HomeMy WebLinkAboutBuilding 05-0079
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/1.3.04--
White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO. Os. 0077
at bottom)
ADDRESS
ZONING (office use)
/E,ISD
4eJZ~ -
LEGAL DESCRIPTION (office use only)
LOT Z-BLOCK
ADDITION .s PIU N Gj BAf!,4lJ~ ,t:J1'9.qL,
PID 25. O'1ett. OOz.. 0
OWNER
(Name) VEF'F '" ~,e, y Ne-.cSa A/
.
(Phone) 9.5 Z - ~O - .:T..:5.S Z-
(Address) "'7'C>z
BUILDER
(Company Name) ~P/ L;)
L. /7e€er~c:J~
, ,
(Phone) 7S'2-~?7-8?z.S-
&fl
(Phone) {?Z
"E"
"
I (Contact Name)
(Address) ~
.,I"
7~~/
CODE: ~.R.C. DI.B.c.
Type of ~o~stroction:
Occupancy Group: A B
Division:
TYPE OF WORK 0 New Construction ~beck OPorch ORe-Roofing Re-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Connection ~Misc. ~~,tfD~~cx/;- .v/.........~~
PROJECT COST/VALUE $ 4~60
(excluding land)
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
I hcreby certify that I have furnIshed Informatlon on this applicatlon which is to the best of my knowledgc true and correct. I also certify that I am the owner or authorIzed agent for the
above-mentloned p~;el ty and that all CllnStlUClton WIll conform to all eXISltng state and local laws and wtll proceed In accO! dance wtth submtlted plans I am aware that the bmldIng
I ;claI jrro e l\)'(mlt for Just cause FlIlthelmole, I hereby agree that the CIty official or a deSignee may enter upon the propelty to perform needed In/CtIO;'
I X ...! - /1/1 lCif
. . SIgnature Contractor's LIcense No / flate
Permit Fee
$
$
$
$
$
$
$
$
t)tJtJ, DlJ
/G,z..00
/0 ,30
Park Support Fee
SAC
Gas Fireplace Permit Fee
TOTAL DUE
# $
# $
$
$
# $
# $
$
$
7. 05 $ 2 7 I. 30
I~;~ n'(;7/
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Meter SizeS/S"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
~tt~i1dWgP;Ai:~ond
l3uildltU! Otlicial ' Dille
Paid 2-71..30
Date I. ;;,. 0 r
ThIs IS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIs document
when si ned by the City Planner constItutes a temporary Certificate of ZonIng compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS #i>2.!i ~O~OA~C ~,
TYPE OF WORK ~ECi: / iI. 1$ / '~s-io. / NDJ ~y
USE OF BUILDING I . . . I _
PERMIT NO. 05007C? DATE ISSUED I:
BUILDER J)AI'I/) /., J:1l4:E StltN PHONE # .. 2S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
PLACF~'-
I
L-'t<(k.. ttr? S.-- 5"""'0.)
FOR ALL INSPECTIONS (952) 447-9850
I FOOTING I
PLACE NO CONCRETE UNTIL
FRAMING f<<;-tA-SGZJIZA-I'.
f'cz-"o(l... /tl DECIL... ~Aeo
I FINAL
))ATE /
I f1/S/6.f'
BEEN SIGNED
flIf I ~/~~G
.
~
~-~ -
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
L/Ol{2~ i &-l,M~
DATE TIME
#~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
S--1t
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~
~~~
_ ~ ~ o~ -1 o..Jl /
~ Acc~~~
~
9WORK SATISFACTORY, PROCEED
o CORRECT TION AND PROCEED
o CORRE W RK. CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI