HomeMy WebLinkAboutBuilding Permit 04-1021
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
10.7_01-
(Please ~ or 1trint and sim at bottom)
ADDRESS
5232- g:rST
o,4t:::..
LEGAL DESCRIPTION (office use only)
I. While
2. Pink
3 Yellow
file
City
Applicent
,PT. OIL.
LOT/S? BLOCK Z- ADDITION
O~(bVO / () '171
OWNER
(Name)
(Address)
,
/4/ (J 1> IV A-jO\AJ ~k;-
S'2-3"2- 6, oA (L P-C D/Q. S G
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Phone)
(Phone)
I PERMIT NO'4-(Ol.-/
ZONING (office use)
It--/
PID Zr: 401_ ~313. 0
C:-(7..-~\A)2-5b
(Address)
TYPE~ OORK 0 New Construction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: I.R.C. DI.B.C.
Type of onsttuction: I II III IV V A B
Occupancy Group: A B //7 F HIM R S U
Division: (J 11 ~/l 234 S
h~e e~m on on thiS application which IS to the best of my knowledge true and correct I also certify that I am the owner or authonzcd agent for the
rty co ction will conform to all eXIStmg state and local laws and Will proceed In accordance With submitted plans I m a are that the bUlldmg
per c Furthermore, I hereby agree that the CIty offiCIal or a deSIgnee may enter upon the propertY to perform needed to ecu S
X , ~ . 10 7 (/
~ I ~gnature Contractor's LIcense No
Permit Valuation
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 Firepl permV F"J /
/
J:) t/Q ,-- I
$ ~4.7~1
$ I
$ .Sl) I
$ I
$ I
$ I
$ I
$' I
PROJECT COST/VALUE $
(excluding land)
I Park Support Fee
I SAC
t Water Meter Size5/8"; 1 ";
j Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid 7r. zr
Date 111_ -i C1 F--
#
#
$
$
$
$
$
$
$
$
#
#
$35.2.S
q.-7Fc.i/
Ii
I ReceigYNo.
By .A,.-"
(l
, ThiS IS to ct'ttify that the request in (he Above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requestcd. 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 an inspections (952) 447,9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5Z32. Gl't.:f/ 0/1'1:- r>T
NATURE OF WORK L/JWE:7t:. u;l/a.-- (s-/h.//v'/1)
USE OF BUILDING . IZe;r ~/ jC.- -
PERMIT NO. 04-. /0 z, I DATE ISSUED / tJ. 1.04-
CONTRACTOR otvWrrTlJ/A/JIC--f PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,.- lLl! _
~.- ._u \' ,.tn ._ ___1 11". I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
/Yilt
I
~
/t7~/ ;:'1
HEATING (If required)
'" -
~/aJ7tc-
-
J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
"
.
,
BUILDING
ELECTRICAL
'"
1/1/11/
11 r/1-dV1
HEATING ;( / #'
,
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
SCHEDULED
DATI! TIllE
/ ).'I"J--W
ADDRESS
t1.-7.).. E O?tL !?r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION / /
.llf"FlNAl vIe...- ,
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH ANAL
COMMENTS:
(0 YIA r)lr<-
- (,Vot l-t...
LOW1br6hllVt a ~
Ktk I-t,..
~
/'
/ /' j ,-
/ ( (U'd-e..
~--
~
~-lcJ.J,.(
o EXlGRADJFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE ANAL
o GASLINE AIR TST
o
Dw...y ~
~
r ----.........
r'j )
r-z '-e
/'
-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~l FOR REINSPECTION BEFORE COVERING
Inspector: V I./f/ Owner/Contr:
CALL 0147-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
uaNO"