HomeMy WebLinkAboutBldg Permit 05-0544
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I While
Pink
Yellow
File
City
Applicatlt
I PERMITNO.~c;-_~.# I
(Please tv.lle or print and siJUl at bottom)
ADDRESS
"2. ~ 4 0 Sco.....Gc~5...
v~ N.cu
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT ~LOCK
ADDITION M.~"....... ~ \~
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OWNER
(Name)
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(Address)
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(Phone)
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BUILDER
(Company Name)
(Contact Name)
(Address) ~ 4-2-4-- 5T -€-iJ.e;, { /fV.e iJ I r
!Z.eJl G2 VV vtI:l (l r
(Phone)
(Phone) 6/2- - '2.7-q - ?6qq
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TYPE OF WORK. D New Construction DDeck DPorch ORe-Roofing
~ DAddition DAlteration DUtility Connection
CODE: .R.C. DI.B.c. 0 Mis"
Type of onstmction: I II III IV V A B
Occnpancy Gronp: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding ~ower Level Finish
D Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and COlTect. I alsu certify that I am thr: owrt.T or uthonzed agent for the
above-mentIoned property and that all construction WIll conform to all eXlstmg state and local laws and wtll proceed In accordance wllh submlltcd plans. I I am ware that the bUlldmg
:"'''] ''" "",k, th'~':1 fm JU" couse F<UlhnmO,,'::bY 'g'" th" th, my offie,,] 0" d"'goce m,y enle, upoo Ih, pmpeny to p"fo,m oec'C: 'teel '; c;
P c..--"--Slgnatute Con"acto,'s LIcense No - )ate
I PermitNaluation ~~... " Park Support Fee # $
I Permit Fee $ ~1. 7.-'? SAC # $
I Plan Check Fee $ Wate, Meter Size 5/8"; I"; $
I State Surcharge $ 7- . Pressure Reducer $
I Penalty $ Sewer/Water Connection Fee # $
I Plumbing Permit Fee 6~ $ 4-0-'- Water Tower Fee # $
I Mechanical Permit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ Other t;; ~'-. A-P I"t..-I cA-Tl '" $
I .$ -e- TOTAL DUE $ \"30.2.S"
Paid
Date
r ,1: ::f-""J-
~I'>~
Receipt No.
By
t1l~A
-
~
ThIS IS to certify that the request III the above applicatIOn and accompanying documents is in accordance with the City loning Ordinance and may procer:d as l'equr:str:d 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 Creek Avenue Prior Lake, MN 55372
SpeciaJ Conditions, if any
.
.
Residential Building Permit Chet:klist
~'!'f... ' at FInish or Interior Alteration to Single Family Homes
BY: 1lJN- Date:
Building Permit # {):::; _ PID: Zoning: ,I-~ L
Site Address
L~a1: L B
Ensting StI'ucmr@o
Subdivision:
CONFORJ,"v!S TO ZONING
ORDINAJ.'f CE
NO
Is tbis an e:tpaIlSion of the c:-'..sting fc~,;,.;". or
building height'?
YES
Refer to P1.a.mring
NO
..-f).....-
I Is the prop~f located within the flood plain?
I Does the alte:"'..tion include any additional ki!ch=? I
Does the proposed alter.1rion include any outside
entrances other than patio doors?
Rere:- to P1.a.mring
-{f-
RefC:- to P1.a.mring
f7-
Refe:' ~o Plamring
-Y---
Is the proyosed use of the furished space or
alteration for anything other than a Ilornal i.ngle
. f=1y h=e (occe. grou" h04:e. 6y C:l!e. e:c.)ry
R::e:- :0 Pl=:i!:g
- () -
THIS Lr.....C'KL1ST :'IfeST BE COMJ'LETED .~'fD JiIICLUDED IN T:;""'! BtllDIi'IC ?!;;]l..\IIT FU.! TO
:'I1..\..lNTAll'l A RECORD OFTlIT REVITW.
.
.
.
.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS "2--34:c? ':;::;;1G>~z.6:;r p~
NATURE OF WORK L-. L. Fr,vthN
USE OF BUILDING 1Z-t3's A--/~ J,
PERMIT NO. 6)<;;' oc;4A- DATE ISSUEb b/fo/a..;-
CONTRACTOR ZU){/ w Yu PHONE-i..~L- 4o::;-~3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
. r to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
-
~ J. .... ..,.........
fill
7 -'i .k
vvv/
I'W- t/-5
9",8 1..111& :.IR ~-...-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I IR. .IIIJll. ~. ,,~. .v J..dding)
I BUILDING
I ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
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FOR ALL INSPECTIONS (952) 447-9850
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED t3 -In-os:
ADDRESS 2~ Sk, (l~-t- rRJ.A.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
)(FINAL 0 PLUMBING FINAL
o SITE INSPECT/ON 0 MECH FINAL
COMMENTS: LL. ~.~
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(l \ I")C;.() / -r l.G " .
~
~
0- _ ~<lL!
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
tJ
<.....-
~K SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO . ALL FOR REINSPECTION BEFORE COVERING
Inspector: I
7~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
Owner/Contc
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