HomeMy WebLinkAboutBldg Permit 05-0095
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
2.3,05
While
Pink
Yellow
I PERMIT NO. "5 -15"
File
Cil~
Applicant
ZONING (office use)
LEGAL DE CRlPTION (office use only)
LOT
BOCK
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Company
(Contact Na
(Address)
PID l
(Phone)
ame)-r:~ H~~~~___~;
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(Phone)
(Phone)
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TYPE OF ORK. 0 New Construction DDeck OPorch ORe-Roofing
OAddition ~teration DUtility Connection 0 Misc.
CODE: 01 R,C. OI.B,C.
Type of Con tmction: ~IJI
Occupancy roup: W E
Division:
ORe-Siding OLower Level Finish
o Fireplace
IT
F
I
A~
R '-?" U
5
PROJECTCOST/VALUE $
(excluding land)
IV
I
3
V
M
4
Contractof'S License No, Date
Permit Valu tion Park Support Fee # $
Permit Fee $ SAC # $
Plan Check ee $ Water Meter Size 5/8"; 1"; $
State Surch rge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing P rmitFee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & W ter Permit Fee $ Other $
Gas Firepla e Permit Fee $ TOTAL DUE $
...
ThIS IS to cerny that the request e above applicatIOn and accompanying 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
issued
Planning Director
Date
24 hour notice for all inspections (952) 447.9850. fax (952) 447.4245
16200 Eagle C,eek Avenue Prio, Lake, MN 55372
Special Conditions, if any
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FOR:
SENDER
TRANSACTION REPORT
PAGES
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FEB-01-05 07:27 AM *
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COM.E-l
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lOR LAKE
INSPECTION
RECORD
SIT ADDRESS ff/13f MMf</,/t1 13
TVP OF WORK ItLJ~T1rwJ
USE OF BUILDING ~<,V7"tM~. ,
PE MIT NO, e>~~ 1'-) DATE ISSUED z/a/o5'
BUI DER T-J..f+O<--'r(pN'-s PHONE# .{4--~B
NO E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABO E
MING
BEEN SIGNED
-/, -
-
FOR ALL INSPECTIONS (952) 447-9850
_J
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
((,11,(
11-LV'I J '3.
OWNER
CONTR.
DATE TIME
:3 -2.t(-oS-
PHONE NO.
PERMIT NO.
5'-C/S
o FOOTING
o FOUNDATION
o FRAMING
o IIl8ULA TION
.oIiI"1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
o EXIGRADlFILLING
[J COMPLAINT
o FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
o
---'-<-
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~SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/