HomeMy WebLinkAboutBuilding Permit 04-0993
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ 88'\
&Dh~G. ~ -r,.,
yjw
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
BUILDER l\
(Company Name)T~ Illl" oj- l1v.... LO_p.e.......
(Contact Name) R.J.v)- iJ.e,'dt... ...,/,.. )
(Address) ~A/"T7U'It1lJ~ 'TV
TYPE OF WORK 0 New Construction liilDeck OPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Misc.
CODE: 'MI.R,C, DLB.c,
Type of &;'nstmction: I II ill IV Y A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 S
OWNER 1\
(Name) J.lA"";cl
(Address) .;( 8'8~
... 0",.\.1I1 Sc..!..", I rC.
~c... +- y;. ,1l.()
Date Rec' d
9.30.04-
L While
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NO.O+. 09t13 I
ZONING (office use)
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PID zo: :3?,z. . (){,3. fJ
(Phone)
off/t-e
9'5).. 'f,(}'-Cf87 I
7(,3. 71-5'. r,z.2.t;
Litle.
J..1~
IIlI
(Phone) (. S J
00
(Phone)
FrGtr/- ~tf. OAl~'I
ORe-Siding DLower Level Finish
o Fireplace
PROJECT COST/YALUE $
(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 fOf the
abovc-menuoned 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
:><ial "CJ~rmit 'lust ause. Furthermore, 1 herehy agree thatthecity official ora designee may enter upon the property to perform nee9:'nsJ;:~. y
1 Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Pee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
\ Gas Fireplace Permit Fee
//
1I'/j'tJ CJo . tJ ~
$ 103. 6 0
$ fora.1s
$ 2-./9 0
$
$
$
$
I $
This Application Becomes Your Building Pennit When Approved
~Ot1~ /t1~~y
Contractor's License No.
Date
I Park Support Fee # $
I SAC # $
\ Water Meter Size 5/8"; 1 "; $
I Pressure Reducer $
[ Sewer/Water Connection Fee # $
1 WaterTowerFee # $
I Builder's Deposit $
I Other $
I TOTALDUE ~AtUt>rJ JO.l.oV 1$ /? /.9<0
I Paid
I Date
/7/.9'>
/0. e.() e-
I~' ~79-'4-
, 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 l'eqtu.'Sted. This document
when signed by the City Planner constitutl'S a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ct'rtificatc 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
11M" NIV
SITE ADDRESS
TYPE OF WORK _
USE OF BUILDING lIeS ~ _
PERMIT NO. DATE ISSUED //). I... ~
BUILDER PHONE #~. '/471
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~ DATE
It.? $. I FOOTING I TV) I
~/~ PLACE NO CONCRETE UNTI~E HAS BEEN SIG)lED
~~MING I C/lh I /~J';?/
j) / /
111/
V"
I FINAL
/?./f,
FOR ALL INSPECTIONS (952) 447-9850
'.....
DATE T1IIE
CITY OF PRIOR LAKE I~
INSPECTION NOTICE SCHEDULED
ADDRESS '2Be'1 'E.b~
OWNER CONTR,
PHONE NO. PERMIT NO. l.! - 71 :J
[] FOOTING [] PLUMBING RI [] EXlGRADlFILUNG
[] FOUNDATION [] MECH RI [] COMPLAINT
[] FRAMING [] WATER HOOKUP [] FIREPLACE RI
[] INSULA~ [] SEWER HOOKUP [] FIREPLACE ANAL
FINAL lJ PLUMBING FINAL [] GASUNE AIR TST
~SITE INSPECTlO lJ MECH FINAL lJ
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hlQ
lJ WORK SATISFACTORY, PROCEED
l\ CORRECT ACTION AND PROCEED
lJ COR~CT WORK, CALL FOR RElNSPECTION BEFORE COVERING
InSpec!l.r.V n OwnerlConlr:
CA~..J FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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