HomeMy WebLinkAboutBldg Permit 05-314
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applic~m
(Please n:'pe 01 orint and si2l1 at bottom)
ADDRESS
2 (/I!:
F'JI9--77T /f./ pe/
c(}t/C;~
LEGAL Di SCRIPTION (office use only)
LOT /0 HOCK
w/'-'oJ' ,uO~
2- ADDITION
OWNER
iN.., am,,)
'*~....
I'ot:ert- /JIl/CHtfe/
(Phone)
'c- ... _",""".;I",.;..;.~
W~71;1y
(Address)
BUILDER
(Company r lame)
(Contact Na me)
(Address)
(Phone)
(Phone)
Date Rec' d
f, 'ZZ, oS'
I PERMIT NO. OS 03/4-1
ZONING (office use)
/CI
PID 2-5'": 404-; ~z-9 0
'Gz-4#-5- /~h 1
TYPE OF' {ORK D New Construction ~eck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlter.J:::: DUtility Connection D Misc.
CODE: DI. R.C. DI.B.c.
Type of Con\lruction:
Occupancy G roup: A B
Division:
mrvvA
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE S
(excluding land)
I
E
II
F
1
I hereby certifY tl at I have fi.lrnished 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 aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:~l~~~~" I h,,,by'g"e th"th,,,tyoffi,..lm,d,,,go,,m'yeo","poO th,pmpenyto pcr'o,m ?7;Z'"~5
~~~:ture /' Contractor's License No I ~';;
Permit Valua' ion ~~a.
Permit Fee $ ~ -S .'1'"
Plan Check F " $ 4-1'''f.f
State Surchar :e $ 1. -
Penalty $
Plumbing Per nit Fee $
Mechanical P ~rmit Fee $
Sewer & Wat ~r Permit Fee J $
$ ---
Park Support Fee
SAC
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid 122 (, q
Date /- 7J'~ (/J
# $
# $
$
$
# 1$
# 1$
I $
I $
I $ \ Zl_ .G:. '1'
I
Receiot No. -/<;o-{,
By ;7.t/t<--
1
ThiS IS to certify Ilat {he 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 tl e City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
isslled
Planning Director
D,,,
24 hour notice for all inspections (9!'i2) 447~9850. fax (9!'i2) 447-424!'i
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
'"
PR lOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS Zh9S (!OUC;t1K- ~/lTJf ;/11.1
TYPE C F WORK 06{lAL
USE OF BUILDING !eE;S r1/;c:.
PERMIT NO. OS. 03/4- DATE ISSUED 4.21.0'::>-
BUILDER CltSJIOW PHONE #
NOTE: THIS IS NOT A ,pERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I INit/; I 57~~
PI.ACE NO CONCRETE UNTIL ABO'V'E HAS BE.eN SIGNED
I I
, FINAL
I
I
,
FOR ALL INSPECTIONS (952) 447-9850
DATE TIMe
CITY OF PRIOR LAKE CJ /2-';&
INSPECTION NOTICE SCHEDULED ~
ADDRESS z,(,.., r; (\~ ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
'5--(.t!
- J
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
D GASLINE AIR TST
o
D FOOTING
o FOUNDATION
o FRAMING ~
Q JHSULAJZ
lXFINAL C
D SITE IN ~ION
D PLUMBING RI
D MECH RI
o WATER HOOKUP
D SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
{)t
-, C7
- , () fj
()I-~~L 1_
tt'V~J 1- ~
I
l d
-c
..-
~ORKSATISFACTORY, PROCEED
D CORRECT CTION AND PROCEED
D CORR T K, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY/
WSNOn