HomeMy WebLinkAboutBuilding Permit 04-0232
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
L/-~-Q4
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0+, OZ3Z-
(Please type or print and sism at bottom)
ADDRESS
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT I t BLOCK a ADDITION
OWNER
(Name)
JtJ ~ ,N LJ t/.:rC k...
/172 '/
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(Phone)
(Address)
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BUILDER
(Company Name)
(Contact Name) _
A.L.:r (UJ
J E.-f21--
J-z.,72 X'
IJ t..I.:rL oEA S
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::]7V c. (Phone) 7'".?L ?9y 5G5~ ro)
(PhoneP/2 - If / 2 - J'/'-'0 (C I
/!3 wc..-Io->.... lk
(Address)
J),/,/{e-'7
012
TYPE OF WORK D New Construction vrDeck ....E1Porch ORe-Roofing
DAddition DAlte~n- olrtfuty ConnectIon D Misc.
CODE: 1iI.R.C. DI.B.C.
Type of rc;;;struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish 0 Fireplace
PROJECT COST IV ALUE
(excluding land)
$ -.2 a.lJaO -
.
I hereby certify that I have filmished 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 buildmg
:f""1 ':" ~"/;;U;~:~=' Furthcemo". I h",by 'gm thot the"ty omci,1 ~;;7;J ~'~UP.;t70P'rty to p"form "~;s;rt;/() r
/' Signature Contractor's License No. -- Date
I Permit Valuation "2.- ~ a::<:;? .- I Park Support Fee # $
I Permit Fee $ 448,'- I SAC # $
I Plan Check Fee $ z.qj z-o I Water Meter Size 5/8"; 1"; $
I State Surcharge $ !1' - I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Flrep;ce;ermlt FIe $ I TOTAL DUE t'~ 6-. f., .o+- $ 7<> <.. LO
~
Thillic n B e Paid 7'4..5, ;ro Receiptd. ~(gJf
Date ,/1. d4- By -4
6
-, Building Otlicial L>
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 conslItutes a temporary Certificate of Zoning compliance and allows construction to commenct'. Before occupancy, a Certificate of Occupancy mllst be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Aveoue Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS "7~ Cf- W;lkjCO,. LQ~
NATUREOFWORK ~/L. ~ pO"~
USE OF BUILDING ~
PERMIT NO. 9232.. DATE ISSUED
CONTRACTOR , /llld PHO~Q.. eli}.e1fIOV
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
OATE
, FOOTING
?1~ I ?-j....).()-Uy
Prior to Backfill) I I
NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
ft~//
". , .
7f/Z? (0/
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DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
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FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
/, 7A 9
DATE TIME
SCHEDULED .~~~~
lj1~br L~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~e/ - 'zYZ
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAOIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS;.,
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hORKSATISF~ROCEED~
/6 CORRECT ACTION AND PROCEEO
o CORRECT WO~K.:. C~~~ REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
----"~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
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