HomeMy WebLinkAboutBuilding Permit 06-0565
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF WNING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
J
G'Y'
LEGAL DESCRIPTION (office use only)
LOT I BLOCK
ADDITION
OWNER
(Name) ~ )lIl \k ~ Vv~ ().. ~ I -(
Date Rec'd
?2{',O~
I. While File
2. Pink City
) Yellow Applico..
I PERMIT NO. OfR. 05cPst
I WNlNG '....-l I
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PID J s
Vl 0, 9 ~/I
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(phone) ?/]Y-l - €J to ( ~
fY'O*"'t..- Ce h UI.).~qllP-3~o~
(Address) &\. ~() Vv co ~Q
BUll..DER
(Company Name) UIA.JI'\.,(v I ~
(Contact Name)
(Address)
Cl~'M I A ( 0" t-
I
(phone)
(phone)
TYPE OF WORK. 0 New Construction DDeck OPorch ORe.Roofing ORe-Siding OLower Level Fimsh 0 Firepla~
DAddition vEfAlteration o Utility Connection 0 Misc, I ~roz..i 0 rt.. fiZ.t:.~..a
. CODE: ~I.R.C. DI.B.c. PROJECTCOST/VALUE S 4- 5", q () 0
Type of CODSbuction: I n m IV V A B (excluding land) I
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I hereby certify thaI I have furnished information on this application which is to the besl or my knowledge blle and correct, J also certify thaI J am the owner or authonzed agcnl ror the
above-mentioned property and that aU consnuction will confumt to aU existing state and local laws and will proceed in accordance with submilled plans. I am aware that the building
official c revoke' . for j . Furthermore, I h a~ that the city official or a designee may enter upon the property to perfurm needed mspcctions,
''Yilt 0-C:; G -cn:1f0
Contractor's License No, Dale
x
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee S (J (JO
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
This Application Becomes Your BuildinS Pennit When Approve'
~~
Buildin Official
roILS! () (iJ
I Dale
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; S
Pressure Reducer $
&weUWMerCon~onFee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTALDUE ~.d 7.10. oC:- S liz-I. 4--'0
IPaid /1/~N~9if--S
Date 1 / B.
~ ,.
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 or Zoning compliance and aUows consbllroon to commence, Ikrore occupancy, a Certificate or Occupancy must be!
issued
Planning Director
Date S . al Conditions, if an
24 hour notice for all inspections (952) 447-98SO. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS .350 I fJ.SJ"tVOOD (!,1Je.
NATURE OF WORK Jee. AI/t"
,
USE OF BUILDING
PERMIT NO. 0'" .~~ DATE ISSUED -1./0 .00
CONTRACTOR /1//1 EL PHONE~/~_ 9/". ~()(,
NOTE: THIS IS NOT A PER IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT '16Z- l.(!'{1~8Ct.(z-
DEPARTMENT OF
BlilLDING AND INSPECTION
- I I
I 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 I
FINALS
BUI[,DING
ELECTRICAL
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