HomeMy WebLinkAboutBuilding Permiot 06-1098
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/ 2--J1-: 0'
332q
51f(!/?M6~
~/L-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone)
QSz-!22.G- 5733
OWNER
(Name)
-rc:-
~wt
33Z.. ,
(Address)
1 White
Pink
Yellow
I PERMIT NO. &, /078
I
ZONING (office use)
File
City
Applicant
PID z.5 IO~ 0
~IOV'
lctlc~
HN
S537c
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing ORe-Siding
DAdditlon DAlteration o Utility Connection
ower Level FinIsh 0 Fireplace
3~S.
CODE: DI.R.c. DI.B.c. o Misc.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S V
Division: I 2 3 4 5
PROJECT COST/VALVE $
(excluding land)
I hereby certity that I have hlrmshed mformatlon '10 this applicatIOn which IS to the best of my knowledge true and COlTect. I also certify that I am the owner or authollzed agent tor the
aboyt'-mentwned property and t t all constructIOn will conform to all eXlst10g state and local laws and will procced m accordance with submitted plans I am aware that the buildmg
official can revoke thiS permit '0 Just ca sc Furthermore, I hereby agree that the City official or it deSignee may enter upon the prOpclty to perform needed mspcctHms
x
Signature
Permit Valuation ..3, 000.00
Permit Fee $ 7+.75
Plan Check Fee $ -
State Surcharge $ /,50
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
lluildlll~ Unleial
Date
LU (~I 04
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThiS IS to eertlty that the request in the above application and accompanYlllg documents IS 1Il accordance with the City Zoning Ordinance and may pmceed as requested. ThiS document
when signed by the City Planner constitutes a temporalY Certifi.cate of Zonlllg compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
isslIed
Planning Director
Special Conditions, if any
Dale
24 hour notice for all iuspectious (952) ....7-9850, fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 332- '9 otje4//1o/v6 17e-/J/ L.--
NATURE OF WORK i-otvt;)C Level----
USE OF BUILDING jt;@ ,4'//L-
PERMIT NO. c,. /098 DATE ISSUED /2 _14-- () b
CONTRACTOR G;IN7l:;~ PHONE 22-&. 5733
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - iNS
INSPECTOR
DATE
FRAMING
INSULATION
EI!ECTRICAL
't. -1)"-1/7
2;-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I 1
FINALS
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 INSFECTIONS (952) 447-9850