HomeMy WebLinkAboutBuilding Permit 04-1200
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvD! or mot and silUt at bottom)
ADDRESS
/,
/5++-2
L?~ Pe-n/L-
LOT [3 BLOCK I
LEGAL DESCRIPTION (office use only)
ADDITION
W / '-'D S S ut/77"l
PID 25. 3P2.. 008.0
OWNER(}. ' S . h
(Name) Drill!') "{ )JVlMi> r () t\(a.
(Address) J5-lfLJ')
L While
2. Pi"k
3 Yellow
File
City
Applicant
I PERMIT NO. ()4-, !Z-O(J
CUIU{.6
Date Rec'd
/2-,1_04-
ZONING (office use)
.el
(Phone) CfS':J.. - 4()::J.. - 9(", 7~
~~~~~Name)-:1~ G'~~' \~'\ r~
(Contact Name) ~a...t
(Address) ~J':lO<,( "\ j)r
"-' '
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAddition DAlteration DUtility Connection D Misc.
CODE: Or.R.C. Or.B.C,
Type of Construction:
Occupancy Group: A B
Division:
r
E
II
F
I
III IV V A
H r M R
2 3 4 5
(Phone) ~/;)..-1~~-7m
(Phone)
B
S U
ORe-Siding Mower Level Finish
r I ~(W1
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
I hereby certify that I hav~' iSh,ed info rm ion on licalian which is to th,e best afmy knowledge true and correCI. I also certify that I am the owner or ,authOriZed agt.'Tlt for the
above-mentioned property a that all co u' wi onform to all exisnng state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offlcial can revoke 15 permi r ~ F e, I hereby agree that the CIty offlcial or a designee may enter upon the property to perform needed msp<.'CtlOns.
X 1 .t ... _ p-/--cJ'I
/ ~gnature -............ Contractor's License No. Date I
.
Permit Valuation
\ Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
[ Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I-tJoo,oD
$ .34-, '7 s;-
$
$ . ..JfJ
$
$
$
$
$
TIrl'lJ.:'fles Your Building P~;~ Approved
---.. Sui ding Oflicial - Dat~
$
$
$
$
$ I
$ I
$ I
$ I
$ ..36, z.s- I
I R~c"ei~ ~. 'ffJS7~
Br-~
I Park Support Fee
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
I Other
I TOTAL DUE
#
#
#
#
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 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
~
I Paid
I Date
."35 '2-5
/7.. I, 04--
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 DEPARTUENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /..5442. /f~c- 8ert1C- et~
NATURE OF WORK U wI; L u;;v6?-
USE OF BUILDING /?t/S A--I/f:-
PERMIT NO. CJ ~ ,-l?-:- 0 9 DATE ISSUED /?, I. 04--
CONTRACTOR \.T PY PHONE Jp 12. 'it,~. --;14rfJf)
NOTE: THIS IS NOT A PeRMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELE.. CAL
111/
I
I
....L
y
/z/;h
, / -'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
. ,
////./or
/h?/oS--
HEATING ~~
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
Thl. cerd mu.t be poeted _ an .leclrlclll Ml'V1ce Qblnet prior to rough-ln In.pactlon.
and IIlIIlntIIlned until all Inepectlon. have been approvad. On building. and addition.
where no .."Ica cabinet Ie available, cerd IhaII be p1acad near IIlIIln , " ceo
, I
/~//~
SIGNED
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
SCHEDULED /k/As-
, ,
/o~c/2 4~fi/f<e4~~A-'
COMMENTS..;.... /1 / ___ I ' ,
hA),,$-L, #~/Lr/ L;T1l ~
'. /' A ...1--/'
r/~L/?'r.lCq / L: J- ,..t..___~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDAnON
o FRAMING
~TION
o SITE ~NSPECTlON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
/J ' /
g"" '/ r;/~~r
n.h4- .,
11~- /2 ~(j
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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I/d /dr-
v
-~/ -"
r~~'
~k
--::.:;;;;:
-------~
/' .......,,.
( (~,tI',
\..
~~S-;;FACTORY. PROCEED -
o CORRECT AcnON AND PROCEED
o CORRECT ~~~FOR, RElNSPECTlON BEFORE COVERING
Inspector. . ~ Owner/Contr:
-.
~
1 '~
~~(L /
~
//
CALI.. "7-9860 ~nR THE NEXT INSPEcnON 24 HOURS IN ADVANCE.
ININOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!