HomeMy WebLinkAboutBuilding 06-0708
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
B.1-,o(,
1 White
Pink
Yellow
I PERMIT NO. O~. 0708
File
City
Applicant
ZONING (office use)
'€'/SD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Address)
/r:,-(~
OWNER B-
(Name) rtct1
BUILDER J
(Company Name) Gl/"IC)
(Contact Name) ~ (-<.1111'
PID zs: 085. ()o7. ()
,
(Phone)
b' J.. _cl yO' Cjq 3>
.A
CO 'J1"",.Jr '(.1
(Phone)
(Phone)
61). - )ICj ~~j'i'c 1
'" -
I<~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
o Misc.
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
x
I hereby certily that I have htrmshed mformatlon on this applicatlon whICh is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized agent for the
abllve.mentlllned properry and that all construction will conform to all existmg state and local laws and will proceed In accordanee with submitted plans. I am aware that the buildmg
offieial c revoke tlm permit for Just eause Furthermore, I hereby agree that the Clry official or a designee may enter upon the property to perform needed InSpcctHlns
.~ .-} '1;:; L
Date
P1
Signature
Permit Valuation /JOOO.OO
Permit Fee $ 34-.75
Plan Check Fee $ -
State Surcharge $ cSO
Penalty $
Plumbing Permit Fee $ +0.00
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ ~O. 00
ecomes Your Building Pennit When Approved
E--4 ~cJ(.,
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ / I!;;J . 2.5
.5ZZ-lIZ-
ThIS IS to certify that the request In the above applIcation and aceompanying doeuments IS In aeeordanee with the City Zoning Ordinance and may proceed as requested. Tim doeument
when signed by the City Planner constItutes a temporary Certificate of ZOnIng complIance and allows construction to eommenee. Before occupancy, a CertIficate of Oecupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspeclions (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUIL:JING AND INSPECTION
SITE ADDRESS /5671 IJL-/n./o V/~
NATURE OF WORK LOw6lt.- ~
USE OF BUILDING #CJ' 4/1--
PERMIT NO. () r;, . 0 7 ()o DATE ISSUED 9 _ 1-. () &,
CONTRACTOR :::T7t1-1E5 MI&l-11a PHONE (,12,;71 cr. OS?; <--
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~G I
I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ; J
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
( . \ ~ .0 ~
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