HomeMy WebLinkAboutBuilding 06-0194
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3. 27 06
File
City
Applicant
I PERMIT NO. Or;, .0/14-/
I White
Pink
3 Yellow
(Please
ADDRESS
/ ~~7(,
tAl€JeI A~e ~Ne
LEGAL DESCRIPTION (office use only)
LOT /7BLOCK 2. ADDITION (!A~A
IIILl-S 2N.D
Pro 2S' 2
OWNER
(Name)
I'1AnHGW T/GeI'1FJ I N
LN
ZONING (office use)
R/
. 04-0. 0
(Phone)
qtjf) .;;J~. LJt3::J-
(Address)
StLF
BUILDER
(Company Name)
(Contact Name)
(Address)
M/ft
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition o Alteration OUtiJity Connection
CODE: DI.R.C. DI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
o MIsc.
Lower Level Finish 0 Fireplace
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
v
PROJECT COST/VALVE
(excluding land)
$
I hereby certify that I have furnished mformatlOn on this application which is to the best of my knowledge true and COlTec!. I also certify that I am the owner or authorized agent f'lr the
above-mentIoned property and that all constructlO will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
officia 'an revoke thIS permIt for Just cause Furt rmore, I hereby agree that the CIty official or a desIgnee may enter upon the property to perform needed mspectIons
" .1 1J/~
Contractor's License No.
x
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
#
Gas Fireplace Permit Fee
omes Your Building Permit When Approved
~ ~j.:r()'
Date
3-/0 -OV
Date
$
$
$
$
$
$
$
$
$ (,3. 25
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 signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows constructIon to commence. Bcfore occupancy, a CertIficate of Occupancy must be
Issued
Planning Director
~"d Low"" L4AI lfa""dovj-
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
I. "#I<..
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS II.( '7' C;."",,':J4
NATURE OF WORK L,t-. F... I> "
USE OF BUILDING ~
PERMIT NO. (J".~~ DATE ISSUED 1:27.0fJ
CONTRACTOR O~.,.- PHONE J,.J.,f. - "1"3,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I
I~. '1 - IiH~I.4;U) I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
~ 1- . IlrTIC
FRAMING
INSULATION
ELECTRICAL
L.,/ ~ c..J~ 0 G
L-( ~ 1/1- (]'v
tlf/
"
L--( ~ v(-(JG
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 1
FINALS
--
A
BUILDING '/1, l' / c..,'fO (j
! i,.
ELECTRICAL
~ A
HEATING L /'1,/ / i.(.(O~
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850