HomeMy WebLinkAboutBuilding Permit 04-0738
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
O~ PIl/O",
... <"
... ~
- :>:
u '"
+1.\'1VESO~\'>
(Please tyJH:. or print and siKD at bottom)
ADDRESS
/fIJ~1t
~
1(,'1(,
LEGAL DESCRIPTION (office use only)
LOT YBLOCK ADDITION'VDIr##""!-
OWNER
(Name)
(Address)
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. Otf. ()736 I
Date Rec'd
1. ZAJ. d 1--
ZONING (office use)
tU
PID z,S-. ~/Z.. 00 t. ()
(Phone)
BUILDER t/ -
(Company Name) f1 J" UO,.,SC 1: fVC-. (Phone)
(Contact Name) ~ ~"Y' 1'10 h t!) [cpef/ '" (Phone)
I o/?.i~ ~L i!./Vht.-r AC/. //A'r//I ~A.rt' ~A/...
/
(Address)
'f 'f 7- V'~ ;;{ "?.
,
TYPE OF WORK 0 New ConstructIOn DDeck DPorch ....~.,e-Roofing ~e-Sldmg DLower Level FlfilSh
DAddlUon DAUeratlOn DUtlhty Cone"' \ D MISC.l,>l,
CODE: DLR.C. DLB.c. PROJECT COST IV ALUE $
Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: 1 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 correcl. I also certify that I am the owner or authorized agent for the
above-mentloned property and thai all construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the building
()fficlal can revoke thiS permit for Just cause FUlthelmore, I hereby agree that the CIty offiCial or a deSignee may enter upon the property to perform needed inspectIOns
X h..1 _~ - a7/ik:Jlo <;'
Signature ,~ ....'/ ./ Contractor's License No Date
, //
, I
I
I
I
I
I
I
I
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
This Application Becomes Your Building Pennit When Approved
l3uildlll!!.Otlicial
Date
Park Support Fee
#
o Fireplace
$
$
$
$
$
$
$
$
$ ~,.o ()
'''-1 vi!"
ThiS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance ana 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 Cerlificate of Occupancy must be
iSSUt'd
Planning Director
SAC
#
Water Meter
Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
7(. .Pl)
7- u_ , f&-'
11
I Receib{ No.
BvA
r1
Dare
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~;,?"R.
ADDRESS
/6~7~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
l7'FINAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
9/~~
7//
or- 7Jr
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: /J I
~C/<" u-j rIf'
// rr ///c 'd .. rI..._j,~ ~ LJ
//~ V I c ~ h p r
/ - /
/<<J"h:~r
c:::? /hYk..b./
//
....---' //
..,L L<?'~/ k /-b'C/
tOllf ~ .-./
/? //1/
H.#4- ( ore
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR R NSPECTION BEFORE COVERING
Inspector:
OWner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
r
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!