HomeMy WebLinkAboutBuilding 07-0638
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellov,'
File
City
Applicant
I PERMITNO.Ol_w3~
~'vG':2{Jc\n (1 VC\
c.t
)
<C"-
~ )c ,
ZONING (office use)
\
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID :2-::; lql 'i)~~ 0
~~e~'~\C\Y\l\ ,~C\
(Address) V ,'~-l CY"-.fj
c\) \c\
'-1-
~c;
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAddition DAlteration DUtility ConnectlOn
CODE: d. D.C. DI.B.C.
Type of ~~ction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding
Lower Level Finish
o Fireplace
o Mise.
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that 1 have hlrmshed mformation on this applicatIOn which IS to the best of my knowledge true and cOITect. I also cerlity that I am the owner or authorIzed agent tlJr the
I above-mentl cd pmperry and that all construction WIll contllrm to all existmg state and local laws and will proceed in accordance with submJtted plans am aware hat the buildmg
;g'Of!iCi~.C7eV:lke tlllS per~1l ~lStcause Furthermore, I hereby agree that the Clry official or a deSIgnee may enter upon the propeny to pertllrm needed speetj()ns
X LJ--~-r:/< ~~;u). ?/a
, Signature Contractor's License No.
Permit Valuation I Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fec # $
Water Tower Fee # $
Builder's Deposit $
O~ $
TOTAL DUE $ 7,.... Z-(;;
Permit Fee $
Plan Check Fec $
State Surcharge $ .50
Penalty $
Plumbing Permit Fee $ .9l,O
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
$
Paid
Date
~7;-::~
I ~~ceiP~~~ 7
ThiS IS to certify th,1t the request in the above applic.1tInI1 and accompanYll1g documents is in accordance with the City Zoning Ordinance and may pruceed as requested ThiS document
when signed by the City Planner constItutes a tempurary Certiticate of ZOl1mg compliance and allows construction to commence Before occupancy. a Certificate of Occupancy mllst be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-985ll. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 58 -3 7 C~~N::J(2..-q 5'~. ~ 6-.
NATURE OF WORK L~L6v=-'- ~TH- F,~ IS It
USE OF BUILDING lLes A ~'2- , .
PERMIT NO. Of -03Z; DATE ISSUED l (2--0/0""
CONTRACTOR L~ MA(l/NC'7-- PHONE~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT .
INSPECTOR
DATE
(Prior to Backfill)
NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBI~G
HEATING (if required)
ST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
to Sodding)
~-UJ/(J7
BUILDING
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