HomeMy WebLinkAboutBuilding Permit 04-0275
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAJE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
+'_ 1(,. 04-
TYPE OF WORK. 0 New Construction brDeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlter~ OUtility Connection 0 Misc.
CODE: ~.R.C. DI.B.C.
Type of &nstmction:
Occupancy Group: A B
Division:
I
E
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE S
(excluding land)
I hereby certifY that I have finnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-mentIoned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:d3' con "vok, this pee t fa')ns e~. I h",hy '8= th'ltheeity nffid,l nco designee m,y entee npnn the pmpetty to pcrfa,m needed ~;;/I~ 10 if
Signature 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
II
F
I
tfz&CJO I OC; I
$ 73. 7~
$ 47,'1tf
$ . i. f!)O
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
~gO~ -#D';,(o<(
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
I ;J-d--/ (a C;
L/-lb/4
# $
# $
$
$
# $
# $
$
$
$ IZZ,&fj
Receipt No. IIV'-( 0 Cj I
BY~_ . - I
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
"
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS Z911(P ~I1&1rr b&III L-
TYPE OF WORK
USE OF BUILDING AIL .
PERMIT NO. - i54. 0 ~UED~. u,. eJd.--.
BUILDER l/iiiJjE, PHONE # 4!16. tZ97
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~R DATE
FOOTING (rt) ~un
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.-.
FINAL
r~ L)':lf
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ '2i:Q'(
ADDRESS 21~G ~~
-li
OWNER
CONTR.
PHONE NO.
PERMIT NO.
rj -7-7S;-
o FOOTING
o FOUNDATION
o FRAMING
~SULAT~
~~NAL
o SITE INS ECTION
D PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
D MECH FINAL
D EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~RK SATISFACTORY. PROCEED
o CORRECT ACTI AND PROCEED
o CORRECT L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
I
CALL 7- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY!
INSNOTl