HomeMy WebLinkAboutBldg Permit 05-0543
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
c,. i(). 05
White
Pink
Yellow
File
(ill'
Applicant
I PERMIT NO.
05.0543
(Please trPe or print and siJtll at bottom)
ADDRESS
4-4- / I
POND VI6W
ZONING (office use)
Tl2.r1 I L .s E.
1</
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK Z ADDITION W'iNtJ 6//'IR...
PIDZ5330. 0/4-.0
OWNER
(Name)
ClfJeJ5
<
flNC?6U'J /0/'11-/0W/I LO
(Phone)
<?5""'-WO~ '1131
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK D New Construction MDeek DPorch ORe-Roofing
DAddltlon DAlteralili DUtihty ConnectIOn
ORe-Siding DLower Level Finish D Fireplace
CODE:~.R.C. DLB.C. o Misc.
Type o~ onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PtJ TV 126 PO IU!/7 f)C'S ;6M9J
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I havl' hlrnished mformation _~ application which is to the best of my knowledge true and correct. I also certIfy that I am the owner or allthorlzed agent for thl'
abtlvc~-m 'rltt d property and that all c . IOn WIl conform to all eXlstmg state and local laws and Will procced m accordance with submItted plans. I am awa. n: that the buddmg
offina a 'oke thIs per~ us u urthcr re, I hereby agree that the City official or a deSIgnee may enter upon the property to perform necde~ msplTtlOllS
X -----c /~ - ?//c:>/o,-
Signature Contractor's License No. Date
Gas Fireplace Permit Fee
~~tJ, l) 0
$ 73.75
$ '-17.'1<1
$ 1.00
$
$
$
$
$
Park Support Fee
SAC
#
#
Sewer & Water Permit Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$ /ZZ"'P7
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
TOTAL DUE
Buildin.l!. Onlcinl
&/(%)
Date
Paid
Date
12-2-. (~q
~ l'El~__
lUl' v I J
Receipt No. 4'1 c? ("J
By ?S...
vI'
This Application Becomes Your Building Pennit When Approved
~ 'fe;JJ1-
ThIS IS to certify that the 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 the City Planner constitutes a temporary Certificate of ZonlOg compliance and allows construction to commence. Before occupancy, a Cemficatc uf Occupancy must be
issucd
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
4
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 44-// PONOVI6W(1e/'IIL-
TYPE OF WORK j) E CfI:::.. (F'c.4U-KE fa l"UH- 12.')( 12.-' ~~1tV)
USE OF BUILDING ,0Es /1//~ .
PERMIT NO. 05 O!:J43 DATE ISSUED V. 10. oS-
BUILDER /'114/1OW/iLL) PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
c:.N6TE~ (ji;crri,.J''f'> ,>i"2.lZ ~12.- PDR..-UI. INSPECTOR DAT~/
,FOOTING - I ~ I 7/1t'(05---
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
////1 I ~/~)
DEPARTMENT OF
BUILDING AND INSPECTION
I FINAL
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE ~dr
INSPECTION NOTICE SCHEDULED
/t_a(/~L~
ADDRESS (,14// Z;:/
OWNER CONTR.
PHONE NO. PERMIT NO. O<;"'---S-~I(?
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~AL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION .~;:k 0
COMMENTS:
./
hJ?/
--
1]/
,
-------
/' .
. (~r""
~WORK SATI
~ ~ CORRECT ACTION AND PROCEED
o CORRECT WO~ ::rR REINSPECTION BEFORE COVERING
Inspector: /.?7-.. _ OWner/Conlr:
~
.~~
--~
.0ho
CALL .&47-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IN$JI()TI