HomeMy WebLinkAboutBldg Permit 04-0960
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
I PERMIT NO'd,,"_ o9(P() I
(Please type or Print and siltll at bottom)
ADDRESS
5S~8
OVe7el--Cl(lK-. ~ ~
LEGAL DESCRIPTION (office use only)
LOT /3BLOCK / ADDITION ~//l/rn... ~O~ 5ffl
Date Rec' d
9.7-1.1f-
ZONING (office use)
Pr/o
PID 25.3'Jr'. 0/:1. 0
~~e~R f?ttffif( :p ~f{y /kJbcVl-
(Phone)
ql))-44 7-Lj1/BO
(Address)
BUILDER
(Company Namp\
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK D New Construction DDeck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Misc.
,
ORe-Siding ~Lower Level Finish
f-~.s
PROJECT COST/VALUE S
(excluding land)
CODE: OI.R.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
mrvvA
HIM R
2 3 4 5
B
S U
o Fireplace
x
I hereby certify that I have fi.lmished information on this application which is to the best of my knowledge true and concet I also certify that 1 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 e is permit for Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspectinns.
$
$
$
$
$
$ I
$ I
$ 1,6~. I
$/30",2$' I
I Recei1?~47f1jz.-/
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Signature
Contractor's License No,
Permit Valuation
Permit Fee
f-,OOCJ.oo
~"".2..>
#
Park Support Fee
SAC
#
$
$
$
$
Plan Check Fee
-
Water Meter
Size 5/8"; 1";
z..oo
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
State Surcharge
Penalty
#
Plumbing Permit Fee /JJIJlw~
Mechanical Permit Fee I $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
+0. 0 C)
Builder's Deposit
Other ~
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
/.30.2-5
'9 2Z. ()4-
Paid
Date
Bllildltl~Oflicia]
Dnte
Date
This IS to certify that the reque.~t in the above applicatIOn and accompanymg 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
issut'd
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 554-8 ~V~(/7}/L. CI ~
NATURE OF WORK L-OW6/L L.61/61-
USE OF BUILDING ~S #/~
PERMIT NO. ()+.09(P(J DATE ISSUED tl z z ~O ~
CONTRACTOR .R-tJL$67e.:1 PHONE 44-7, 4+80
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
"
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FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
J1U')
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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
IlA TE l1IIE
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CQMMENrs,:. / ~ I /'
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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.h' /25" !ns-
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~ORKSATISFA~n ~
~~ORRECT ACTION AND PROCEED
[J CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector:
~ Owner/Contr:
, "
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1N3IWn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!