HomeMy WebLinkAboutBuilding 07-0111
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3 - qv 07
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 070 0 J II )
ZONING (office use)
0--9;)..1
Of' /0 It: P k1,c:~ s-': e.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER rr
(Name) JeT/"
,/Jd'/y'c;(
(Phone)
9S-c9-. - Vi\() - ') 0 f/ 7
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing
OAddition OAlteration DUtility ConnectIon
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
ORe-Siding JX'Lower Level Finish
Z~.
o Fireplace
o Mise.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
x
I hereby certify that 1 have tlJfmshcd Information on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
abllve-mentlllned property and that all cunstructlOn will conttJrm to all eXisting state and local laws and will proceed in accordanee with submitted plans I am aware that the building
ofticial CJn n: () 'thIS . It for Just caLise Furthermore, I hereby agree that the City official or a deSIgnee may enter upon the propelty to perform needed InSpC tlOns
J 1]
Permit Valuation Z,ooa.cJO
Permit Fee $ 4oZ.z,5
Plan Check Fee $ -
State Surcharge $ I. d 0
I Penalty $
Plumbing Permit Fee $ +-d,OO
Mechamcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ - ~
This Application Becomes Your Building Permit When Approved
Buildlllg UIlI(lal
llat~
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
Water Meter Size 5/8"; ]";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
03.25
SZ8~
TIllS IS tll eertlfy that the request In the above applrcatllll1 and accompanYlllg documents IS In accordance WIth the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the City Planner mnstllutes a temporalY Certificate of Zoning complrance and allows construction to commence Befme occupancy, a Certificate llf Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date
24 hOllr notiee lor all inspections (952) 447.9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS S9z I O/ZfOG6- ;::;~/J~
NATURE OF WORK ,-oW 8k- t-CVb2-
USE OF BUILDING /ZEI ,A-/ /f.-
PERMIT NO. 07. 011 ( DATE ISSUED 3' _ q ~ 0 7
CONTRACTOR f/CTJu eK..-. PHONE 4-+rJ1 ()~7.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~J ~I ]
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
J ] 1
FINALS
--~--
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
c-')-(/)
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.
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
.
FOR ALL INSPECTIONS (952) 447-9850