HomeMy WebLinkAboutBuilding 07-0840
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERnnCATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
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3
01'
ADDRESS
lS"6oq
~: E:. ~ I PERMIT NO. 07. 08+ 0'
c.1t-\N''-'..t- A-vC. NOp-r/.t &1\-$'1'
I ZONmG....__,
LEGAL DESCRIPTION (office use only)
fJ. 42 .K'7 '
'f(.L 5"'. .7? I l'
!t.It / PID
(j
LOT BLOCK
ADDmON
OWNER .,,, -~ Fe..o .D 1..': C. H
(Name) "-JI'\ V C -y ~t= /'oJ --..) \ L..... f',.. r-c;
(Address) 1560'1 l~ui "v~ /'VOP---1H
(Phone)
BUILDER
(Company Name) (.C, II @3-e
(Contact Name) I< .It.f-.\....'1
(Address) I (,1/ c
C' 1 '1 (2...b/'V) OdEL i ...J 9
11'1 oV\ bE Ifu '"
L1~l..-j Ilt: Gi ,leI-
CIS) 4 69 ~ &'75 ?
QS ~- 469. ~S-C}
/II S-S 0 <:t
(Phone)
(phone)
l.-1--V'-E l.J; ,
TYPE OF won 0 New CODStnICtiOD ODedc oPorcb ORe-Roofing ob-Siding oLower Level Finish 0 Fireplace
OAddition ~teralion oUtility Co~ 0 Misc. It 300 0 . 0 0
CODE:lSIf.R.C. OI.B.C. WD . fl.l::"""P1\1 t2... PROJECTCOST/VALUE S +5 j COO. 00
Type of CoastJUdion: I n m IV V A B (excIudiq land)
Occupancy Group: A B E F HIM R S U
DiYisioa: I 2 3 4 5
1 beRby cenif)' thai 1 haft funU5hcd infonnation 011 dtis app&Ilioa whidl is 10 the best of my knowIedte ~ and correct. I also t'ertity Ibat I am the owner or au~ qem ~ 1M
above.menttoned and Ibat aU COItStrIICtion will conftIrm 10 aU exisIini ...Ie IIId loc&Ilaws and willlll'DCftd in lICl:OIdatIt'c with SIIbtnIlted pIaas. I am iiWIn' tbilt the buildina
ollicial can c tbis " for j\llt cause. I hemIy ItIIft IIIat tIIc city oIIicia1 or a cksiancc IIlaJ entef upon tbc property 10 perfurm needed utSpeCtions.
x
~OLf3J7/3
CoIl1nctor'I License No.
R )d-d-Jo7
'DIll: .
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Pee
Gu Fireplace Permit Pee
00.0 fJ
S / &8. '2-5
s q,3ft:,
S I, S-O
S
S
S
S
S
Park SUpport Pee
SAC
Wale'Meter Size 5/8"; 1";
Pressure Reducer
SewerlWater Connection Pee
Water Tower Pee
Builder's Deposit
Other
TOTAL DUE
##-
##-
S
S
S
S
S
S
S
$
S
##-
##-
Buildin omeial
P/27~7
Dlte
'I1Ut ApplkadOll Become. Yom Builllhll Pennit When ApproYef
~~
This IS 10 ccnil'y dial tbc request in tbc above application and a<<ompanyinl doc:umeall is in ~ with tbc City ZoniDa Ordinan~ IIId IIlaJ pt'OCftd as reqanted. This documenl
wben siped by tbc City PIann<< C'OIIItil1ates illmIporary CCI'liIbIc of Zonina compliance and aUows COtISlI'UCtion 10 COItItltCIICc. 1Icin IlC'CIIpancy. a Certificate of 0m\pIncy must be
issued.
l'I8Daiui DlrecIor
Date Special C~ if
24 boar nollft 'or allllllpeCdons (952)> 447-91... r.ll (951) 447-4245
16200 EaJle Creek Avenue Prior Lake, MN 55372
-J
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 15 f60' CALIYIUT ~ ,J. G.
TYPE OF WORK n;,~;;;rn~ LD'lfIit./
USE OF BUILDING ~t=:o,
PERMIT NO. ~;:O84:0 DATE ISS~ED -PIa ?~
BUILDER ~~___ t:irr 1'6M,IJn,Il!!1 PHONE #Jjj-"",-ns"!
NOTE: THIS IS NOT A PERMIT FOR ANY OF YHE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
· W14"""
FOOTIN tJIJ
PLACE NO CONC ETE UNTIL ABO
FRAMING ~
(. r
DATE
FINAL
FOR ALL INSPECTIONS (952) 447-9850