HomeMy WebLinkAboutBuilding Permit 04-0630
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~, 1.-3,04-
(Please type or print and sim at bottom)
ADDRESS
1.53 1+
I. White
2 Pink
3 Yellow
File
City
Applicant
;:1J I-J p/,eo
LOT I BLOCK
LEGAL DESCRIPTION (office use only)
fV7,41/6-5 2 ~
/ ADDITION
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Company Name) ~<:;?....', r>'uZ.-fl. ~J4.,..e.(L.~~~",
(Contact Name) C",-<-\<.. c.. -'-^'"
I PERMIT NO. 0 1-, oC73o I
ZONING (office use)
jOJO
--
PID Z~ . 04-8. GO / {)
(Phone) CjG z..- """'10- ICf9,
(Phone)
5',s'~., 1..
L I.L. .
(Address) 'V." _ v., 0.... <"~'il
'\:) r', Co) "- ,-~_I(...a... A"l-.)
TYPE OF WORK 0 New Construction DDeck o Porch htfR.e-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAdditlOo DAlteration DUtility Conn~n 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
IIIIVVA
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excludiug land)
II
F
I
I hereby certify that I have ntmished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or aUlhonzcd agent for the
above-mentIOned erty 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
otfJcial c~~e his Pir fq~ Just canse Furthermo~e, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections
X ,-V . _~ z...0"10'Z...1e)'-i G-2-,"-O~1
SIgnature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
'7fR. UV
(,. 4.J ..# "'-
Building Ofticial
Date
# $
# $
$
$
# $
# $
$
$
$ 7&'.0(]
(I
ReceipYN 0, "I"/Z,l---O
By v----
()
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 t{'mporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certlficate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ayenue Prior Lake. MN 55372
Special Conditions, if any
DATE TIME
~y
/SJ/.c/ h:rL // ~/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~I SULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /J /l
Y<e roo r-
~y- C,..?D
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ /76vS-R r r&.-c __ ~ I !/
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~R~.~.. ,,~aR',. .."'""~
/;;' ~'~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ Owner/Contr:
Inspector:
<
~.k.,
.I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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