HomeMy WebLinkAboutBuilding Permit 04-0663
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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(Plo... ~ or print and sip at bottom)
ADDRESS
/53/5
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6LA56W'~n;;e
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
1_ While File
2_ Pink City
J Yellow Appliclnt
Date Rec'd
t( . z.-? 0-1-
I PERMIT NO. 0 'f~O(P(p 31
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e,,1 ~ e,.t.-e #6
OWNER
(Name)
D~t' \( t Ko.u--..,~ ~ lk-A /
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(Phone) :rS"~~ f..L4(.....~.c,rRI1
(Address)
BUILDER
(Company Name)
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CfJN!!; 'Tl'U/ c;:r 10 AI
(Phone)
(Phone)
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TYPE OF WORK 0 New Construction 1lll'Deck OPorch ORe.Roofing
DAddition DAlte~- Dutility Connection 0 Misc.
6.rMr A!U~evr
di) A €)
M ~ S U
4 5
CODE: Clfr.R.C. Dr.B.C.
Type of ConstrUction:
Occupancy Group: A B
Division:
r
E
ill IV
H I
2 ~
ZONING (ollice use)
,Ie/.s.D
PID 25.0, I. ooB. 0
(PIZ. 94-0. 7/08
DRe.Siding DLower Level Finish
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
I hereby certify Ihat I have furnished information on Ihis application which is to the best of my knowledge lfUe and correct. I also certify that I am the owner or authorized agent for the
above-mentJOne ro~~=~o~hat 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
:d an,,, _ ;~..:J~S~o:, I here~ee Ihat the C>ly ollid.1 0" designe~7tJ;ISI'he"'OPerty to pe<fo,m needd;p':'a..q-c:J-/
~iture Contractor's License No. Date I
(JA$,I'1NOVA
(Contact Name) .::J7JHA/
(Address) '3~/4
I Permi Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
II
F
1
I ""#tJtJd.OO
1$ 103.00
1 $ .".~s
$ l.oo
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
~~
Building Otlicial
7/I/oy
'Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I
$
$
$
$
$
$
$
I $
I) /7/. 9~
iJ _
Receioui4o. "'72,#
By 4-_
()
#
#
#
#
TOTAL DUE M\1..U'X) 1 L 0.....
Paid
Date
/7/. '1$
7. 2..0 t!f-'
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 nfOccupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952)4474245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD .
SITE ADDRESS IS.JIS .E."&~AJlfTZ!'& CJIlt:I.E N.&,
TYPE OF WORK EkAt!'r ~ A'pU4C~
USE OF BUILDING s: If;" #
PERMIT NO. ()<!',O(P(P.:3 DATE lSSUED 7// /6'1
BUILDER Jt~ PHONE #"~-,,,() - 7l"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~Ec:rOA . DAty ".
I ~ I 7/~fty I
o CONCRETE UNTIL ABOVE HAS BEEN SIGNED .
I I I
'FINAL }/WJ ~'J.4-oCt1 I
,
FOR ALL INSPECTIONS (952) 447-9850
DATE 1lIlE
CITY OF PRIOR LAKE
INSPECnON NOTICE
SCHEDULED
8"-~
ADDRESS
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t'". I I e-,;.
~/C.o4f1-V
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4-CC3
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION~,Jj(
J7l'iNAL ,~\
[J SITE INSPECTION
lJ PLUMBING RI
lJ MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
[J EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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[J WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~RKfi FOR REINSPECTION BEFORE COVERING
Inspector. --f..-!.f /" Owner/Contr:
CALL oU7-9850 FOR THF NElfT INIlPECnON 2. HOURS IN ADVANCE.
- .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HE.4LTH & SAFETY/
/N>NOTl