HomeMy WebLinkAboutBuilding Permit 04-0236
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or Drint and sign. at bottom)
ADDRESS
\ 15.c;.c)~ ~fb(')ks Ide Lane N W
Date Rec' d
1-. B.01-
;';';~:' ~:;y 1 PERMIT NO. M. 023r-1
J, Yellow Applicant ~
PriDr Lo.k '(y)rJ ,{"537,l
I
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK I ADDITION GI.."1 ,.; W 1'/ 7CX..... :3 fU}
ZONING (office use)
1e..Z.-SD
PID ZS. 3(.7.001. (L
OWNER
(Name)
rh \/ i d A. ;:';krob C\
- .
16558 ~l'Ocksl'Je Lc.~ NW
(Phone) j) I:J.-W,c; -;Jq~
Lo..kce _ i'V\ rJ . u.3 '7:2.
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
I)iLower Level Finish
Z J!!.f1S.
Pf'\'or-
(Phone)
(Phone)
DDeck
DPorch
ORe. Roofing
DRe.Siding
DUtility Connection
PROJECTCOSTIVALUE (excluding land) $ !J OM / SID, 000
,
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 t for the above-mentioned property and that all construction will conform to all existing state and local1aws and will proceed in accordance with
submitted ans I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnrer upon e op~: ~~ Yrti.nL;:Zeeded inse.ecti~ns. __
m,,7 I ~ . _'i-/?-:XXJL
Signa -- Contractor's License No. Date -
o Misc.
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
z,ooo.oo
$ r.Z.ZS
$
$ 1.00
$
$ 4-0.00
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
$
$
$
$
$ 1.00
$ f04-. 25""'
1?1~.
o Fireplace
DAlteration
46 t;..34-
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 construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
DAddition
I Park Support Fee #
I SAC #
I Water Meter SizeS/8"; 1";
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
Other ez.& c;;pu~
TOTAL DUE
Paid
Date
/0 "F. vr5'
4-. e. 04--
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
PRIOR LAKE
INSPECTION RECORD
/,5sre
~fJ71.
DEPARTMENT OF
'BUILDING AND INSPECTION
iJJt.~/De ~.
tH.-
PERMIT NO. JE ISSUED .,... ~
CONTRACTOR -.. PHONE - 'Z/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
NATURE OF WORK
USE OF BUILDIN
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~~;"""l{(
HEATING (if required)
- .
(1fJ I,
I
I
I
'9>
o~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
m
I
I
~
I )
/2/3!1
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
ADDRESS 1l)C;-C;-~,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
_ ri
SCHEDULED (~I
r&CO ks I~ lu...
TIME
CONTR.
PERMIT NO.
t.( - 2.r G:>
[J PLUMBING RI
[J MECH RI
o WATER HOOKUP
o SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
[J GAS LINE AIR TST
o
( )D (),
Q \0<1 .. Vu. -\,\, L O.
hoRKSATISFACTORV, PROCEED
o CORRECT CTION AND PROCEED
o CORREC. K, CALL FOR REINSPECTION BEFORE COVERING
Inspector. _
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
UiSNO"