HomeMy WebLinkAboutBuilding Permit 04-1249
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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File
City
Applicant
I PERMIT NO. O-t-'b4J I
ZONING (orrfce use)
(Please tv'!e or print and sim at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
Date Rec' d
/2. 28.04--
LOT
BLOCK
ADDITION
PID 25. 1Oz.. ()43'~O
OWNER
(Name)
'R(GY\~
(Phone)
~Il- Zl{)" -IN; 'II..
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe. Roofing
DAddition DAlteration DUtility Connection 0 Misc.
ORe.Siding ~ower Level Finish
PROJECT COST IV ALUE $
<excludiug land)
CODE: Dr.R.C. DI.B.c.
Type of ConstnJctiou:
OCCllpancy Group: A B
Division:
ill IV V A
H r M R
2 3 4 5
B
S U
r
E
II
F
I
o Fireplace
ished 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 the
d that construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
Just ause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
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Signature Conttactor's License No. Date
x
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fem"V'~ ~$
I Mechanical Permit F~ $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
3,ooo.CJO
7'1.1 r
-
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
I.m
-to JJl)
TOTAL DUE
This Application Becomes Your Building Permit When Approved
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Paid
Date
Building Oflicial
Date
$
$
$
$
$
$
$
$
$
lit,. ZS
4-!70 15,-
ThiS is to certify that thc 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 temporal)' 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 Lake. MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 4-CJ04--- /3'AJ~ Itr.:t T?u:..--
NATURE OF WORK L-ow6/1:- U/f/bL-
USE OF BUILDING ~S rlf ~
PERMIT NO. ()Cf-. I Z- +<1 ' DATE ISSUED /Z. z fj ,O.if-
CONTRACTOR G7D PHONE Mz-,2.fs". ec. +-7.-
t,lOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
D"'TE
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, I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
14ifvi-
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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OCCUpy UNTIL ABOVE HAS
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.
,
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BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
DATE T1IIE
CITY OF PRIOR LAKE //flL~" /
INSPEcnON NonCE SCHEDULED ~7
ADDRESS L/9tJ;t g/o #- /Is 77/
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
~~NSPECTION
CONTR.
PERMIT NO.
[] PLUMBING RI
[] MECH R1
[] WATER HOOKUP
~EWER HOOKUP
~~MBING FINAL
)a"MECH FINAL
t:7 r" -/..27'7
[] EXIGRADIFILUNG
[] COMPLAINT
[] FIREPLACE R1
[] FIREPLACE FINAL
[] GASUNE AIR TST
[]
COMMEN.TS: . /: /
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~ORY,PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR NSPECTION BEFORE COVERING
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Inspector.
CALL .&47-9850 FOR THE NEXT INSPEcnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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