HomeMy WebLinkAboutBuilding Permit 06-0918
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
lo./I.ot;
] White
Pink
Yellow
File
City
Applicant
I PERMIT NO. O(P. 0918
(Please
ADDRESS
(.,1 I
ZONING (office use)
!L'/i
~)u/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 0
(Name)---1 A-ir, (I(
(Address) 2
~ Pt)"i t/CCA.
Co[)lS.b~ V
I
(Phone) he:; 1- ](}3- J '?Cl
I BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding ~ower Level Finish ~Fireplace
DAdditlon OAlteration OUtility ConnectIOn
CODE: DI.R.C. DI.B.C. o Misc. G:" A". it"", Nee. f("_
Type of Constntction: I II III IV V A B PROJECT COST IV ALUE $ ft ",dO
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certity that I have hnnIshcd mformatlon nn this application which IS to the hest of my knowledge true and correct. I also certify that I am the llwncr or authOrIzed a 1 'nt for the
Jbove-mentlllned property and that all construction wtll Cllnform to all eXIsting state and local laws and WIll proceed in accordance with submllted plans I am aware that the bu
<lfflu,11 can le~~ pe~~~tm lust cause Flllthelmme, I hereby aglee that the City offloal or a deSIgnee may enter upon the prnpeny to pel form needed Inspectl<lns
X \G~11'))/~-:2-
Slg ature Contractor's LICense No Date
Permit Valuation Park Support Fee # $
Permit Fee $ .15' SAC # $
Plan Check Fee $ -- Water Meter Size 5/8"; I"; $
State Surcharge $ /.50 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 4d.()(J Water Tower Fee # $
Mechamcal Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee I $ Other ezA;-~t,,4~ $
..
$ TOTAL DUE $
Paid /S . 2..$
Date / o. /1. ()"
ThIS IS to certify that the ITqUl'st in the above applicJt1l1n and J.ccompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the CIty Planner constitutes a temporalY CertIficate of ZOl11ng comphance and allows constructIOn to cummence. Before llCcupancy, a Certlticate of Occupancy must be
i,"isllcd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) ....7-9851l, fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTI;O~^'~ RECORD
DEPP~RTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 280 I {IV 1 LOS Lt/;.J ~
NATUnE OF WORK L ott./c/c. t-6Vt;-C-
USE OF BUILDING ):CI p/r-
PERMIT NO. 6 ~. 6 U9 - DATE ISSUED /0, /1. 0 ~ _
CONTRACTOR ~ () or...S Be V PHONEm (;, 5/. 303. u,9o
NOTE: THIS IS NO A PERMIT 'FOR ANY OF THE INSPECTIONS BElOV<!
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
. -
~4" ~;t.. \
h ~ :
.~~ I
I
NTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
?lZ(
#J:.i:1
17
dO>i. (.&II'~ ~c9
COVER NO WOHK UNTIL ABOVE HAS BEEN SIGNED
I L
FINALS
11 ^'
< i
Bl.. "J,LDING
10---. .--
El.ECTRICAL
PLUMBING
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.
I FOR ALL INSPECTIONS (952) 447-9850