HomeMy WebLinkAboutBuilding Permit 04-0191
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
q. ~ 0.3
(Please ~ or 'Orint and sisro at bottom)
ADDRESS /1:,1'/5
SOU1W c;-,i/J;;;
~. ~;::' ~:;y I PERMIT NO. 0 A_ ~ let i
3. Yellow Applicant T.J".I -.
7J1'1156,e- ~S-r D/€...
/'UAf"E /h'l}!}';
YEt...LO 110
ZONING (office use)
P()O
LEGAL DESCRIPTION (office use only)
" - 8"
LOT BLOCK Z ADDITION
'hmBlH Cw.:r ~
PID 25 4-02 .059. ()
OWNER
(Name)
(;;Lr&-- #01116-5
~/.s- J1Io,UllturE.T PKV..N ,
(Phone) hSI -'IS2- -.:!>ZDC>
(Address)
SIJirE- /1/0.
PA6An, JJ1M.
ss/Z./
BUILDER
(Name) 582J1.E-
(Contact Name) &I:vr-I?I.AS(!#~
(Address)
(Phone) ~-/,I5Z - Sz.oc,
(Phone) j)/L- -?ZI - ,/~,g--~
TYPE OF WORK
o New Construction
DDeck
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace DAddition DA1teration
PROJECT COST IV ALUE (excluding land) $ /I /!?; fJeJt7
Dutility Connection
&J Misc. OoUIJJ SIL- WALL,"
I
I
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
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. I am aware that the building official can voke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter7pon the y ...;'",..y tV'erfi.~n~Jed mspectIons _ ~~. '._
X 4d.u/ ZZ'-RA 7 Ec::"-li7/?; ~ /J..:>
;/ P ./ ./ P Slgnature Contractor's License No. te
Permit Valuation $'1 AlJAI.I'J:f/l" I Park Support Fee # $
Permit Fee $ "!2? 3. 2..S I SAC # $
$ /9tJ. (PI I I Water Meter Size 5/8"; 1"; $
$ 9, 0 a I I Pressure Reducer $
$ I I City SAC and WAC # $
$ I I Water Tower Fee # $
$ I Builder's Deposit $
$ I Other $
$ I TOTAL DUE 1$ -I-9Z.9f9
This Application Becomes Your Building Permit When Approved
~
.
7LdJI--
Id/f~7
bat:
I Paid
I Date
U Cf' r+.. ~ 1S.k
- u-- ':).~-LI
- .. ,
Receipt No. U/,.,l/><:,AO
Bv;,:l
U
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 consttuction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~.
'f:) .la 0+
P~lQg D)eclor
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
---- - ~--
-
- -1
1\
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
flrA~
/69'<) (7:".....4<>r 6<<0.;/- ..i?"....' .
.yIP?C1 S'Oc?t: I- 9"9.?.2 ,ad- /Y' //.4 -h- /
/
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO&.(-/Rf /R? /?C) f-/?/
o PLUMBING RI 0 EXlGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE Rl
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
.
COMMENTS;, /
/Ce 7v~~
\
/n$
.-i
Lt/~/~
(~ /JI..
/-
~ I'
7-__ 01
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L./
VOS-e
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HRK SATISFACTORY, PROC~~U
, ~'CORRECT ACTION AND PROCEED
o CORRECT WORK, CAL FOR REINSPECTION BEFORE COVERING
Inspector:
OWner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
INSNOTJ