HomeMy WebLinkAboutBuilding 07-0557
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
Date Rec' d
1. z. 07
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 07 - <:.)"C:;7
17 2- 1 S- IV) Ae S rf F , E-L/.) L-A-N ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
tA.NSo,..J
(Address)
S,L\-l'Y\~
BUILDER
(Company Name)
(Contact Name)
(Address) ~IIO
PID 2..~.:;' 80. OLCJ 0
I
(Phone)
'-I- 4V - (L+),. q
CM!OfJJ~ ~T~I oeS'
-(Wl<y ~E.V~~.so N
LlA-U.-C ( (rJDt)5'14,I\-L 13>4' D
$.
(Phone)
(Phone)
~;+ A;-kof' €.. f:...
c;.(;)..
~('?....
11110
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition DAlteration DUtility ConnectIon
CODE: DI.R.C. DI.B.C. )(MiSC.
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
ORe-Siding OLower Level Finish 0 Fireplace
S\-l1V TlA.1J1\J ~L ('/ C 4- + s "-
PROJECT COST IV ALUE $ 13.5' S ~"'5!
(excluding land)
1 hereby certify that 1 have furnIshed mformation on this application which IS to the best of my knowledge true and (OlTect. I also certIfy that I am the owner or authorized agent for the
Jbnvc-mcntlOIlcd property and that all construction will conform to all existmg state and local laws and will proceed in accurdance with submItted plans. I am awarc that the buildmg
ntlicial can revnke tillS permil fo st cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the propeny tn perfclfm needed 10spectHlns
X ~
--
Permit Valuation
Permit Fee $ 54-~
Plan Check Fee $ ':7 S- ~ l..co
State Surcharge $ ..10
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permtt Fee $
This pproved
?-o ')..'113 'Tt
1-?- -1
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ qD.Z-\
YI~~ i
I ~~ceiPt ~ ? G&
Paid
Date
ThiS is tn certify that the request 10 the above applicatIon and accompanymg documents is m accordance with the City ZOnIng Ordinance and may proceed as requested ThiS document
when signed by the City Planner constItutes a tcmporary Certificate of Zonll1g compliance and allows construction to commence Befme occupancy, a CertIficate nf Occupancy must be
j.ssllcd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-985ll, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTION
RECORD
11 z ,") t~ ~H A E1:-0 LAA6
D.EPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK WI/vJ)d).......}
USE OF BUILDING R~~ ^ I r-
PERMIT NO. 0"1. ~ <-;-1 DATE ISSUED
BUILDER c(l.Ae.,J~L ~~o.4-S PHONE # ter-z-' LIc.I -\f4ufo'L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
l]-Z- (~l
~ I I
PLACE NO CONCRETE UNTIL ABOVE H~ BEEN SIGNED
I FRAMING I i/~ I
I FINAL j/Z//' I
INSPECTOR
DATE
I
I
7, ~cl7 ,
FOR ALL INSPECTIONS (952) 447-9850
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