HomeMy WebLinkAboutBuilding 06-0192
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ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3.1.,,1. Oft;
1 White
Pink
Yellow
File
City
Applicant
\ PERMIT NO. O~ . 0112- \
at bottom)
ZONING (offIce use)
~ Nw. ~~o\..u.\..c.
/(2-
31~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.5.387. 022.(.)
OWNER
(Name)
~\~ ~~~
(Phone)
('/Z. (; t: '7. .s- Z t.- /
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Const~on ODeck OPorch ORe-Roofmg
OAddition ~Alteration OUtility Connection
CODE: 'mI.R.C. OI.B.C. I IU"'/. 0 Mise
Type of ~nstmction: 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 OLower Level Finish 0 Fireplace
PROJECT COST IV ALUE $ ~OCJ 0 I 00
(excluding land)
'ormation on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authorlze,l agent for the
p per!)' and t all nstrllction Will . tm to all eXisting statc and local laws and will proceed in accordance with submllted plans I am aware that the bUlldmg
9r Just cau Furt ore, I hereby agree that the CIty official or a designee may enter upon the propel1y to perform needed mspectlOns
j ..).4 -((""
Contractor's License No. Date
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
3,00
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other ~ $ I. 00
TOTAL DUE (!?7 3.1A-.O(, $ 222.. c':3
This Application Becomes Your Building Permit When Approved
~~
Buildil1!! Ofticial
5(*6<{ to Co
Date
I Paid ;;ld-l;G~
I Date . /' '1--
I ~~ceiPtNo -?1'7~
ThiS IS to certify that the request 10 the above application and accompanying documents is m accordance wIth the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constitutes a temporary Certificate of ZonlOg compliance and allows construction to commence Before occupancy, a Certltlcate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
-.I
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~L(=? '&tt>lJiLmDC-C. 'j3U'1J. #,AJ.
TYPEOFWORK _ =~~r t.4~ -(6 1JE'1:>~W"
USE OF BUILDING _ .s: F: A. · · .
PERMIT NO. frc. 0/92- DATE ISSUED $I(((J(.-
BUILDER GirL ~ D ",. ~ PHONE # &'{Z-I/B-SZi/, ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
)tI
~ . .CE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
;J'RAMING l , V0' [ L-liu-Jb ]
. FINAL [ftJ 1#71
FOR ALL INSPECTIONS (952) 447-9850