HomeMy WebLinkAboutBuilding Permit 04-0617
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
C. ZI. of-
I. White
2. Pink
3 Yellow
File
C;ly
Appliclnl
I PERMIT NO. 0'1-. 0 f&, 17 I
(Please ~ or Drint and silD at bottom)
ADDRESS
3olo"2.- i-AJl€- HiT1/uJ Or. N liJ
ZONING (office use)
RISD
LEGAL DESCRIPTION (office use only)
LOT I 0 BLOCK I
ADDITION /II on..-fijfNO 00 (j'(JC.S t::.:, I n I a:,
,-:)..#0
PID z.';:. 87/. 0/6. ()
OWNER I 1_
(Name) "' ID6 ME AfN N \Q
-
(Phone) qtjz...- 2.2-0-4-818
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction i'ltDeck ~Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAltera~ omruty Connection D Misc.
CODE: OI.R.C, OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
I1IIVVA
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
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 Of authorized agent for the
above.mentlOned prope d )~h~s:~ construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:c~ this t. ),1::e,=ore, t h~Y 'gree that the e>ty official or a designee may euter upoo the property to perfocm necde~iC~]. 0 1-
U- - Signature J Contractor's License No. IDe
Permit Valuation ~lJjjth"t') I Park Support Fee # $
I Permit Fee $ . /32.. 50 I SAC # $
I Plan Check Fee $ 8(. ./3 I Water Meter Size 5/8"; I"; $
I State Surcharge $.3.00 I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other I $
I Gas Fireplace PermilFee $ I TOTALDUE ~ (,,~CD,(- 1$ 2-Z/.'-3
~/- c...O
L. - :?-"x---LI
~~! ,~ ~
Building Otlicial
Ie'/z.s/o i
. Da~
I Paid
I Date
_ 1
I ~~ceiPt N~r/cr;bl
{/l
This Application Becomes Your Building Pennit When Approved
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
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
4'
..,
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3 oeo Z L,q,I::::G !-Mvc;tJ ~
TYPE OF WORK D6e.K-
USE OF BUILDING /265 1/.e
PERMIT NO. 0 4-, 0 (, '7 DATE ISSUED w.. 2 '. o~
BUILDER /'-1F-./I/IJI tJG PHONE # Z:Z..G, ,48/8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
.
, THE PERMIT IS BY SEPARATE DOCUMENT
I
INSPECTOR
DATE
1.Fe,.. i"'~ ex;S"f"f~ ~:S' I I I
PLACE NO CONCRETE UNTIL ABOVE ,AS B~EEN SIGNED
I FRAMING I 1M . I$(" q --(11..\ I
I FINAL $--11 I ~/;~~ ,
FOR ALL INSPECTIONS (952) 447-9850
"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
",5'X,2
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
COMMEN~ /
/1:J,TC~
~Z)h~'r. ,/
-
~/
r-; A.,
6~~
~(~ ~E
dv~-- c./
SCHEDULED
CONTR.
PERMIT NO.
~~t:./7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
A / ___
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h:r/ ~~ ~/p/:c/'
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({ /t::1~
'----
/WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT ~ 5~ REINSPECTION BEFORE COVERING
Inspector: ~~ OwnerlContr:
~~
.?:"/ )
r7/t'"
--
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
"""""