HomeMy WebLinkAboutBuilding Permit 04-0183
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
/~l~y tJt(/;;~ ~/
JJrJ',y 4~
LEGAL DESCRIPTION (office use only) :)
LOT / BLOCK 8 ADDITION 'fJ ~ ~L1L-
~=R tJu/lrf' ~jr!'Jf~lr;~
(Address) /"'1,1Y 1J~,'~l-r Rj //"/41'"
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
L,~
(Phone)
(Phone)
Date Rec' d
PERMIT NOO L!-/ f 3
zo4s2r
PID~~~"j/'1-jtlij-{)
7$'"2. - Wli-7J ry
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
Mt/-/J/IAldot<YAddition o Alteration DUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.C. PROJECT COST/VALUE $
Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I hereby certifY that I have filrnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authOrized agent for the
above-mentlOned property and that all constructio ill conform 0 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:Ci.J C7P~ JU" cau Fu mnoce. I h Y a"m that the city official oc a designee may enter upon the property tu p"form oeedC~i1,u:./" y
V Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
$()(J,--
d5-
/fe,'dS-
- 5'0
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Park Support Fee
SAC
TOTAL DUE
This Application Becomes Your Building Permit When Approved
- ""
Paid LI( - 7~
Date '~-j -, ~ (").- f) il
- ,
Building Otlicial
Date
# $
# $
$
$
# $
# $
$
$
$ '-I/-/S
Receipt No. HiP t.!-:j 9
By {J .
~
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 Cel1ificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE' DEPARTMENTOF
BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS /~~~~~~qcl
TYPE OF WORK W J'AI~
USE OF BUILDING ....sF
PERMIT NO. OLl-- ,'3 QJTE ISSUED S.. -SO-C-/
BUILDERUk1.~ St;b e".aec.I4R".. PHONE # ill/D. 7310/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE H~S BEEN SIGNED
FRAMING f U / [..1 ''b ~'i
FINAL
luJ
{, ~ ~()\; {
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE ~t{
INSPECTION NOTICE SCHEDULED
ADDRESS Ie f)-l.1 {Yf.)bf.-1
OWNER CONTR.
PHONE NO. PERMIT NO. t-( -(15-"3
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: I/V (lIf.doU/
--------
~ / )
/ / 1/\.5c
( l ~(V
\
~
----
---~
~j~
/--:/(2 )
( ~ /
~
~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WA~OR REINSPECTION BEFORE COVERING
Inspector:.L.ILf Owne rICo ntr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNon