HomeMy WebLinkAboutBUILDING 08-0324
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0/3(08
I PERMIT NO. 01- 031.tf I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
(Please
ADDRESS
n at bottom)
~N ':j53~j
~ i'~
I "''0 T!::
'W.'o t't u.ke.
s~
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Date Rec 1 d
ZONING (office lIse)
OWNE~
(Name) ON
~f)@il:J
(Phone) 9~J-4/2-J~~~-
(Address)
i BUILDER
I (Company Name)
I
I (Contact Name)
I (Address)
~
,S Pt-rlt e
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
DAdditlOn DAlteration
eck OPorch ORe-Roofing
o Utility ConnectIon
ORe-Siding OLower Level FinIsh 0 Fireplace
LI'" I ,
~fo ':D~ WI ~te.s
CODE: ~I.R.C. DI.B.c. o Mise
Type of onstmction: II III IV V A B
Occupancy Group: A B H I M R S U
Division: 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
x
Contractor's License No.
Permit Valuation
~~..oo
$ 25,00
$ 11D. Z5
$ ,50
$
$
$
I $
$
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fec
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
I This Application Becomes Y our Building Permit When Approved
I~ ~~
I -, ~ Q..j
I lluildll1g Ufficlal
~/3Iotf'
Dale
$
$
$
$
$
$
$
$
$
~Ian~r
ThIS IS to certify that the request 10 the ab\lvl' applicatlOl1 and accompanymg documents IS 111 accordance WIth the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Planner conslItlltcs a temporary Ccrtitkate of ZOI1mg compliance and allows clll1struction to cnmmence. Before occupancy, ;1 Certificate ()f Occupancy must be
i.'iSLH.'d
6'>;)-tJ8
-Date
~~ ~~ia~~,,<?iy~ s,;J~ r.,~~
24 honr notice for all inspections (952) 447-9S50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
X1
Denied
#~
.5~t?(t-.5 fVltAOr 6e.- kep
s ,Je fP r-oretc &y ,4 e.
Date:
b:.d --oc1
/tJ ~e-C
Reviewed By:
Comments:
h-, yY\
a. m,ft/WlIA rn
"The issuance or granting of a permit or approval of plans, specifications and
computations. shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate b~ cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid:,"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 6-7 Be I so ~ ST. ~..,
TYPE OF WORK ..,. )tv' Df cK wI!).,..; tl 5 O~::' 6AflAaf.
.' . ,J
USE OF BUILDING U7u ,i'." -
PERMIT NO. {)F~\ ~' o~~L/ DATE ISSUED b I '?> l t / ~"
BUILDER 1)C; rj DE J,)f jf ~ f E 11 PHONE 1#
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR I
FOOTING ff\
~CONCRETE UNTIL ABOVE HAS BEEN SIG ED
_'II
I FINAL . ~~, I ~OO
FOR ALL INSPECTIONS (952) 447-9850