HomeMy WebLinkAboutBuilding Permit 04-0355
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIt
(Please type or print and sign at bottom)
ADDRESS
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I. White File
2. Pink City
3 Yellow Applicant
Date Rec' d
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PERMIT NO. 01/. 0355"
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LEGAL DESCRIPTION (office use only)
LOT Q BLOCK / ADDITION ,eAJ P, ~D ~ ?/UJ
OWNER
(N ame)
(Address)
(Phone)
ZONING (office use)
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PID zs. 3f-Z,. Of/if" 0
BUILDER ___ j
(Company Name) /{ldd /lIE:l/~ 'C!v#f (Phone)
(Contact Name) 76p/ /t/t-/7'l'cZ (Phone)
(Address) 2 vrJr S Wc- k'v /3 N~t(/ /.t~~ ~ ('~C/7~
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TYPE OF WORK 0 New Construction ~ck o Porch ORe-Roofing ORe-Siding OLower Level Finish
OAddition OAlteraJS;;T' OUtility Connection 0 Misc.
CODE: ~.R.C. OJ.B.C.
Type o~struction: I IT ill IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
(07 -~~ r-~'.33 >,
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
/
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 authonzed agent for the
above-menhone erty and that all construction will c form to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the building
;ciaJ ~ evoke . p"m~:~hemt ,I ereby agree that the ci:2nmc: ~a~es~ ;f;~Z"o the property to perform oeeded ms~o Z:;1 _ (/l f/
# Signatdfe Contractor's License No. , Date
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
W';St:Jt),oa
$
$
$
$
$
$
$
$
\.~, StJ
37, ~?
,75
This Application Becomes Your Building Pennit When Approved
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Building Otliclal
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Date f
I Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer IW ater Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid t?~6 3 ._
I Date ~-d-c.;'-O L/
- /
#
#
#
#
$
$
$
$
$
$
$
$
$ 95: tD~
, J/ L.;4~
Receipt No. ~CO..., -/0
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
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____..._....:..---..:.... ..~..:-._._~':~_,~,...;.....-:_J;_"...___.,.......____..:~_ __.___'-.._..__".__ __~_'.__. ___
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS _/~7 /tp,o/JWOJFJ ~
TYPE OF WORK OWL
USE OF BUILDING /UJ' hi /1-,
PERMIT NO. 0 tI-. 6355 I DATE ISSUED 1-. ZCJ,04-
BUILDER /V~I ( ~Ic:' PHONE # 507. 4~..:ss /7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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FOOTING f/1P \9'1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING PlVoJf!!- 7D O~/N~ h\ . t>- Y
Kffct:Mf::::",A./'1
DATE
FINAL
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FOR ALL INSPECTIONS (952) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~
OWNER
PHONE NO.
D FOOTING
o FOUNDATION
o FRAMING
o INSU~ I
FINAIJ \L
~ITE I PECTION
COMMENTS:
DATE TillE
SCHEDULED 5 ~ --o~
i#t;_~c._
CONTR.
l/ - ~5o-
PERMIT NO.
o PLUMBING RI
o MECH RI
D WATER HOOKUP
o SEWER HOOKUP
D PLUMBING FINAL
o MECH FINAL
--
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREc!Jo4K, LL FOR REINSPECTION BEFORE COVERING
Inspector. 1 ~ OwnerlContr.
CALL 447- 50 FO E NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl