Name) (Phone)
(Contact Name)- l5 g-N f-' "I ];)()Nr~V (Phone)
~ J.L (
(Address) d-i [7 ~! I )-i- ,.......- "1 It 1-4''-' (i fV LL-'; /Yl~
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TYPE OF WORK. 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
I hcreby certifY that I have flirnished mfmmation 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-mentIOn perty and that a ns' Iction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can re oke is permll for JU ca s Furthermore, I hereby agree that the CIty official or a designee may enter upon the propetty to perform needed mspectlons.
,y'." do J
Date .
CODE: DI.R.C. DI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
III IV V
HIM
234
A
R
5
I
E
II
F
I
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Date
Buildlll!! Ollicial
o Misc.
B
S U
PROJECT COST IV ALUE $
(excluding land)
;)...0 c.j ~ 77 2 2-
Contractor's License No.
Park Support Fee # $-
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
$
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
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 542-4- OGEIZPIELO V~ SE"
TYPE OF WORK ~JC.:f L-16HI
USE OF BUILDING /ZeS nl/L...
PERMIT NO. 09.0757 DATE ISSUED ~ Z.z...07
BUILDER ::J7JIJJ n/~f2- CRJrJSiIL. PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING / f/";~~r,h71 I
I
I FINAL
1l/3
J I ,
1/~/t(69
FOR ALL INSPECTIONS (952) 447-9850