HomeMy WebLinkAboutBuilding 06-1112
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Occupancy Group: A B E F H I M R S U L.I\.V.JL'-.l '-\...J~ll VALU~ :) V/I-'""' -, -,----
(excluding land) / .
Division: I 2 3 4 5
I hereby certlty that I have turmshed mt'Jrmatlon lln this appheatlOn whICh IS to the best of my knowledge true and correct I also certify that I am the owner Dr authorIzed agent t'Jr the
JbnvC-mcntlOocd property and that all construction wlll conform to all eXIstIng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
~ficial can r' e tlus P7t t'Jr JUs urth:'more. I hereby agree that the City official or a deSignee may enter upon the pmpel1y tD pert,)rm needed mspectl<lI1s
Permit Valuation 3 (!;) cOo , -
Permit Fee $ ''i.?-;,
Plan Check Fee $
State Surcharge $ 1.50
I Penalty $
Plumbing Permit Fee $ 40.-
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fe~ $ - I
es Your Building Permit
Contractor's License No.
Dilte
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 1I1/J.25"
Paid
Date
W1J-~
Receipt No. 5"'2~ I c;-
By M~_
ThIS IS to certify that the request In the above applicatlon and accumpanYlllg documents is in accordance with the City Zoning Ordinance Jnd may proceed ,lS requested ThiS document
\l,'hCI1 signed by the City Pl.lnnl'r constItutes a temporalY Certificate uf ZOIllllg compliance and allov.....s constructIun to commence BdlJl"c occup;:l.I1cy, a CertIficate of Occupancy mllst be
isslIed
Planning Director
Special Conditions, if any
Date
24 hOllr noticc for all inspections (9:;2) 447-9!l:;O. fax (9:;2) 447-424:;
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ((p~"l~ T''''''}~r Vf2..\\C 5:.6.
NATURE OF WORK rINIS/-f&) ~v~'-
USE OF BUILDING . ~E'S Ak I I
PERMIT NO. iN JOI/lz.. DATE ISSUED ,....(7-1.. (If) '-
CONTRACTOR ..J~b- Atll.o(..l'S PHONE blz..- eo'3.~8'9'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I [[1-1(11 I
I"" U 1)1. lTlll J (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ - -. . .- WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
CE
ST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Prior to Soddin
BUILDING
ELeCTRICAL
PLUMBING
HEATING
DO NOT
t-
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet priQr to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
Date Rec' d
I ~ . Z Z. .OltJ
I White
Pink
yellO\....
File
City
Applicant
I PERMIT NO. a,- II/Z
rint and si n at bottom)
/ t _OJ '1 (., Tfr-, 6<- C ~ J t- D.., -(' j 6
ql~ L~~ HN SS) 7 J..
ZONING (office use)
LEGAL DESCRIPTION (office use only)
'P~D
LOT
ADDITION
PID 1~- 401- (01-0
BLOCK
OWNER
(N ame)
Jo~j pt,.//"", j
'-I ).. t..(j Cex"L ,,~<--. L'l~
(Address)
<.
IJrl,.,r
(Phone) (;,1'). S-OJ c.~r
L.cf 14 N S- SJ 7.J..
BUILDER
(Company Name)
(Contact Name)
(Address)
___\e/f'
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding ~Lower Level FiIllSh 0 Fireplace
OAddition o Alteriltion OUtility ConnectIon -'
CODE: ~.R.C. OLB.C. o Mise ~,OcO/I~c;d)
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land) / ' I
Division: I 2 3 4 5 I
I hereby certify that I have turnIshe,l mflllmation on this applicatIOn WhICh is to the best uf my knuwledge true an(j Clmect. I also certIfy that I am the owner or autlwrIzed agenl till the
J.bnvc-mcotlOl1cd property and that all (nl1structlLln will conform to all existmg state and local laws and will proceed in accordance with submttted plans_ I am aware that the buildIng
Illlicial can r' e thIS '7t 1<11 JUS urth:'mure. I hereby agree that the CIty official III a deSignee may enter upun the pmpeny to perl<)rm needed mspectIllns
X ~ "._.
Slgnilture Contractor's License No. Dilte
Permit Valuation 3 (!;) cOO , -
Permit Fee $ , 'i.7-;'
Plan Check Fee $
State Surcharge $ 1.50
I Penalty $
Plumbing Permit Fee $ 40.-
Mechal11cal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fe~ $ - i
es Your Building Permit
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ ilIA .2S"
Paid
Date
.~;,1-~
Receipt No. 5"'2~ I S-
By M~.
ThiS is to certify that the requcst In the above application and accompanYll1g documents IS In accordance with the City Zoning Ordinance and may pnlCl'l'li as requested ThiS document
when signed by the City PI,ll1ner COl1S11tutes a temporary CertIficate llf Zllnmg cllmpltance and allllws eonstructilln tll Cllmmence. Bcfme llccupancy, a Cerllflcate llf Occupancy must be
Isslled
Planning Director
Special Conditions, if any
Date
24 honr notice for all inspections (952) 447-91150, fax (952) 447-4245
4646 Dakota Street Prior Lake. MN 55372