HomeMy WebLinkAboutBuilding Permit 04-1024
(Please type or vrint and sien at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/74-/2- O~6UJ
LEGAL DESCRIPTION (office use only)
Date Rec' d
/0. g, 04--
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2. Pink
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I PERMIT NO. 04- ,/0 zA-1
File
Cily
Applicanl
O/L.
ZONING (office use)
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LOT ZOBLOCK .3 ADDITION 1J661Z-1f 6- w
OWNER
(Name) ---,K~ €1'
(Address)
BUILDER
(Company Name)
(Contact Name)
I (Address)
F.
#,-4>- J
(Phone)
9.55 /.l/n-/'/ 7 ~
I
(Phone)
(Phone)
TYPE OF WORK
.e
o New Construction eck DPorch ORe-Roofing
DAddition DAlter on DUtility Connection 0 Misc.
o Fireplace
CODE: DI.R,C. DI.B,C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
ORe-Siding
DLower Level Finish
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby cenify 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 authonzcd agent for the -
above.mentlOned propeny and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
:"'~=~" "use7~y a",ee that the City official o,a d"'gnee may ent" upon the pmperty topenorm needed m;" ';/b';
-F / Signanire ... / Contractor's License No. Date ' -
I Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
\ Gas Fireplace Permit Fee
"
$
$
$
$
$
$
$
L$
13c;O. ~
t:>,. ~
'33.'5' I
.k.L
penmtWh;:Z;
II. 8 "
I]ate
I Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
#
#
B4 1;t::?
I ~~P/7Y
I Paid
I Date
'ifr~_fN)
JO.f3_04--
This is to certify that the request in the above application and accompanying documents is in accordance with [he 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 I.ake, MN 55372
PRIOR LAKE :rtr::~':o~:SPEC11ON
INSPECTION
RECORD
SITE ADDRESS /74-/ Z P&P;J&PI ~D OIL.
TYPE OF WORK 0 f: f'L-
USE OF BUILDING /2(f;S R/~
PERMIT NO. 0 1-. 102- -I- . DATE ISSUED 10, e .04-
BUILDER /ItJ (jff# PHONE # 4+ 7. /4 '13
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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D'in
, FINAL
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
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FOR ALL INSPECTIONS (952) 441-9850
ADDRESS
/7~/.2
DATE TIllE
SCHEDULED I~~
L1~~/41/ d-
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO,
PERMIT NO.
oy - /O..;<.r
C FOOTING
C FOUNDATION
C FRAMING
C INSULATION
-a-FII'IAL
C SITE INSPECTION
COMMENTS:
C PLUMBING RI C EXlGRADIFILUNG
C MECH RI C COMPLAINT
C WATER HOOKUP C FIREPLACERI
C SEWER HOOKUP C FIREPLACE FINAL
C PLUMBING FINAL C GASLINE AIR TST
/1 MECH,..-.L /' C
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'C' _____
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WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
C CORRECT WO~~A.7,ybR REINSPECTION BEFORE COVERING
Inspector. /'~ Owner/Contr:
-
CALL "'7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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