HomeMy WebLinkAboutBuilding Permit 04-0744
Date Rec'd
7. %;/"' # tj---
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I PERMIT NO. 0Lf- () 74'11
1. White File
2_ Pink City
) Yellow Applicant
(Please ~ or print and siJPl at bottom)
ADDRESS
ZONING (ollice",e)
~
~/V / e;- ?/\/.
/~7/0
LEGAL DESCRIPTION (office use only)
LOTS-BLOCK ~ADDITION ~~ #/(..(.....S ::?~
PID z..-s-. ] 0 (). Of.r; t,e)
~:~~4LLr-A ~~~L-
(Address) '4/ J b ~'dl"Vh:-ll (P/\k' %b~ L"2io
(Phone) ~~C- l./LfD-5Lf0e I
mil
BUILDER
(Company Namp)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction )l'Deck OPorch ORe-Roofing
DAddition DAlt~Otl DUtility Connection 0 Misc.
CODE: i"iI.R.C. DI.B.C.
Type of C,bnstruction: I II ill IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
o Fireplace
ORe-Siding DLower Level Finish
PROJECT COSTlV ALUE $
(excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correc!. I also certify that I am the owner or authorized agent for tbe
above-menuone~~~erty and that all constructlon wIll conform to all eXisting state and local laws and will proceed In accordance with submllted plans I am aware that the buildmg
:~'" ':0 ^ :erm.;;::t c~use Furthennore, I herehy agree that the cny olli"al or a desognee may enter upon the property to perform ne:;d~;\:~ ~
\ \ '\ Signature Contractor's License No Date
~OOO.()7J
$ ~.'2.~
$ S7. :;"10
$ '.50
$ ..,
$
$
$
$
$
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
\ 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 TOTAL DUE
I paidl"r'7. rl
I Date 7 I'Ll /t> if
& I { .
#
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Peoally
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#
#
#
147.11
I ReceiotNo. .Zf7dFfo
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This Application 3~~__.~" Your Building Permit When Approved
~~
~
Date
Building Onicial
ThIS is to ce~that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a.~ 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
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
Planning Director
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /~'l/O flAp~ ~~
TYPE OF WORK . .,1I/611J Dtr~K
USE OF BUILDING S'".F:I). .
PERMIT NO. ()y - fl7 Lf~ DATE ISSUED '7/21 &..C/
BUILDER JArt S\(".,,, ~ eN. PHONE #:95'2- '1'/"--.5'/11
NOTE:. THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP~9fl ~
I FOOTING '(~ I IIV7 I 'tf - b
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
~
I FINAL
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FOR ALL INSPECTIONS (952) 447-9850
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/L(7/CJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o I!1SULA TION
.Jit'1iiNAL
o SITE INSPECTION
COMMENTS:
~
AK
SCHEDULED
~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-
a ~~... ..J.. .f.. 'I-. /'
.~
DATE nME
~~?Jt
L{-)cfY
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.r 1 I^ ()/
/-zs c ( P"tl_ M. h V
.0 ~RK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECl' CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr:
CALL 7 850 FOR THE NEXT INSPECTION :u HOURS IN ADVANC~
CODE REQUIREMENTS Al/E FOR YOUR PERSONAL HEALTH & SAFETY!
INSNtm