HomeMy WebLinkAboutBuilding 06-0928
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE..
AND umITY CONNECTION PERMIT
Date Ree' d
I. WIrioo Fne
2. I'iM Clly
J Yellow AppliooIII
I PERMIT NO. 0", 09Z81
I I ZONn<G___1
I
PID
(Plate tyJIe 01' prbtt lIIIlI sip at bottDm)
I ADDRESS J1
/7 3 ~tj ,Dee y he! t{
Or ;v<L
I LIIGAL DIlSCIIIPTION (........-
LOT BLOCK ADDmON
~=---1\fl1 0 ) cL
(Address) J I 3 S V
l-4-e ) ) (h~ r\ f)
Dterhc/o{
(phone)
C,5;}. - L/t/o-"3 DD I
r; v'~
=:Name)~O l~r M, cd. v-JC-.)f J:V\ C '
(Contact Name) S c: D ff ('-r~ J h-f~ T;?o/(
(Add!ess) , d.. r ;"\c;l.. ~f-vl <"\.) C{ r IL-
(phone)
(phone)
t3 / vcA.. -
/0 "3 .. 55 ,- 570.2
SA ..-v'\-e-
r !""t> "'-~ M N.
TYPE OF WO:RX 0 New CoDSttuCtion ODeck OPorch ORe.Roofing CJRc..siding OLower Level Fipish 0 Fin:place
OAddition OA1teration OuliIity COlllleCtioa 'GlMisc. .5(/ Ie, -h" b <.. 1-'1 5' 1^-11 ""\.;-; 0 ..,
. CODE: DLll.C. DI.B.c. PR.oJECTCOST/VALUE S 100 D
Type of Coastrudion: I n m IV V A B (..~clnding luul)
0caIpaacy Group: A B E F HIM R. 5 U
DiriJiaa: 1 2 3 4 5
I heRby certiIY lllall haw fimaisbfd information aalhis appIicadoa wbich is to die best of nry knowkd8e lnlC md aucct. I also =lilY dlat J am die owner or autborizcd ~ for die
aboft-meatJoned JIIDPMY and lbal an COIISlIUC:lioII will canIbrm to III c:xlstiD& sua: IIId JocaJ Jaws md will proc:ftd in lICalI1Iaalx widl submitted pIaDs. I am llWim Ihllt Ibe buildinl
~ T-X m~ baeby ~1bat lJIecityof&:W Dr lllks~ rmyentcr upoI1 dleJlfOPCJlJtopaform iD ~DSO k?
Sipatun: ConIrIIctor's LiceDse No. Dalr:
This
Park Support Fee #- $
S SAC #I S
S Water Meter Size 5/8"; I"; $
S Pressure Reducer $
S Sewer/Water Connection Fee #- $
$ Water Tower Fee # $
$ Builder's Deposit S
S Other $
S TOTAL DUE S I z.z. . ~ q
_ Baildiac Penait I Paid //~~%~h I ~t!lrofe
Date
Permit Valuation
Permit Fee
Plan ChecIc Fee
State Sl11'Ci1arBe
Penalty
Plumbing Permit Fee
Mcchanical Permit Fee
TIus is to catIfy tIlat ~ mpIftl in die llbove ;tppUcation IIId lla:ompallYina cIocumclllS is in llCalRIanc:c with the City Zooing OrcliJwu% llIId II1llY procm1 u reqacstI:d. This document
when ~ by the City PIllnner mnslitutcs II a:mporary CatilIcaa: of Zonina ~ llJ\d aUows ronsuuctlon to commence. Bdce OCCUpllllCY. II CcrtifiCllll: of Occupancy must be
issued
PIaJmin, Director
Dare Special C__. if my
U ho.r notitt for all i.spedioftl (')52) 447-9850. fn (952) 4C7-4:z.t!i
16200 Eagle Cft:ek Avenue Prior Lake, MN 55372
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS ~~~fl&-~~ U\V~
TYPE OF WORK ~<-A-<2- -rlv~ (~)
USE OF BUILDING RES Alii!-
PERMIT NO. 0&.0 9Z-ttJ DATE ISSUED to /'''exo
BUILDER ~v~ \<J~ H(C)~\. PHONE #lh::,-SS7-~()"L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I F6~TIf0 I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~FRAMING l.<Av< (..ot.. S" ""...- ""~GN
~'1 Co~p<--~ 4r SA.M~ _ \~ /J
FIN~L tM/ ~ -'-(--if)
FOR ALL INSPECTIONS (952) 447-9850