HomeMy WebLinkAboutBuilding 06-0144
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
"3
vU' ~..:>
LEGAL DESCRIPTION (office use only)
3/1. (J &
White
Pink
Yellow
File
City
Applicant
\ PERMIT NO. 0- ,~
OWNER SMw'\J S,........l'j...,
(N ame)
(Address) SiS7 WlL~Hc:'!I.St ?t\S;'
II
F
1
III
H
2
IV
I
3
V
M
4
A
R
5
" \...J..J .
ZONING (office use)
fZ-
LOT I')BLOCK
ADDITION ~~SSC~
PID
~'Z. -t "Z.O-o
P'1 tc(Z Ci~k)
(Phone) b~ ( Ljt{L Ii 7 II
ll,,'11A. S~~'7 L
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction Deck DPorch DRe,Roofing DRe,Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility ConnectIOn
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
o Mise.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
1 hereby certily that I have hJrntshed Information on this application whICh IS to the best of my knowledge true and Cllrrect. I also certlly that I am the owner or authorized agent for the
above,mentlOned property and that all construction will conform to all eXisting state and local laws and will proceed in accordance with submItted plans 1 am aware that the building
ottinal ca1~ ,,', "" ~'~' ,,,' '"" """ '''''""m,,''. I ",""" "''' ,"" ,", '" "m,,,1 '"' de"",,, m" ",,, "'"' ,",' m"''"' m ~"",m "0'" ,",~ct",m
X ~1 /C~ / 5~i-C~
'Ii ~ --
::Otgnarure Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
, I
TOT AL DUE $ /q7~
~;:~ / ~~~\
~~ceiPtNo, ~:IO -i
ThiS IS to certify that the request in the above applical10n and accompanYing documents is in accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constructIOn to commence. Befme occupancy, a Cerl1fieate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 5/S 7 It) \' \~ l-\ot~ rQ<;~
TYPE OF WORK Deck-
USE OF BUILDING ~
PERMIT NO. ~- ~ 41 DATE ISSUED '5/9/0e,
BUILDER SkaI.VV'-.. PHo'N~ # roS-'- 412-9711
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING 'S( 6
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN IGNED
:k.- J. I I
I FINAL I I
FOR ALL INSPECTIONS (952) 447-9850