HomeMy WebLinkAboutBuilding Permit 04-0767
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
7. l(" 0 4-
; ~;~:. ~:;y I PERMIT NO. O.-L. 07'-71
3 Yellow Applicant T"
(Please ~ or orint and sim at bottom)
ADDRESS
\43\4 g1'OOkw~ Blvd ~VJ
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
G/~ /01,
PID 2.~, 3 St. 01 J7. 0
OWNEJ
(Name) OD Oll\d
(Address) 14~ 14
Sa..wJ.rtA PaN! l'/'lfl {J ,
R.NJd.t'MIJ~~ lSlvA AllAl
(Phone) 152.- Z~~-32S',1
BUILDER
(Company Name)
(Contact Name)
(Address) "'1
PI, r,~
~ V"\L'"l ':3 rvtlM-'t-ffi e?
ct~ huJ. N
(Phone) q52.-~33-<jlL{q:\
(Phone~tlJ<'Z.- '1.,L/-ShZ 7
TYPE OF WORK 0 New Construction ODeck DPorch ORe-Roofing
DAddition Jjl;..tteration DUtility Connection 0 Misc.
IAlTefLtDfl.
II III IV
F H I
I 2 3
CODE: IZI.R.c. OI.B.C.
Type otitOnstruction:
Occupancy Group: A B
Division:
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
ORe-Siding DLower Level Finish
I
E
~.......
V A B
M R S U
4 5
PROJECT COST IV ALUE $
(excluding land)
This Application Becomes Your Building Pennit When Approved
~.~
Buildmg Ot~1
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 agent for tbe
above-mentlOned property and that an construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware tbat the building
:"'t~I":jJ)mu rru" ,"use Fu :ennore, I hereby 'gree thot the "ty oll"..l 01 '2:'qe-3:c;'er upon the p~peny to perfonn ne~:Ze3:04
1 \) Contractor's License No Date -
't
iIr'Soon,on
$ 8..8. 2-~
$ S7..?h
$ I, 5""
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTALDUE ~ '1,1>1.oV $ /~7,/J
I ~~ceiptN~'z~30 :
Se?cAAti ~,.) /!Art:,.
ThiS is to certify tbat the request in the above application and accompanying documents is in accordance witb the City Zoning Ordinance and may proceed as requested. This document k
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CCltificate of Occupancy must be
issued
Planning Director
,:</,~Id~
Dale
I Park Support Pee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
#
#
#
#
ZONING (office use)
,e1-
o Fireplace
)1350.Q,
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
Other
, ,
Paid 1M' /, If
I Date . "7-:J--?-oU
. - .
, ,
MIlSI J1'(}.dN77!-;;:J
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
14-31+ BJUtJ~HE./&& a-IID.
NATURE OF WORK ~4Jf 72DN
USE OF BUILDING ~ A/~
PERMIT NO. ~. O~ DAtE ISSUED 7. Z".04-
CONTRACTOR P'-Vl:::iJIuNE" PHONE "94'- b"Z.7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
~
~
I /'
~//I'fty
i>-//f;t;/
R-~?/'/
;
HEATING (If required)
~
, ,.
~// 8"'..h Y
J
, .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
J
BUILDING
ELECTRICAL
~r
I
~
'1:'7
~G """,,.
DO NOT 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
OATE nME
SCHEDULED
'-"l-o~
ADDRESS mll.\ --g.. '''M~1'''e..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
- O'sITE INSPECTION
COMMENTS:
l'
LI~
CONTR,
PERMIT NO.
c.J - 1167
o PLUMBING RJ
o MECH RJ
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
o ElCIGRADlFILLING
o COMPLAINT
[J FIREPLACE RJ
o FIREPLACE FINAL
o GASLINE AIR TST
o
.~ Q\O
rRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
[J CORR Cli RK, CALL FOR REINSPECTIDN BEFORE COVERING
Inspecto : Owner/Contr:
CAr.: oLl98 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE ~~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INS,"m