HomeMy WebLinkAboutBUILDING 05-0524
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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City
Applicant
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ADDRESS
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LEGAL DESCRIPTION (omce use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
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(Phone)
(Address) J~ /'1 t!'
i BUILDER ..-r.' /
(Company Name) t.V~ ~~. / 11 It" f'./
(Contact Name) /?J / /t'e 1M
(Address) 9.l p 0 / 5 fA ,A,,/',/_~
(Phone)
(Phone)
PERMIT NO. 05-. 052-4-
ZONING (office use)
PID2.S-: 2Z,1: 0 I Z ~()
'/'5;;(,. ,07/?')., -7 ~/<
/1 /7 ex.../ ~
7Ifj.. .5'9/ -P' ../~/y
:)..,:? I" .55- t' 6
TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing ORe-Siding OLower Level Finish 0 Fireplacc
OAdditlOn DAlteration DUtihty ConneC:~
CODE: DI.R.C. DI.B.c. D Mise.
Type of Constmction: I II III IV V A B PROJECT COST /V ALUE $ ;( 6 ~ {) !.~ ':'
Occupancy Group: A B E F H I M R S U (excluding land) '/.- .
Division: I 2 3 4 5
I hereby certify that I have hlrmshed II1fnmatmn ,m thIS a hcat1l1n which IS III the best of my knowledge true and mrrect. I also certify that I am the owner or authOrized agent for the
dbovc-mcntloncd p.rnpcrty and th.dt all ClH~nlctlon wil mform tu all CXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildIng
offiCial can~TVOkC 1,S permit fl~st c $i." Further .e, I hereby agree that the CIty omcia: l.)r a d e~ilgnec may enter upon the61" peIty to perform need. cd InSpcctHx,ns ..>
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Sign Contractor's License No. Date
Permit Valuation
Park Support Fee
"'2.., (" 0 cJ, ,'0
.
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter Size 5/8",1";
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
This Application Becomes Your Building Permit When Approved
'7u..oo
ft', {p. "'/-
Paid
Date
Iluildlllg umcl,,1
Date
# $
# $
$
$
# $
# $
$
$
$ 7(p.o ()
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Receipt:,. 4-9 f ?Ir
By \
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ThiS IS to certify that the request 111 the "bove applicatIOn and accompanYl11g documents 1\ III accordance with the City Zoning Ordinance and may proceed as requested. TillS document
when Signed by the CIty Planner constitutes a temporary Certificate of ZOl1lng compliance and allows C,ll1structlOn to commence. Before occupancy, a Certificate of Occupancy must be
issLled
Planning Director
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED P ~hT
Mr~ C ~.'-
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ADDRESS
/r992
OWNER
CONTR.
PHONE NO.
PERMIT NO_
0"5--'-27/
o FOOTING
o FOUNDATION
~MING
o INSULATION
o I=INAL
o :SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CO~M_ENTS;...- .
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CI WORK SATISFAC~RY. PROCEED ~ k
ffCORRECT ACTION AND PROCEED
/ [] CORRECT WOR~. C::LF7 REI~PECTION BEFORE COVERING
Inspector: ~t./ Owner/Contr:
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9/20/~
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
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