HomeMy WebLinkAboutBuilding Permit 04-0328
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE..
AND UTILITY c.u. \d.!.CTION PERMIT
1. While File
2. Pink City
J Ylllow Appltcm
(Pie-I!!" or Drint and si... a. bottom)
ADDRESS
lI,;loq Ar-JNt1- -nZ..AIL C::J:.
LEGAL DESCRIPTION (office 0" only)
LOT
Auu!!!ON
BLOCK
OWNER
(Name) }./\, O..lc.f-..l- FAS\4~
(Address) /101(-')'1 A~NP. IMIl.... st.
Date Rec'd
1.210,03
I PERMIT NO. 04--. o.>VtJ I
I z~..~... (0_"") I
PIDZ5. 001,018. ()
(phone) q~ 1. - 440 - <;; Sl6
BUlLDER
(Company Name) (phone)
(Contact Name) (Phone1,
(Address)
TYPE OF WORK 0 New Constroctioo DDeck DPord! Iil!Re.R~~
OAddition DAlteration OUtility ConneltiOn '" _isc.
CODE: OJ.R.C. OJ.B.C.
Type orc .~~...;:.n:
Occupancy Group:
Din.ion:
DRe-SidinJ; DLower Level Finish ) 0 Fireplace
661,e-GSS /AI/tJOOVl/ 00
I L ~~ __
PROJECTCOST/VALUE S~.A./
(exduclinJ land)
A
B
J
E
n
F
J
B
S U
mlV
H I
2 3
V A
M R
4 5
. I hereby artilY that I have furnished information on this application which is to the best of my knowJedse bUr and comet. I also certifY lhat I am the owner or authoriZed agent for the
above-menttoned property and that all construction will conform to all existing state and loclllaws and wiD proceed in accordance with submltted plans. I am aware that the buiklina
official can revoke this permit Wl.!UJt ca~se_ Fu~ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X '1l'trW(\ - ~
"\ Signature Conb'actor's Ucense No. Date
I Permit Valuation
I Permit Fee S
I Plan Check Fee S
I State Surcharge S
I Penalty S
I Plumbing Penni. Fee S
I Mechanical Pennit Fee S
I Sewer & Wa.er Pennil Fee S
I Gas Fireplace Permit Fee S
I Park Support Fee
I SAC
I WaterMeter SizeS/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Wa.er Tower Fee
I Builder's Deposi.
I Other
I TOTALDUE
lbis Application Becomes Your BulldinJ Permit When Appron'
I Paid
I Dale
'/f,-;.UU
4- .?h ()4-
Buildine: Officiol
Dale
# S
# S
S
S
# S
# S
S
S
S 70, 0 u
I Rec;:~/S
BVr--
TIus as to certify that the request in ~ht above application aDd accompanying documents is in aecorelan<<' with the City Zonin, Ordinantt and may proceed as requested. This document
when siam..-d by the City Pl.\nner constitutes a temporary Certificate of Zoning compliance and allows eonstruction to commence, Before occupaney, a CertifICate' of Occupancy must be
issued
PlamUns Dim:tor
Date Special CODcIitionJ. if lIlY
24 hour notite for.n inspection. ("1) 447-9L~. fll ("2) 447-4145
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/6 /'09" ~~d:
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~RAMING
~SULATION
INAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~l.V ~::/6>:'
/1.. ~-
DATE
~1~~
7,:/
TIME
...L'~ - Jff
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORKSA~ROCEED .-J'
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OWner/Contr:
. ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
,
~
~/- t-...
,~' Ie-(...
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
ms"'",
DATE TIME
SCHEDULED rkA~
&;f'a 71/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/6 7~r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6~J~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o I~LATION 0 SEWER HOOKUP
p-1'I~~L 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ,4 /)
/Le/,CJCJ r
/J / _1-' /,,'
/'/C /vV<.cf tJ~ I ~7Z.-,~
"..f6 ~ / __ a-'~"'" rl ~.A,. #'-e
/;2~/ ~f z,-: .ok...;' /'
-- P4'".......... h~ ;nC..c,. ~ .-</.-., "'<.
.4 /J ~
/~-t::: -t"~~.'s ~c;
.H~ "~9n;<...I~
j/ ,(/
~ORK SATISFACTORY, PROCEED
I ~ :ORRECT ACTION AND PROCEED
o CORRECT WORK, ;~.?~EINSPECTION BEFORE COVERING
Inspector: F ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTIO!' 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!