HomeMy WebLinkAboutBuilding Permit 04-0190
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1. 5. {):J
(Please .!'1'~ or 'Orint and sism at bottom)
ADDRESS '117 L ?UI~r)l E/&/-fT5 '1't1A-tL--
#()tm-f .5'0 IE- e r- Po Ild -:. A-to II ~ ).//(/'1 2.
; ~i~i:. ~:~y I PERMIT NO. rJA .01'10 I
J Yellow Applicant ~
ZONING (ollk,use)
P(/O
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
1'; IYJ$ 'i.K WCSt f A-fU.(
PID 2S. 4-02.-.025. ()
OWNER
(Name)
PIlLrE-- ;./0111 L5
J-/S Nv/lllltl/tsI ?.lIULI ,
,
(Phone) ~-1IsZ.-SZOO
(Address)
/"
J::-Oc,#Vt
, mn
.-=;S/ZI
BUILDER
(Name)
(Contact Name)
(Address)
{/-lI174 $t..A8W K.o
(Phone) ~/ -/,,'S-z. - SZPo
(Phone) ~/ Z - 2ZJ - 41P,r-S'
<CSArrl E-
TYPE OF WORK
o New Construction
ODeck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
m Misc Z()/IJ..IJ;-L uJM.J.Iii,
o Fireplace
DAddition
DAlteration DUtility Connection
l! 3'6 I ZSV
PROJECTCOST/VALUE (exc1udingland) $
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 construction will conform to all existing state and local laws and will proceed in accordance with
submItted plans yam aware that the buIlding offi I can revoke thIS permit for Just cause Furthermore, I hereby agree that the Clty OffiClal or a deSignee may
ente;pruponthe ,~yc'yo~~~ededmsp ons _', . /~
X ~//<'~ ~"'/fl~ ,6C-/37/ 9/~OC;
"/. ,r -" Signature Contractor's Llcense No / ate
I Permit Valuation "';S?" 0(1).00 I I Park Support Fee # $
I Permit Fee $ &'?S'.7.51 I SAC # $
I Plan Check Fee $ L/o/5. ,<11 I Water Meter Size 5/8"; 1"; $
I State Surcharge $ 2.V, 0"0 I I Pressure Reducer $
I Penalty $ I I City SAC and WAC # $
I Plumbing Permit Fee $ I I Water Tower Fee # $
I Mechanical Permit Fee $ I I Builder's Deposit $
I Sewer & Water Permit Fee $ I I Other $
I Gas Fireplace Permit Fee $ I I TOTAL DUE $ //5"9, -#?
" r-q I ft:1-/ I
(1.:../ =_ vI. J I Receipt No, 4f.o%V
'--/- 0( ? YJL,/ I By Cj_ )
This Application Becomes Your Building Permit When Approved
~
~
/ ()/~j, ~
, Date
I Paid
I Date
Building Official
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.
b.IC1.~
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
J';J~~ TIME
/b~/S- 7:'-.6'",,. 6<:c;/ Jfr-:> -
~P7Cl~'\'a?C. 1-1/972 .6hll' //4 ./,-/
/
SCHEDULED
ADDRESS
DWNER
CONTR,
PHONE NO.
PERMIT NO&'.(- /X',f' / q /9& 1-1'7/
./
o PLUMBING RI 0 EXIGRADlFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENT~ /
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#RK SATISFACTORY, PRO-'l:l:u
, ~ 'CORRECT ACTION AND PROCEED
o CORRECT WORK, CAL FOR REINSPECTION BEFORE COVERING
------- -----
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/'-7 /e
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----
Inspector.
Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
U<SNO"
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