HomeMy WebLinkAboutBuilding Permiti 07-1144
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P RIO R LA K E ~~rto~~~~~~ ~~SPECTION
INSPECTION
RECORD
SITE ADDRESS /(P:f~5' t/tCJa/Zllf CU~vE $:tl
TYPE OF 'NaRK {;Jfbl~f.!"' /)kJ1f.. llDt,..... AEAlttc FJ;&#~ r-
USE OF BUILDING ..r; ~'::::-DI1
PERMIT NO. 91-1/'1" DATE ISSUED 11/'./07
BUILDER llXl'E}udl't- PJH~OJn PHONE # 1112 _~., I_'~'"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE Pi=RMIT IS BY SEPARi\TE DOCUMENT
--. 1- -'
PLACE iJO CONCRETE UNTil ABOVE HAS BEEN SIGNED
FRAMING C VVv1 J I L~'-1-1/) I
.
INSPECTOR
DATE
FINAL
M'-
W=I Pl.lli(J
F()R ALL INSPEC1;C is (952) 447-9850
i ;~ ~ ' .'
.. .
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
'(j,rIC~
Date Rec' d
I White
Pink
Yellow
I PERMIT NO. tJ 7 -tt 'It(
File
lity
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~aN
nOjvtCL~
(Address) /c: "S
5'
~c
yla-
(Phone) 9 S' c2 - .;2 :2/- .;2 3 "7' g-
e"- v<-
.s.
BUILDER
(Company Name) ~ ~I e ~ I'{) y' ~:... A'a. ""'C' e JJ>t..e Pt/s
(Contact Name) /::/?i-. {;' < /("a. a.. s
(Address) 9/ au /3/
9.s'"'.:< -;g~ I-I S' 0 :3
c /.;2 - ~ :;z I -. c, s '7 )t,
/1. S' .s 5"3/
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing ORe-Siding OLower Level fimsh 0 Fireplace
OAddinon OAlteration OUtility ConnectIon
CODE: !.R.C. DI.B.c. o Mise,
Type of onstruction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U
Division: cD 2 3 4 5 (excluding land)
/ 5"' 90. 0 1J
x
I hereby certify Ihat I have furmshed mformatllln on this application which IS to the best of my knowledge true and correct. I also certIfy that I am Ihe owner or authol!zed agent fllr the
dboYL'-mentlOned property and that all ClmstructlOn will conform to all eXIstmg state and local laws and will proceed in accordance with submltt<:d plans_ 1 am aware that the buildmg
ofticial can revoke tillS perml fm Just cause Further~bY agree that the City official or a deSignee may enter upon the prope11y to perlmm needed mspeclllms
~ p~"~.;;20t27 / ~ S';2 //
Contractor's License No. Date
Signature
Permit Valuation 11!12Soo.0D
Permit Fee $ 7'f,7S
Plan Check Fee $ -
State Surcharge $ I, 2..-5
I Penalty $
;
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
I~~
I Iluildlllg Ufficlal
11/10/67
'Date f
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ I~ .00
I paid:J(~~.t!)O
Date r ~/o7
i :~ce~ 5507'
ThiS IS to certify tl1.at the request In the above applicatIon and accompan)'mg documents is 10 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the CIty Planner Cllnstltutes a temporary CertIficate of Zonmg comphance and allows construction to commence Before occupancy, a Certlncale of Occupancy mllst be
Issued
Planning Director
Special Conditions, if any
Dale
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372