HomeMy WebLinkAboutBuilding 07-0296
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
6,4-.07
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 87 -tJ2. ~=+
(Please
ADDRESS
66s t2J.yfc
fi-cL
ZONING (office use)
-St--"
/5 D
LEGAL DESCRIPTION (office use only)
LOT BLOCK Z, ADDITION
3]!:A- ~,PIDL5'
], DOS'o
OWNER
(Name)
1)1,. A e.-
Ca/~(JJ/\
(Phone)
7'J-J, -7-'YO'- j-IK g'
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
C..aSt'lJ)t) va- CcYLJ/
,77J4/1 Cv.4t:f..../Z-} Jcz.,
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditIon OAlteration OUtility Connection
ORe-Siding
OLower Level Finish
o Fireplace
'~'~''''il.r )
I
I
CODE: OLR.C. OLB.C. I}i Mise 7 vV. ,.,Jaw. ) ~...,~-V ;.-7'
Type of Constnlction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certity that I have hlrnished Information on this application which is to the best of my knowledge true and correct. 1 alsu certify that I am the owner or <1ullwnzed agent for the
Jbove-mentlOned property and thai all mstructlUn Will confurm to all eXistIng state and local laws and will proceed in accordance with submllted plans I am aware that the buildrng
llfticial can revuke tlls for urthermore, I hereby agree that the City ufficial or a deSignee may enter upon Ihe propeJ1y to perltJrm needed Inspectlnns
x
Contractor's License No.
S--7' -0 7
Date
Permit Valuation
UO(!), {)O
$ , .,S
$
--
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 $ ..,.-/- nA
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
I $
$
Paid U ,00
Date 5('1(C7
I ~~CciPc;;;.'3 'f 70
s~r(o 7
ThIS IS to certify that Ihe request 10 the above apphcatlon and accompany 109 documents IS 10 accordance WIth the City Zuning OrdInance and may proceed ,IS requested. Tim document
when signed by the City Planner const1lutes a lemporalY Certificate of Zonrng comphance and allows construction to commence Before occupancy, a Certltlcate of Occupancy must be
Issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) .t.t7-9850. fax (952) .t47-.t245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
. ..' BUILDING AND INSPECTION
INSPECTION
RECORD
SITEADDRESS ~4:>>~S ~ N. j'.('.
TYPE OF WORK 3-N6kJ . ~ . .=--~ ~JW ~
USE OF BUILDING ..f':F7'D,
PERMIT NO. (J 7- fJZ,,, DATE ISSUED ~~.,
BUILDER -'!l1/( iF CA--'IfIJII~ PHONE #9n, · ~~ .. sir,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.... I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING (SDtJt......exnr>>l4c,I~4.) I
I FINAL M "J ' J':,I~ .1.
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE
i
.1{ .;' l,; . -.':.) .