HomeMy WebLinkAboutBuilding 07-0179
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/4347 FAllit-AII'E
t-r
Date Rec' d
4-. 4--- V 7
t White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 07.0177
ZONING (office use)
Pr./SO
LEGAL DESCRIPTION (office use only)
LOT J- BLOCK 5 ADDITION ::rGt::FEiZ~ AN])
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PID J5.. 437- 01,-0
OWNER
(Name)
(Phone)
(Address)
BUJLDER
(Company Name) WFN;:>,wA/IIN J-IIJMI!F3
(Contact Name) /D111.
(Address) /<6ci5 PL.-A ZA- /)L ~d. dCCJ EAGAN
(Phone) f/5/- 4/)~ '44~Z)
(Phone)
n-1 A/ 55/,;; .2
TYPE OF WORK JgNew Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteratlOn OUtility ConnectIOn
ORe-Siding ~ower Level Fil11sh
J rV1J-f.
o FIreplace
CODE: ~.R.C. OLB.C. o Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $ I).J ~OD
(excluding land)
n this application WhICh IS to the best of my knowledge true and correct. I also certify that I am the owner III authollzed agent till the
n will contillm to all eXisting state and local laws and will proceed in accordance with submitted plans I am aware that the building
thermore. I hereby agree that the City oftjcial or a deSlgnce may enter upon the propeIty to perform needed Inspe IOns
/45t.f ..(,~, ~7
Contractor's License No. Date
x
Permit Valuation .3, (! () O. 0 ()
Permit Fee $ 7~ 7S-
Plan Check Fee $ --
State Surcharge $ I _ .sO
I Penalty $
! Plumbing Permit Fee $ 40 00
Mechal11cal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ 40.00
This Application Becomes Your Building Permit When Approved
~ 14b-
Buildlllu Uttletal </ / ~(o 7
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 ('At/,;-t;p ""1-. f--. (.'71 $ /5&. z5
Tim IS to ClTtlly that the request 10 the above appl1cJtlon and accompanY1Og documents IS In accordance With the City Zoning Ord1Oance and may pmceed as requested ThIS document
when signed by the CIty Planner Cllnstltutes a temporary Certlticate of Zun10g compliance and allows CllnstructlOn to commence Before occupancy, a Ccrtlticate of Occupancy must be
i..<,;slIcd
Planning Director
Special Conditions. if any
Date
24 hour notice fnr all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
ve (!T
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. .
CONTRACTOR PHONE ~l
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
LL rr-~ ROUGH _ INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if re uired
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
LDING
ELECTRICAL
PLUMBING
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 INSPECTIONS (952) 447-9850