HomeMy WebLinkAboutBuilding 05-0340
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec'd
1--.. ~) P!J (
t.~
I PERMIT NO.,$. (1M/)
Ilro~GI__1 I
I. WlliIe Pile
2. PInk City
) Vol""" Applic:alll
(1'Icue type 01' JIriDt .... sian at boUoIa)
I ADDRESS
15 ~-':L FlA~(w~1-~e~hty
Vd
LEGAL DESCRIPTION (ollice use only)
LOT ~ BLOCK).. ADDITION
I. ~'::' '0~ ~ K:~\-l\c~^
. (Address)
PID ::~.. .j: J{;. <: 17 (,
("B~ A
(phone) <1':;2 -216- \025
BUILDER.
(Company Name)
(Contact Name)
(Address)
(phone)
(Phone)
TYPE OF WORX 0 New Construction ODedc OPorch ORe. Roofing DRe-Siding
OAddition OAlteration OUtllity Connection 0 Misc.
wet Level Finish
Fireplace
$15D,000
CODE: OI.R.C. OI.B.C.
Type of CODStrudion:
Ocaapaacy Group:
ViYision:
PROJECT COST IV ALUE
(exclucling land)
[
A 8 E
II
F
I
m IV V A B
HIM R S U
2 3 4 5
tbat I have furnished information on this ,pplkalion wbkh iJ 10 !he bat of my knowlcdlc InIe and correct I also ~fy Iball am 1M owner or authonzcd &Jent for 1M
above-me n Jll'OPel1Y ,nd lhat aU constrUction will conform to d exislilll stale and local liws,nd win prllCftd in accordiana: with submilted plus. 1 am awan thaI the buildina
evoke . pennil for just errnore, I h &p'ee Ibu the city ofticw or a desilJnee my enter upon tbe propaty 10 paform ~~ uupc~ons. _
Y -dD;' 2cf)b
Contractor', License No. Dale
$
$
$
$
$
S
S
S
S I
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer &. Water Permit Fee
Gas Pireplace Permit Fee
##
##
s
S
S
S
S
S
$
S
. )
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
~:! (.J {~-'
##
##
.::lO. ,','(>
(I
,/
I ~O. </CJo'?
B h/l/::._
I Paid
Date
i f: 'I. .? ("
I -'1' . u
.(. . ", -L--.j
tr::-~--;;io;"
Buildina Offk:ial ~ Dale
ThIS IS to certify that Ibe request in Ibe above application and aa:ompanyin. doalmenll iJ In aa:ordance with tile City Zooin. Ordlnanre and may proc:eed as requL'StCd. This documenl
when .ipled by the CitY Planner conStitUlCS a IemporU)' Cerlificilte of ZonIn8 compliance and aJlows constrUCtion 10 commence. Before oc:cupancy, a Certificate C)fCkcuplncy must be
issued
PIamIina Direclor
Date
24 hoar aolitt for alllnspeellolll (952) 447-98!lO. rall (952) 447-4245
16200 Eaale Creek Avenue Prior Lake, MN 55372
.Iflny
PRIOR LAKE
INSPECTION RECORD
M: ~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. .
CONTRACTOR ~ PHONE~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
---- I
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING"
ELECTRICAL
PLUMBING
HEATING
DO NOT
05
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior 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