HomeMy WebLinkAboutBuilding 07-0607
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
PERMIT NOoe1... Ctas:'>1
I+A-wk R\~ f R.D N'w
PR \ Ol: LA-'Kt:
1\1\ N 5S>
ZONING (office use)
D.
LEGAL DESCRIPTION (office use only)
LOT CZ-BLOCK ADDITION L-.tJ) PID Ls.31\ .00"2..-0
OWNER C tt e '-rA1'J kulV\A-R - ~5?- 4 Lt~ 2- '1- 2- 2-
(Name) (Phone)
(Address) 30:s \-\11'W K +<JO (- ~0 N v~ PR\ \I R. L~b t-AN S~3qJ-
BUILDER
(Company Name)
(Contact Name)
(Address) .3 2- \
S L '" \( INS. ..\--\--tJ "^.{; ,IS u \ L 'D ( ~ .s.
1)i\l'l /1 E N K.\ N.s
- -
N ORrf1-\ SE C;:J N {) >, t?. E F\ ~'" Z(2...
(Phone)
(Phone)
~~
r 1'2- - SS-~!,f, \ S-
b 11- ~ S '5 Lr- 1 b I S-
t.jf::- ? (.\ '- 2-
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing
OAddition OAlteration OUtility Connectlon
CODE: ~.R.C. OLB.C.
Type of d:~strnction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level FinIsh
o Fireplace
o Misc
G/~{Jofr
PROJECT COST/VALUE $
(excluding land)
I hereby clTlily that I have lurmshed mformatlOn on this applicatllJO which is to the best of my knowledge true and COlTect I also certify that I am the owner or authOrized agent lor the
abllventntlllned tnpelty and that ,Ill consttuctlon Will conform to all eXlStmg state and local laws and Will proceed 10 accmdance With submlttcd plans I am ,lwale that the blllldlOg
offlual ll'voke 1m pel mil t Just c se FlllthclmOle I heleby agree that the City offiCial m a deSignee may enter upon the prope11y to peJtorm needed IOspectHlOs
X' -------
i
Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fec $ Water Meter Size 5/8"; I"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fec # $
Plumbing Permit Fec $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee I $ Other $
$ TOT AL DUE $
tPaid iffi ~~ Receipt No~
Date By
ThIS IS to certify that the request in the above application and accompanymg documents is In accordance wIth the City Zllnmg Ordinance and may proceed as requested ThIS dlleument
when signed by the City Planner conslitutes a temporary Certiticate of Zomng compliance and allows construction to commence. Before IlCCupancy, a Certl!lcate nf Occupancy must be
isslIcd
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTION
SITE ADDRESS RE-&-O~~t{)66 ~ ~.
TYPE OF WORK ~~~ I
USE OF BUILDING I f2- / I
PERMIT NO. 0'1. ~c:;>1 DATE ISSUE {('l (01
BUILDER c f\e1l'\r-J Ku M. AI?- PHONE # ~1- 2.1....2-"'"L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
V}OR I o~
I FOOTING I. 17/Z7~
PLACE NO CONCRETE UNTIL ABOVE HAS BEE~ S NED
FRAMING Be-F~ ~
DEPARTMENT OF
BUILDING AND INSPECTION
I FINAL
It? I lWr
FOR ALL INSPECTIONS (952) 447-9850
. ,