HomeMy WebLinkAboutBuilding 05-0664
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
370/
FrJ)( 774IL
Date Rec' d
7,IZ.05
I White
Pink
3 Yellow
I PERMIT NO. 05. ()_0 4- I
File
City
Applicant
7f2L
(I/V
ZONING (office use)
PUD
LEGAL DESCRIPTION (office use only)
LOT I BLOCK
I ADDITION
tv E rJ In /i I'J/\/
OWNER ~
(Name) 0 V\So....Y\
(Address) 3
.,...
-.J, -J I tV\
?pA:)
......;;. ==
PID 2.5. 393. 001. 0
f-\-QnSa n
l P- N vJ - f,
(Phone) 15cJ - d c:::l k:? -- cJ 4-<1- 3
r La.-K~ N S537.;1.
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiJity ConnectIon
CODE: OLR.C. OLB.C. o Misc
Type of Construction: I II III IV V A B PROJECT COST/VALUE- $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
x
I hereby certity that I have hlrmshed Inli)rmation on this applicatIon which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authollzed agent lilr the
above-mentIoned property and that all Cllnstruction WIll conform to all existing state and local laws and WIll proceed in accordance with submlttcd plans I am aware that the building
official c revoke this permit for Just cause urthermorc, I hereby agree that the City official or a deSIgnee may enter upon the property to perf(lrm needed mspectlons
d . 7 - J d- - DS-
Signature
Permit Valuation :3 O()O.OO
/
Permit Fee $ 71-. '1S
Plan Check Fee $ --
State Surcharge $ /.SO
I Penalty $
Plumbing Permit Fee 151/ t1 W /leI b$ 4-0.00
......
Mechanical Permit Fee' $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ -
This Application Becomes Your Building Permit When Approved
Huildlllg Olllclal
Date
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $ /
Pressure Reducer $
Sewer/Water Connection Fee # / $
,
Water Tower Fee #/ $
Builder's Deposit I $
Other & ~e:c;rJe--i t!fi1.--- / $ 1.00
TOTAL DUE ! ~ //7.25"
!
~ 9'71'-8
ThIS IS to certlty that Ihe request in the above apphcatIon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner Cllnstltutes a temporalY Certificate of Zomng comphance and allows construction to commence Before occupancy, a CertItlcate of Occupancy must be ./
ISsued
Planning Director
Special Conditions, if any
Date
24 hOllr lIotice for all inspections (952) 447-9850, fax (952) 447.,U45
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
3701 F'IJX ""'1..- ~I l.-
Ll /.,
DEPARTMENT OF
BUILDlNG 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
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTR'CAL
PLUMBING
HEATING
DO NOT 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