HomeMy WebLinkAboutBldg Permit 05-0106
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. Z/. OS-
While
Pink
Yellow
File
City
Applicanl
PERMIT NO. e:JS -lab
(Please tvoe or lrint and siltll at bottom)
ADDRESS
57/t:,
ed CLf- CLOd ::; frBE' f-
ZONING (office use)
PUO
LEGAL DE ,CRlPTION (office use only)
LOT ,I B "OCK
ADDITION 5flNO POIN, sm
PID
OWNER
(Name) /VI j(..I,...e../
A
'--\/IL~"-C:;A
(Phone)
(qsz.) 'iu~- (,"(,8(",
(Address) '\ -"G c".I" r~d ..,J
'S,,-t
>><!-
fl.r;or
(..",Ic"
Md
:; s ") 7~
BUILDER
(Company]\ ame)
(Contact Na ne)
(Address)
(Phone)
(Phone)
TYPE OF V 9RK 0 New Construction ODeck OPorch ORe-Roofing
/ DAddition DAlteration DUtility Connection ~ Misc.
CODE: rlJI.l.C. DI.B.C.
Type of Conshuction:
Occupancy G :Oup:
Division:
A
B
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
ORe-Siding o Lower Level Finish
,:";n'':Io ~ C1,,+-~,...,:)(.I,"1.-J
PROJECT COST IV ALUE $
(excluding land)
D Fireplace
? ()CJ 0
~
?(d.::J
I hereby certify lh It I have furnished 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 Ihe
above-menuoned )roperty and that all construction will conform to all existing state and locallaws and will proceed in accordance with submitted plans_ I am aware that the buildmg
:fi"'1 '"O~ :"L7fO' lu>l ,"use A"',thnjll ",bY'","h'lthe nty off""l 0'" d'''goe, m,y ,o""'poo th, pwpnty to p"fmm O"d': '7;ct"'0, / C- 'f
Signature Contractor's License No Date
Permit Valuation I, 000.00 Park Support Fee # $
Permit Fee $ 34,7S SAC # $
Plan Check F 'e $ - Water Meter Size 5/8"; 1"; $
State Surchar: :e $ .50 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Per nit Fee $ +0.00 Water Tower Fee # $
Mechanical P ~rmit Fee $ Builder's Deposit $
Sewer & W at ~r Permit Fee $ Other $ ~,_'. -.--
$ TOTAL DUE $ '{5ZS
,
ozo; Paid iG..z.., ReceiPt No. 4B"Bf
Date UAlo/a' By ALJJt-
,
ThIS IS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinanct' and may proceed as requested. ThiS document
when signed by the City Planner conslitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certlflcate of Occupancy must be
issued '
Planning Director
Date
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
INSPEC liON
RECORD
Sf Ie:, c~~ ~
JE:/A/IS#. L. L. /S;t rNtJ.-~
/<..Gs A-IL I
DATE ISSUED 2- /f'/~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
T'lPE OF WORK
U~;E OF BUILDING
PE:RMIT NO. 65./0(:9
BlllILDER t11c--t&4€c...., hlf./'-&.N PHONE #"ts2-4t:>3-"z-8t:>
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I rTL - F'LvMB/NG> R...r.. I VW/ I 7-)."JvS- I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I ,RAMING I I l
, ~'NAL I #~?' 1~7;)- ,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
I
i.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'-..r-? / tb
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~....w..L
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~~~~
} <
&~r~~c! s/
CONTR.
PERMIT NO.
C/~- /a'
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-----
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WORK SA TISFACTOR\. .."u,,",",u
o ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REI
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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-----
CTION BEFORE COVERING
Inspector:
//
r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
<pmer/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl