HomeMy WebLinkAboutBuillding Permit 04-0195
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ ./ C) A./6 (!;u;:"J ,/
2303
Date Rec' d
3 . '30. ()1-
I. White File
2 Pink City
3 Yellow Applicant
PERMIT NO. 0"".0/95
pn-/,f
ZONING (office use)
/!,Z-
LEGAL DESCRIPTION (office use only)
Lo13~ BLOCK I ADDITION /"'IeHTJIIW V' I~
OWNER
(N ame)
(Address)
PID Z.s-::r &~. lJ36" D
(Phone)
BUILDER ~ ill. \. LL/\ _ ...~ C) g 0 j;~ 'f
(Company Name) ",",,-o-fT''-J S .U]:::H\..J. . \ w_1,tV\. . Fr-_. ,'-) -~~~ (!j (Phone)
(Contact Name) ~ J..+-.t0 ~4-i f ~I) (Phone)
(Address) ,JRJ-;- ~t[nc-/I-,R ~~~ G'tt;#p
~/2 ffo3 /9)1 ~
6/.~ 41~~.. ~~ S7
TYPE OF WORK 0 New Construction rv6eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlterat~ OUtility Connection 0 Misc.
CODE: 5OI.R.C. DI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division: __
/
III IV (2) A @
HIM ~ S U
2 (1) 4 5
,
Permit Fee
ii, ft:,oo ,DO
$ ~O, 7 S
$ ~L}.ci'
$ .80
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
~ ~J-;
Building Otlicial
3/3 ~a(P 'i
PROJECT COST IV ALUE $
(excluding land)
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Ot ~oL{
R~C~NO. ~
BU ·
Paid /O/. C ~
Date 3. 3 o. ()4-
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 Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
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
-.l
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 2303 SIUtJbC/t6S J fJnM
TYPE OF WORK OCf:,f(
USE OF BUILDING ;u;:::s Prj If' I
PERMIT NO. 0 4- .,0/1!:' DATE ISSUED 3, .3 0,. 04 ~
BUILDER ::J7JHN:S PHONE # foIl,. 803., l'ttffJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~CTOR
FOOTING lIt/) Y.8.
PLACE NO CONCRETE UNTIL ~BOVE HAS BEEN SIGNED
FRAMING Prt~fL ~ 1)~ ~A1Ul f~'f !1~ 4rlL-dVf
DATE
FINAL
~
~
FOR ALL INSPECTIONS (952) 447-9850
'"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~
OWNER
PHONE NO.
o FOOTING
o FOUNDA liON
o FRAMING
o INSULA liON I
~INAL O/)flL
o SITE IN~TION
COMMENTS:
DATE TillE
SCHEDULED 4 -E-Il. V
~~(\~~ -~-
CONTR.
PERMIT NO.
tj- rJ 19K
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR 1ST
o
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECe2_~WO . CALL FOR REINSPECTION BEFORE COVERING
Inspector: . Owner/Contr:
CALL . ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
_./
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl