HomeMy WebLinkAboutBuilding Permit 04-1256
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
andsi
at bottom
ADDRESS
Date Rec'd
/2.30,09-
I,While
2 Pink
3 Yellow
I PERMIT NO. M ./z,5(P I
File
City
Applicant
ZONING (office use)
IfR55f3
1 f116,t//tZJtJ,vr7 8'~
LEGAL DESCRIPTION (office use only)
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ADDITION J;Jt!i//Wo,Jl't L'1~
PID 2S.09~ 009. 0
OWNER
(Name)
~CJ\1<I)
(Phone)
qsz. '141> QjfoLJ
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Misc.
CODE: Dr.R.C. Dr.B.C.
Type of Construction:
Occupancy Group: A B
Division:
r
E
II
F
I
mrvvA
H r M R
2 3 4 5
DRe.Siding
o Fireplace
Lower Level Finish
B
S U
3p/5.
PROJECT COST/VALUE $
(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 or authorized agent for the
above.mentioned property and that all constmction will coofann to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;".1 con revoke .hi, mil for. t "use Furthermore. herehy.gre< that the e<lY official 0" designee may e.ter upon the property to perform ."d'rz~C;O . c4-
Contractor's License No Date
Permit Valuation ::J,OOO, 0 U
Permit Fee $ 7-1-. /5'
Plan Check Pee $ -
State Surcharge $ /. $V
Penalty $
Plumbing Permit Fee $ .fo. 00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildinl! Otlicial
Date
Park Support Pee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other el-e:?!':nuCA7..- $ /. 00
TOTAL DUE $117. 25
IIJ z.S- /
::lOA t
Rec~o. :::1'1
By /t.t '
1
Paid
Date
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
i.~sued
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 /f#558 ItJ6U/I tJO/J/1 6'~
NATURE OF WORK !-()Wf:JL UNt:-t-
USE OF BUILDING ;z..es tJ/rL
PERMIT NO. 04-- .; "Z 57P DATE ISSUED /2.. :SO- o+-
CONTRACTOR {J~~ PHONE 4-fO. S"f(,4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
,...
_II
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
OATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re uired
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
-
'5"....
/. ..Y. (l~
BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
OWNER
~ /~_/nIlE
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/b:.s3~? -~' ~&-AohL:, ~.cL
CO .
PERMIT NO. t!3 L:j - ~
SCHEDULED
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D_I!!llULATION
,rrF1tu,L
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
~UMBING FINAL
~CH FINAL
D EXlGRADlFILUNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASUNE AIR TST
D
COM~ENJS: I ~ J S
6'/e. hJ-c.:;1 h ~ / ch _
/~/:\
/
7~~/9izL;r
/
~RK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT~OR ::NSPECTION BEFORE COVERING
Inspector: OwnerlContr:
-
CALL 447-9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEA.LTll & SAFETY!
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