HomeMy WebLinkAboutBldg Permit 05-0451
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
I PERMIT NO. Os. 0 '15/ I
(Please !Voe or oti..lt and sirm at bottom)
ADDRESS
I t.-J7:~ I LLm&rLWO l_t TR~LL
LEGAL DES( RlPTION (office use only)
LOT ~7BLC'CK I ADDITION WOODS @. ~ fl/1'-<2S
Date Rec'd
5. /9. ()S"
ZONING (office use)
Pun
PID 2.5. 38.s. 027. 0
OWNER' . I I --\-;"
(Name)':11J, Ih,H., \ 1.. -+ I ~rt~ A 6
(Address) ~ f1m,L
sfe__l~
(Phone) 0 / :l .- 5" 9 q-~B;)'1
. ,
I hereby certify that 1 have furnished mformation on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner 0]" 3uthonzct1 agent for the
abovl:.ffientlOoed pro lerty and that all construction will conform to all existing Slale and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
offi coo mo':; Ih~ :::t1JO>l ':eJ;:'molO [h",by 'gm Ih" Ihe CIty offin,1 01' d"'gn" m,y eol" "pan Ihe p,":,perty 10 p,,'o,m n'5n'~'q' b <'
" .5'1gnature Contractor's Llcense No '/ ~ate -
~
tr 2fJO () loa
$ 73. '( s
$ 47."14
$ I. Df)
$
$
$
$
$
BUILDER
(Company Nar Ie)
(Contact Nam,)
(Address)
(Phone)
(Phone)
TYPE OF WQRK. 0 New Construction ~eCk DPorch ORe-Roofing
OAddition DAlteration DUtility Connection
CODE: \<IiLR.I:. OLB.C.
Type of l:nstnt orion: I II III IV V A B
Occnpancy Gr01 .p: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish
o Misr
PROJECT COST IV ALUE $
(excluding land)
Permit Valuatior
Park Support Fee
#
Permit Fee
SAC
#
Plan Check Fee
Water Meter Size 5/8"; 1 ";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Plumbing Permi. Fee
Water Tower Fee
#
Mechanical Pen lit Fee
Builder's Deposit
Sewer & Water] 'ermit Fee
Other
Gas Fireplace p~ rmit Fee
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
~b~n~ s;I!~~
/'27;--1,,-
.'>. /q, Q.5"
I Receipt No.
1BVr
-
Paid
Date
o Fireplace
$
$
$
$
$
$
$
$
$ /Zz. _ tP'7
4-93081
ThiS IS to certify that the rl'qul',~l in the above applicatIOn and accompanying documents is in accordance with the City loning Ordinance and may proceed as requested. This document
when signed by the ( ilY Planner constllUtcs a temporary Certificate of Zoning compliance and allows construction III commence Before occupancy, a Cnllficatc Df Occupancy must be
issut'd
Planning Director
Date
24 hour notice for all inspections (9::;2) 447~98::;O. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /473/ 77/"1ffat#oif /}':AIL-
TYPE (IF WORK as ,4-/2-
USE OF BUILDING PeC/2-
PERMll NO. 05".04-5] DATE ISSUED 5,(9 os-
BUILDER 57C/N PHONE# ~(2 . 67'i'. t.,,8Z.<t--
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
, FOOn~G /.Jc M-7 I d~46
P~ACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
DEPARTMENT OF
BUilDING AND INSPECTION
I FINA.L
I
I
,
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
AODRESS _!~ I~I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION _)
-B"FINAL r:l.L~
o SITE INSPECTION
COMMENTS:
0!~~-
SCHEDULED
DATE TIME
l#/I'5Jt:b
,
"!o......~J/..udU
CONTR.
PERMIT Nof- t.( ~ /
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
III
-j-f"'/lR
, ".
/)1
-{.~ I 0
. ...........-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Conlr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNO"