HomeMy WebLinkAboutBuilding Permit 06-0329
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
"""'~... ......-
IADDIUlSS
lit? "PM~Vt~kJ 'DR
Date Rec' d
Sf O,~
I. While File
2. Pink City
J Yellow Appliconl
I PERMITNO.6~ -03~ I
I
ZONING (office use)
PtlO
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK ,3 ADDITION ~I /l/ /te..- /C?-4 ex:; b /.s;r
PID 25. z 99. 03&'.0
OWNER ..-r: ,0
(Name) ---l f-t f/l}Jl\ M tHt \ a, V iZ ~
(Address) 1(p122.4 ~~kVllUU~ PRlo~ t.Aki. MV
(Phone) q~ 440 ~qo
(phone) 7v3 424 q454
(Phone)fI1J2 qJ1 /074
TYPE OF WORK 0 New Construction o Deck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection ~ Misc. ~ ~ I i2... . a. S'
COD~R.C. OLD.C. PROJECTCOST/VALUE $ ;<Qz4 ~
Type ~f &"'~ion: I n ill IV V A B (excluding lancl)
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I hereby certify Ihall have fumisMd information on Ihis application which is 10 lhe !lal of my knowlc:d&e !rUe and correct. I also certify thai I am the OWDl'r or authorized agenl for lhe
above-menll and lhal aU cODS!rUclion wi! form to aU existina scale and local laws and wiD proceed in accordance wilh submilled plans. I am aware lhat Ihe building
official c .1 ust cause. F .1 hereby asree lhat the cily official or a clesignce may coler upon Ihe property 10 perform needed IlJSPCClion}
X 11,2. 3 ( 4 / z..@/()(;p
Cintractor's License No. I Date
Permit Valuation , LS"oo,OQ
Permit Fee S 71.{,7S
Plan Check Fee S -
State Surcharge S , · Z.S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer &: Water Permit Fee S
Gas Fireplace Permit Fee S
This Application Becomes Your BuildinJ Pmnit When Approve.
~~~
Buildina Official
~I ! db
Dale
Park Support Fee # S
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer S
Sewer/Water Connection Fee # $
Water Tower Fee # S
Builder's Deposit $
Other $
TOTAL DUE $ 76, (JO
I Paid If}i';'O
Date , D"
.
I R=~O 5i2.7~
By r
nllS IS to certify Ihallhl.' requeSI in lhe above application and accompanyina cIocumenls is in acconlance wilh die Cily Zooina Ordinance and may proceed as reqUl'Sled. This documenl
when sianc:d by !he Cily Planner constilUICS a lemporary Certilicale of Zooina compliance and allows cons!rUction to commence. Before occupancy. a ClTliflCale of Occupancy mUsI be
issued
PIannina Director
Date Special ConditionJ, if my
24 hour nolice for an inspections (952) 447-98~. fall (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS --' lit ~z.. Co( 71+(l.."" I~ 'DR,
TYPE OF WORK SfA~PC fl., &.-J" \fc.. 1f-C1J^ "IC. FWn Q,ArI."",a" ,
USE OF BUILDING '5...f:: D...
PERMIT NO. O~. 0 3~1 DATE I~SUED ~~ "
BUILDER Su..Pnz.IOI(. ~(I SElrVIC'ES PHONE # 4tz-'1I1-/ozy
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING
FINAL
"'-N a e "J)orJ f!: @ ~ \t lv..c;-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850