HomeMy WebLinkAboutBuilding Permit 07-1090
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I PERMIT NO. D7-IDf:jo
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 Yellow Applicant
(Pl"~ "' ,rim M' ...." bottO. m)
I ADDRESS
/ ',fr; /'CfJ"1r 0; r~
LEGAL DESCRIPTION (office use only)
LOT3~BLOCK / ADDITION Je
IJ/
PID,;{,.,-- ~J7- o3J'-c)
Date Rec' d
ZONING (office use)
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
;.J (.) nJ IU'
(Phone) (,J7 - 'Y()(." - Y S/ (J 0
(Phone)6/.2-J6?~- 76/~
Cp ~~
..hi
(.I ,..
TYPE OF WORK 0 New Construction
DAddition OAltera
eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OUtility Connection
CODE: 15<n.R.C. DI.B.C.
Type of ~stmction:
Occupancy Group: A B
Division:
DMisc.
I
E
II
F
I
III IV V
HIM
2 cP 4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
/70~)
,:n)
I hereby certify that I have lllrnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrIZed agent for the
above-mentIOned property and that all construc ion will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
oflicial can re ke this permit for Just cause thermore, I hereby agree that the Clly official or a designee may enter upon the property to perform needed mspections.
x
TOTAL DUE
I~>-r
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical 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
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
Building Otlicial
o
Vt. I'
Lf ~
10oC" 7
/1-1;--07
Date
$
$
$
$
$
$
$
$
~~,
~
1~1t?
ThiS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner consl1tutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerl1ficate of Occupancy must be
i~
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Special'londitio~s~ - -- - ..
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 /.<J
4646 Dakota Street Prior Lake, MN 55372
Planning Director
P RIO R LA K E " g~rtD~~~~~~~~SPl:CTION
INSPECTION
SITE ADDRESS /~~~c:-,~I}~
TYPE OF WORK . N~ AJ /)EC ~
USE OF BUILDING ~ F: A ·
PERMITNO.(),~ ~ DATEISSUED/r'/D7
BUILDER MJsd'L- _ ~",€s PH NE#"Z"Jfo9-'1l.11.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I
IIIiIiiii CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
~ J.
7h~/de
I I
FOR ALL INSPECTIONS (952) 447-9850
I FINAL
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