HomeMy WebLinkAboutBuilding 07-0105
:; } o~oooo "'\:J 0 > -0
Z_
en X ~ 0 ~~
~ tIl."z"''''''' 0 Z 0
g 0 II 0 ::jZtll~OO z m ;;0 mO
> 0 ::0 m>c CO m ::0 m 0."
r- :"1 A -r->:3:Z.... z tIl ::!"
t>, z -0- en
r- tIl tIl ....~>~ 9 0::0
:.a t > "'\:J - .... z-
t>, .... m 0 - zO
~ ..... en o z 0
S cD ." .... Z 0::0
co > (5 ::!~
~ C1l 0
~ 0 Z OA
.... mm
." 0
~ 0 ::0
::0 :<
~ .... "'\:J
~ X ::0
~ m 0 000000
z ::0 0
~ m m m !:"'\:JtIl::E!:"'\:J
>< Z m m mr-~>mr-
.... 0 0 OC ....oc
:.a Z ~ tIl x!: mx!:
~ ;j "'\:J "'\:J 0 en
~ en m .,,~::o::o::o~ m 0 0
~ "'\:J ::J 0 zZxx-z ::0 Z X
:j m CIl .... >QOO Q 3: .... m
:::t
~ 0 () (5 r-."oo ::0 ::j ;:0 0
.... 0 Z -AA - Z C
(5 a zcc r-
~ l:ll i'!"'\:J"'\:J 9 m
z :"1 m 0
~ N ."
~ 0
~ x ::0
m
~ 0 0
c 0
::0 < 000000 --J
tIl m ~~
~ z ::0 Q"''''om
Z >;u;uo~ \
Ro > G) ~mm3:G) "'
0 ~
s:: ~ _"'\:J"'\:J"'\:J~ 5.
~ z ~>:>>o \1',
0 >ooz:;;
'"'l !11 _mm...._
:::: ::0"'::0 r-
....-_ r-
tIlZ Z m
....~ Q
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
S-~1.'1
F"^",,,,",- ",^"C-"Jo_
LVir vt.
s ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Date Rec' d
I White
Pink
Yellow
3("'ID7
I PERMIT NO. 01. Olosl
File
City
Applicant
ZONING (officc use)
\),-: "f
L".... \..... """"
j
5snL
J2.Z-
PID 2.5,].
025,0
OWNER
(Name) 1.) c.' .. ::J\"" ~
L ~ '"\.-1'
(Address) 5 Lj L '-l
FA......,..., ,,",,€.~Jo.v
(......'-1.. <;,,,:
(Phone)
'1S:l..-2..'10-2..)f:)(.
,),-,,,,,,, L.... k
.........""
S-:r372..
BUILDER
(Company Name)~ A
(Contact Name) Do. ~ \....~
(Address) S'11l.i f.., '^"_
(Phone)
(Phone)
L c: "'"'Y
VV\ e... .1. ,J
C .... or '-<-
'1S-1..-1.'10-2{5I-
5S3-11..
':. j:;
.:> .- .. f'/
"..........
L_ It..
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
DAdditlOn ~Alteration o Utility ConnectIOn
CODE:~.R.C. DI.B.C. o Misc. UF( I fo..J"; "Beo l2eo ~
Type of onstnlction: I II III IV V A B PROJECT COST /V ALUE $ , 800 - j,) 1000
Ocrupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that l have hlfmshed Information on this applicatIOn which is to the best of my knowledge truc and correct. I also certify that I am the owner llf authorIzed agent for the
dbove~mentll1ned pwperty and tlMt .111 CllnstruetlOn w1l1 conform to all eXlstll1g state and local laws and will proceed in accordance with ,ubmllled plans I dm dware thdt the blllldll1g
nftkial can revoke this permit for Just calise Furthermore, I hereby agree that the CIty official or a deslgnee may enter upon the propetty to perform needed inSpectIOns
x
c:
- Sig:-rure ~
Permit Valuation "'/Dt)O. DO
Permit Fee $ .3Z1. 7~
Plan Check Fee $ -
State Surcharge $ ,50
I Penalty $
Plumbing Permit Fee $
Mechalllcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
~ .~3j7(b7
lluildll1g Ortlclal Dale
0] lOb lo~
Date
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 $
TOTAL DUE t~@Y ~s ,7 ,() 1 $ gs-;ZS-
Paid
Date
-;:;) ,
.~i'/ t l:
')
?
,
TIllS" to certify that the reque,' 111 the abuve application and accompanY111g documents IS 111 accordance wIth the City Zonll1g Ordinance and may proceed a, reque'ted TIllS document
when signed by the CIty Planner (lH1StltLJtCS a tcrnporalY Certificate of Zonll1g compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
I isslll'd
Planning Director
Date
24 hOllr notirr for all insprrtions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
PRIOR LAKE
INSPECTION RECORD
z N ~ ~rG"
DEPARTMENT OF
BUILDlriG AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING __
PERMIT NO. 07 0 I ('3
CONTRACTOR ~1A6c.Ar (1i}It~ PHONE -I~", $',
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
INSPECTOR
DATE
:
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
--- UJ/ n
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
V\,L--
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 INSPECTIONS (952) 447-9850