HomeMy WebLinkAboutBuilding Permit 04-0343
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAIE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~ Z81 ()4-
I. White File
2. Pink City
3 Yellow Applicant
(Please type or print and sip at bottom)
ADDRESS
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p tI:YM~Mdy-
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i A/1A~
LEGAL DESCRIPTION (office use only)
LOT:3 BLOCK I ADDITION
/:)e:E;1I.Fl~ 8"""
OWNER
(N ame):.Jlel" q....-J:O. ll'\
r3 P --11 ch.~
(Phone) q.'12 - 'lY 7- 13 '13
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
PERMIT NO. 04.-;()34r3
ZONING (office use)
~I
PID Z~. '399. () D,3. ()
TYPE OF WORK 0 New construction~eck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
o Addition OAlter~ OUtility Connection 0 Misc.
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE S
(excluding land)
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
I hereby certify that I have furnished 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-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 building
official can r~e this permit for just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed/mi~~on~
X A~ Q(Jo",:,A l//~,!
Signature Contractor's License No. Date
Tm'to
Building liclal
"
ThiS is to certify that the request iiinu;: dLJUve 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.
Permit Valuation ,J () c;O.,- I Park Support Fee
Permit Fee $ '13.i-) SAC
Plan Check Fee $ 1i,14 Water Meter Size 5/8"; I";
State Surcharge $ (.00 Pressure Reducer
Penalty $ Sewer IW ater Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
"
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I Paid
I Date
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#
#
$
$
$
$
$
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/21. .6,
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R~ce' . ~.(,?~1
By /
r '-
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
.
..,
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS SOh / ,oON/1r6{;)~ ~
TYPE OF WORK, pt;!!Ie .
USE OF BUILDING . /Ze.f ~ /G
PERMIT NO. o?-. Os~3 ~DATE ISSUED ~. U,()~
BUILDER ~ev(!l-/ PHONE # 447 .13~?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'\ INSPECTOR ^ DATE
~nNG W'- l-/-)4,0<>\
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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FINAL
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, . ,
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FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS StJ ~-./
OWNER
PHONE NO.
o FOOTING
(] FOUNDATION
o FRAMING
~SULATION
INAL
o SITE INSPECTION
DATE TIME
SCHEDULED
A.-A.~~1"
c/
4-
CONTR.
PERMIT NO.
Jij- t!!> 5Y i
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:/~.. _
~c;L
o EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
fill'
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~K SATISFACTORY, PROCEED
~~~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. .P/ ~ ~ OwnerlCon~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl