HomeMy WebLinkAboutBldg Permit 04-1215
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.:..o~ PR /O<\' f'
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At-J'NNESO'\'"
2 .1137
(Please type or print and si211 at bottom)
ADDRESS
/4..332- 6/Z 0 0Kfi16/Z.f::;
LEGAL DESCRIPTION (office use only)
LOT
~I ~ 1017
BLOCK
ADDITION
OWNER
(Name)
~AI N <
!-fv/,CY
Date Rec' d
/2.804-
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. O~./2/S1
8t-/~/O.
ZONING (office use)
Je,z.-
PID z5. 387. o+f.c.
/lU36E
(Phone)
_95:< 2-i:S-1l/7Y
(Address)
BUILDER
(Company Name)
(Conract Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck DPorch ORe-Roofing ORe-Siding
DAddition DAlteration DUtility Connection D Misc.
~ower Level Finish
;t- IU'1f 6.
CODE: OJ.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
J
E
II
F
1
mrvvA
H J M R
2 3 4 5
B
S U
PROJECT COSTlV ALUE $
(excluding land)
D Fireplace
I hereby certify that I have fiJrnished i ormation on this application hieh is to the best of my knowledge true and correct I also certify that 1 am the llwner or authonzt'd agent for the
above mentIOned property and"~t a constHlcllon wi.JYc~~:o/m t aU eXIstmg state and local laws and Will proceed In accordance With submitted plans I am aware that the bmldmg
:T""I "n "vok, Iho P"VI' :j:;;~!;n,h~r';(: ;" Ihot Ih, oly offml m, d",gn" m,y ,nle' opon Ihe p'"petty 10 p"iolm ::zt:e';:;r::. ..2 t1 t'J 'I
Slgnaturj' Contractor's License No Date
,
Permit Valuation Z/ 000.00 I
Permit Fee $ & 2 .2-5 I
Plan Check Fee $ I
State Surcharge $ i 00 I
Penalty $ I
Plumbing Permit Fee $ 4-'0.00 I
Mechanical Permit Fee $ I
Sewer & Water Permit Fee $ I
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
Buildi1l20fticial
Date
$
$
$
$
$ I
$ I
$ I
$ I
$ /o3.z.s-1
I ~~Cr 'f'if790
Park Support Fee
#
This IS to certify that the reque.~t in the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constltutl'~ a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate llf Occupancy must be
Iss\led
Planning Director
SAC
#
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
~-
#
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
I;) 7. <--r
17_. /,0 d---
Dale
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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /~332 6/G-dV"C./"JC7z6 (t'LVL)-
NATURE OF WORK ~JW6JL LFl/;=:::L-
USE OF BUILDING ~ rJ /,FC-
PERMIT NO. 114- I?/ S' DATE ISSUED /2. t.o4-
CONTRACTOR /lL86/3 PHONE z.35. / 4- 7~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
RETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
(7iR
. ,
(
J
I
I
'V7
FRAMING
INSULATION
ELECTRICAL
PLUMBING
H :rING If required)
/ /;/i~
/ /
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
y/vJ
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
6f/{/o5-
.5'/0/05
(,//;J,f
~P<j/'5-
BEEN SIGNED
ftry
4*
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical sarvice cabinet prior to rough-in inspections
and maintained until all Inspections have bean approved. On buildings and additions
where no service cabinet Is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CllY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/cj,lJ.2
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..,lI'1'1NAL
o SITE INSPECTION
DATE TIME
SCHEDULED I]//~
/frO&l~rt!: ~Io/
CONTR.
PERMIT NO.
~UMBING RI
~CHRI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COM~MENT~: _,_
C/.,rf/ I'CQ / hh",/
/
cio,,-__ .
,//~~h~/J
I~;~~
~ ;-
~"~4- /
r
.-0'.
h~.u; /'
a~ -/2/5
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~k'S'-
/7t
Ok
~/
u('-
, \~h dftc~.s
/-;; I'LL /p{
~~ A';---'" r
/ ~ l.or-e hfe- /
~ORKS~F~T~RY,~
/';; ~~RRECT ACTION AND PROCEED
o CORRECT ~~ ~ 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/
INSNorl