HomeMy WebLinkAboutBuilding Permit 04-0423
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5. /2. 04-
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 04-.04-23
Please e or 'ot and si at bottom
ADDRESS
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT / I BLOCK I ADDITION W/~G/V./65];; POA/OS
PIDzG 318.01/.0
OWNER
(Name)
T/ .1'1
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(Phone)
7(,7. Z-738
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
B
S U
ORe-Siding }i{Lower Level Finish
Z_.r.
PROJECT COST IV ALUE $
(excluding land)
D Fireplace
TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing
DAddicion DAlteration DUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
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II
F
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HIM R
2 3 4 5
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 authnnzcd agent for the
and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am awa e that the buildmg
it for Just cause Furt more, I hereby agree that the city omcial or a designee may enter upon the property to perform needed Insp ctions
X
Sign re Contractor's License No. Date
Permit Valuation Z,OOO.oO Park Support Fee # $
Permit Fee $ ~ Z. z.5 SAC # $
Plan Check Fee $ Water Meter SizeS/8"; I"; $
State Surcharge $ 1.00 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 02-.0/43 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other (5 t...6t::nu M t.-- $ 1.00
Gas Fireplace Permit Fee $ TOTAL DUE $ (,4-. ?~
Paid
Date
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Building Oflicial
Date
ThiS IS to ct'rtify that tht' 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 constltutcs a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Ccrtiflcate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
SUILDING AND INSPECTION
SITE ADDRESS /09/0 UU/"1S0A/ c.:r
NATURE OF WORK ?O WC;K:.- L-eV157--
USE OF BUILDING /U5"S /-1//2-
,
PERMIT NO. cJt? - D 47.'? DATE ISSUED 5:"./2.04-
CONTRACTOR COU~~ PHONE 7f17.2736
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
.... I
_II
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
,
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS /(;9/0 C/hr./)C7J'l
OWNER
DATE TIME
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CONTR.
PERMIT NO. M - .y 2?
PHONE NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A1'iNAL
o SITE INSPECTION
~rtIENT~,
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
)il1rECH FINAL
&k
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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WORK SA TISFACT ROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
INSNOTl