HomeMy WebLinkAboutBldg Permit 05-0468
(Please !y~pe or Pllnt and siJrn at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DES eRlPTION (office use only)
ADDITION PI//tUJJ(
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LOT II BLJCK
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OWNER A' ~,
(Name) / -i'I1/t/ I ).,
(Address)
BUILDER
(Company N, mp)
(Contact Nan e)
(Address)
I Whil~
Pink
-' Yellow
File
City
Applicanl
Date Rec' d
I PERMITNO'05___<(6~
ZONING (office use)
fJlkl2AtJU ~D 1J3b-01D
Contractor's License No.
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
Date
J../ j- /7
q-d-&j"~c;
(Phone)
(Phone)
(Phone)
7'):2-o/YO -77 ?<r_
TYPE OF W JRK D New Construction G!;DeCk DPorch ORe-Roofing ORe-Siding OLower Level Finish D Fireplace
DAddirwn DALtn D;ilitylfnec~n!%e In e./Vi- ~~,,\. G.u.,..l12.i(.
CODE: Du .C. DI.B.c. A" CLG er Mise. ';kps .!- H... ,,_ t"\: "
TypeofConsl1uction: I II III IV V A B PROJECTCOST/VALUE S ()~. l?"1lf1 ~C
Occupancy Grmp: A B E F HIM R S U. ~.
Division: I 2 3 4 5 (excludmg land)
furnished information on this application which is to the best of my knowledge true and correct I also certify that 1 am the uwner or authoflZed agent ft)r the
and th construction will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
Iml Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspcctions
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Permit Valuati m
Permit Fee
Plan Check Fe,
State Surcharg :
Penalty
Plumbing Pen lit Fee
Mechanical PE rmit Fee
Sewer & Wate ~ Permit Fee
Gas Fireplace ?ermit Fee
Signature
$
$
$
$
$
$
$
$
5"00.0"
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1(. .2<\
.5"0
Date
# $
# $
$
$
# $
# $
$
$
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Receipt No '-7 IS J '-1
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ThiS is to certifY t lat the request in the above applic;ition and accompanying documents is in accordance with the City loning Ordinance and may proceed as requcsted ThIS document
when signed by tl' ~ City Planner cnnsututC$ a temporary Certificate of Zoning compliance and allows construction to commence Before llccupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for fill inspections (952) 447w9850, ffIX (952) 447w4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 15275 rc....("~"l
TYPE OF WORK ~ ~ ~c:; I Go~ t-c...:l
USE OF BUILDING
PEF MIT NO.
BUII.DER -&L ~-P PH6NE It
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR '" 10 . DATE .cJ'j
If"~ VQ(N No J!i 11M ~..,~) l ",..,J:;: ~: - ,.....,...... II..W
PLACE NO CONCRETE Uf..lTIL ABOVE HAS BEEN SIGNED
, FR.~MING I I
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED S-/zc:;-h''5
, FINAL
.
I /In. I 7, IJ: dr
Call between 8:00 and 9:00 ~r.tftUinspectlons
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
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,
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TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PERMIT NO. ~ 11;6"
PHONE NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADlFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
~INAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: /JecL~ ~ C::;Z4-r./r~J</
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60RKSATI EED
a ~~RRECT ACTION AND PROCEED
o CORRECT~;; c;;;- FOR REINSPECTION BEFORE COVERING
Inspector. ~ I/" Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTI