HomeMy WebLinkAboutBuilding Permit 04-0685
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3.500
q'lease ~ or nrint and sign at bottom)
ADDRESS
54-Z(, Oel3er/6 (.... ()
OWNER
(Name) n" V\ cJ e1
~o 'i C e
I
C,-v
(Address)
fl, ~
,,,] .
~l/ ;U". l)...eV" k" \,.1
BUILDER
(Name)
(Contact Name)
(Address)
O'A) V\ ~ Y
TYPE OF WORK
o New Construction
DLower Level Finish
o Misc.
l. R.e,
). White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 0 L/ - 08'51
<!.--/~.
Date Ree'd
I I
ZONING (office use)
tez....
PIDZ5": 4-00. 6 I L 0
_ (Phone) q J' 2. ,~ if ~/o' 2. ':J-q 5
(Phone)
(Phone 1
~DeCk
D Fireplace
DPocch
DRe,Roofing
LEGAL DESCRIPTION (office use only)
LOTlhLOCK I ADDITION IOrJt1A.M.ifrP cJ t:/L
//
A vi. +-+ e 0,
S', E Pl'io..
ltck<>
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
(Vt 1"( b<!;) 'J 7"7
DRe,Siding
Dutility Connection
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
authorized a Dt 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 s. I am aware th!t the buildin.,g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;t7r e pco:rrz'lSr;;;)J;h;:;; ~. .2 Lj -.2 CIlJL/
Signature Contractor's License No. Date
I Permit Valuation 1$ r~cn
I Permit Fee C;;L-
I Plan Check Fee I $ ~~.I')
I State Surcharge $ "&:'~
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~....tJJ~ 7/7/Dc./
Building Official Date
Park Support Fee
SAC
Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
~i/,~()
~ - ?-L/'
Paid
Date
#
#
#
#
$
$
$
$
$
$
$
$
$
B4,~O
r:...j'/<-iiJ
I ReceiPt No.
Bvfl
,:/'
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 temporary Certificate of Zoning compliance and allows consuuction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 bour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
16200 Eagle Ceeek Avenue Prioe Lake, MN 55372
, "
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD .
SITE ADDRESS ""-'" 'DCI:' AFJez-D CJ~ _
TYPE OF WORK AJ&.J ~ <.Em/;)f Qkr~
USE OF BUILDING S.F:A.. -'
PERMIT NO. ~ DATE ISSUED ?/7p~
BUILDER ~.".AA. PHONE#I5z-W.-2S7S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
, FINAL
FOR ALL INSPECTIONS (952) 447-9850
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
sY' A:;
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
DATE TIMe
SCHEDULED /~~/
LJeefra// r:r
CONTR.
PERMIT NO,
o.c/-6J>r
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: . /1 ~ --< /
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o WORK SATISFACTORY. PROCEED
h/c'ORRECT ACTION AND PROCEED
h CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: flt::t'/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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