HomeMy WebLinkAboutBuilding Permit 07-0814
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
Yellow
gl ~~ ( 07
I PERMIT NO. 0 7 - ot?/ <j
File
City
Applicant
ZONING (office use)
H\ h tt(\d Ave. I\J,-iJ.
f l' ( C) l' Lcd~..e....
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZ5.Id--3. OO~ .0
OWNER
(Name)
(Address)
~\
~.Nw
(Phone)
P{;Or Lu.kL fv1~
qs'2 -yI.j7- ~'1~
BUILDER
(Company Name) A.':5. T,
(Contact Name) AI
(Address) "'3402
eo f"\ '31" r,^, c.. l' 0 V")
Tho mo..S
Co... q; C:, 'l'C le
We.b~e.v' MN
(Phone) ~ 5 7..- 29 "2 - 26 q 0
(Phone)
50ee
TYPE OF WORK 0 New Construction ~Deck DPorch ~e.Roofing ~Re.Siding DLower Level Finish 0 Fireplace
DAddition DAlteration o Utility Connection
CODE: tBI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I 6 I <} 00 St!!-
I hereby certify that I have hlrnlshed ml()rmatwn on this applicatwn which IS to the best of my knowledge true and nmect. I also certify that I am the owner or autllllnzed agent Illr the
,lbove.mentlOned property and that all CllnstructlOn wlll conlixm to all eXIStmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
~liClal can re~l~rJ Furthermore, I hereby agree that the clt'tfiClal or a deSignee may enter upon the propel1y to perl()rm needed ~p:tl;m6 _ 0,
Signature ' Contractor's License No. Date
State Surcharge
Penalty
Plumbing Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
This Application Becomes Your Building Permit When Approved
I~~
I ~
! IlulldllH! Urticlal
riz. 3 In 7
. DatC
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fee
Water Tower Fee
#
#
Gas Fireplace Permit Fee
$
$
$
I $
$
Sewer/Water Connection Fee
Mechanical Permit Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
TOTAL DUE
TIllS IS to certIfy thilt the request In the above application and accompanymg documents IS In accordance with the City Zoning Ordinance and may pmceed as requested. TIllS document
when signed by the City Planner Cllnstrtutes a t,mpuralY Certificate of Zonmg compliance and allows construction tll commence. Before occupancy, a Certificate 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
4646 Dakota Street Prior Lake, MN 55372
..{
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ISS~ HJ~~e A~ AI. W,
TYPE OF WORK _~ -'2e.~ _ f:;~r
USE OF BUILDING s: ,.:: 0 #
PERMIT NO. O'J -aM DATE ISSUED ifr:.yf,?
BUILDER .~ PHONE Ifsz -Z'Z -a;.,o
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~CY}R , ~ATE
I FOOTING I 'b 19/20.4.
, r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.... I I
I FINAL I !/If/ I vr ,.-Lf(/b7
FOR ALL INSPECTIONS (952) 447-9850