HomeMy WebLinkAboutBuilding Permit 04-0726
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or orint and sim. at bottom)
ADDRESS
'Z- e 9-1- Ut/4I'1.e
~,47H
LEGAL DESCRIPTION (office use only)
LOT ZBLOCK 3 ADDITION
OWNER
(Name)
wit_as
I. While
2. Pink
J Yellow
File
City
Applicant
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(Phone) _".~~. '(..y..--9(o Y
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phonp'
Date Rec' d
'7. 19. 04-
I PERMIT NO. 0+. 0 7~
ZONING (offi" use)
IeISD
pm
zs. -H;4-. 035. J
TYPE OF WORK 0 New Construction )QDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteraA DUtility Connection 0 Misc.
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
/
,. --------
I hereby certify that I ~ave furnished information on this application which is to the best of my knowledge true and c07i~,-.. I ah.v certify that I am the OWOt>J' or authorized agent for the
above.mentlOned property and that 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
official can revoke this permit for j t cause. Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalry
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
riI'UbtJ. 0 ~
$
$
$
$
$
$
$
$
7~.7~
LI'?te!JI/
I.sd
This Application Becomes Y ~ Building Permit Wbm Approved
~~.#
Building Officiol
~'f Ib '7
, Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
r Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
I Paid /Z;Z,.",
I Date "',''1.114-
'7-/9 -0 Y
Date
# $
# $
I $
I $
# $
# $
$
I $
I $
1/
I RecetNo.
BYJ-'
/Z.Z..i19
"-7U10
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
~. -'&,,;--,:.,,,. ,..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ZeQ4-- ljjJGt.1t1L P/h,J-
TYPE OF WORK IJ~
USE OF BUILDING ~ I'1Ift-
PERMIT NO. () 4- . 0 7 v-(P' DATE ISSUED 7.1 'l. (/ <f---"
BUILDER 73/t~fv'J#+6p;J ,PHONE# 4'+5",1l04-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE,
I FOOTING I jJld I 9/r#J~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-,
I .\."".-* I r / I I
J j /
I FINAL WLI iJ ,.j I 17 /tlrl t...) I
. / I -
FOR ALL INSPECTIONS (952) 447-9850
~ DATE TIllE
CITY OF PRIOR LAKE I~
INSPECTION NOTICE SCHEDULED
ADDRESS 2FVic.J ~r~~
OWNER CONTR.
PHONE NO. PERMIT NO. 4-72Lo
o FOOTING o PLUMBING RI o EXlGRADlFILUNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~FINAL ~j;; o PLUMBING FINAL o GASUNE AIR TST
o SITE INSPE ION o MECH FINAL 0
COMMENTS:
J; v -:4,'rw'l
~~~
C(~..; ~.0~~
I WORK SATISFACTORY. PROCEED
frRRECT ACTION AND PROCEED
o COrilRK. CALL FOR REINSPECTlON BEFORE COVERING
Inspect . Owner/Contr.
CAt: .,17.9850 FOR THE NEXT INSPECTION ~ HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY/
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