HomeMy WebLinkAboutBuilding 06-0080
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Date Rec' d
2.(.?_cb
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(PERMIT NO. 0 (;. 0080 J
1. White file
2. Pink City
3. Yellow AppIiCIIII
ZONING (officeusc)
""'" IYnL
=::S~2ri"''''':':-)
[ 3, 3> 7 s'{ < ,.~p<L
<. ~, Pr~ or La k,
I
,{"......, \
LEGAL DESCRIPTION (office use only)
PID -z..o. 7-,8. 00 I < d
ADDITION
BLOCK
LOT
0<..("\6. "\ ("~c..\ k ",-\,1..\ q
OWNE~
(Name) '1 a....r'\
(Address)
BUILDER
(Name) 2......."'" Ln~ Lo"",~,f'v.. c..\-\ ,,~ (Phone)
-
(ContaCt Name) S'<. '>e (1,. ~.,,". "j (plIDne) (7' 3) ,1. 3 'f - 'I r J 0
(AddresS) 'Jg.5""5"" \),c.,"o.r-\OI. S\ Nt .(2.osa"~\\'l {V\N 5S/( ~
ORe-Siding
OUtility Connection
ORe-Roofing
OAlreration
OPorch
OAddition
ODeck
o Fireplace
o New ConstrUction
&fLower Level Finish
.:5 KP)S
TYPE OF WORK
PRomCf COST IV ALUE (excluding land) S
I _ ~ .... I _ ........ ........... "" IbU ...-"" _ . ",... "" or ",y --... .... ""'"'" I'" """" _t - ... ...... ~
__ _ ....... ......__ _ .... "".. ...- .... """""" '" .. .......... om! """ ..... ........ ....... '" ......"..- wldI
_ p..... I om ._ "" ... ........ olIiciol an ...... IbU __ OX i"" """. _,1_ - ""... city olIiciol" · - ...,
enter upon the property to perform. needed inspections.
~ fr~.
Si~
o Misc.
~-5-0b
Date
~OS/I'fffl
Contractor's License No.
Park Support Fee # S
SAC # S
Water Meter SizeS/8"; 1"; S
Pressure Reducer S
City SAC and WAC # $
Water Tower Fee # S
Builder's Deposit S
Other $
TOTAL DUE S //(:.2.5
7/"
x
pennit Valuation 3 o (I (1 . (\ C)
I
penmt Fee S 1L(, 7S"
Plan Check Fee $ -
State Surcharge $ /.50
Penalty $
Plumbing Permit Fee $ 10.00
Mechanical Permit Fee S
Sewer & Water permit Fee $
Gas Fireplace permit Fee $ - ,
1/(,' ~f
2"f,.#t-
Paid
Date
This Application Becomes Your Building permit When ApprOved
~~
2-1 t (ol.,P
Date
BuUding Official
n;.. W """ "" d<""''' "" _ _""'__... _w" d< Ci<y -- "'" - """" w_ ThO_-
_...... d<Ci<Y """"_.......... """""''''--....-.-'''-. --, .~"'--'"
isSUed.
~
Date Special ConditionS, if any
24 hour notice for aD inspecdoDS (952) 447.98S0, fax (1)5~) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
planning Director
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 0574 S'tlr:/I/'/l(J/CC~ '(l?A.---
NATURE OF WORK l{/LL/(~)L i-[-L/t:~
USE OF BUILDING ;{~(-J /7 j/'---.
PERMIT NO. OC/, (jOB 0 'DATE ISSUED z, t- () G-"
CONTRACTOR 12/1'1 I.. 1'1 K'- {;; PHONE 7(<<3. 23-1-. 4-510
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
---
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING C
ELECTRICAL
PLUM,BING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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