HomeMy WebLinkAboutBldg Permit 05-0655
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
e OT rint and si n at bottom)
ADDRESS
Date Rec'd
1.7.. oS-
While
Pink
Yellow
[ PERMIT NO. t75. ()(PSS I
File
City
Applicant
ZONING (atTice use)
JSOS'
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IC/
LEGAL DESCRIPTION (office use only)
LOT 1/ BLOCK 5 ADDITION .J~ -i- ~
PIDZC" /7Z. O(PY, 0
OWNER
(Name)
k ()\'
(Phone)
C\S;)..-440-\4U
3" " 1\
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
DAddition DAlter on
eck OPorch ORe-Roofing
o Utility Connection
ORe-Siding
DLower Level Finish
o Fireplace
CODE: OI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
III
H
2
I
E
II
F
I
IV V
I M
3 4
A
R
5
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I herebY certify that I have furnished information on this application which is to the best of my knowledge trllt' and correc!. I also ClTlify that I am the owner or aulhoflzcd agent for the
above-mentIOned property and that all construction will conform to all existmg state and local laws and win proceed in accordance with submitted plans I am aware that the building
official can re s permit Just cause u hermon', I hereby agree that the CIty official or a designee may enter upon the property to perform needed JrtspectlOns
x
Signature
Permit Valuation .5.s-,;; J>; .....
Permit Fee $ /0 j'. &A:;)
Plan Check Fee $ ~~. pS'
State Surcharge $ .:;. -
Penalty $
Plumbing Permit Fce $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
#~A-
BuiJdm"Otlicial
:;0ftJ
Dntc
Contractor's License No.
~r-oS-
Date
Park Support Fee # $
SAC # $
Water Meter Size5/S"'; I"'; S
Pressure Reducer $
Sewer/Water Connection Fee # S
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /7/ f.~
Paid
Date
j?i. ~}--
~n/f /
1~~6t
").
ThIS IS to certify that the request in the above applicawln and accompanymg documents is in accordance with the CitY Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Plannel constltutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certlficate of Occupancy must he
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952l447~9850, fax (952) 447~4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
PR,IOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3505 S;:,/wCC: "7Jt;/?/ L--
TYPE OF WORK LJE?Ac.
USE OF BUILDING !Z1/J 4JL-
PERMIT NO. 0). () t. sS- DATE ISSUED -Z 7. oS-
BUILDER ;C.tJP PHONE #-f-~O.l~f7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~ "ATE /
I FOOTING I _ I J/651oS'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG ED
FRAMING ~ "!.5--
I FINAL ~ ~~/';5~
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
JS7JS-
~r'u~e
"
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...e-1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~HFINAL /.
. e:'c Ie
COMMENTS:
DATE TIME
?/;.r~-'
~/
~ ) ~ ?" r::;-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~
,
/
/
I
/
01-
---'~'------.
~SATISFAC
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F EINSPECTION BEFORE COVERING
Inspector:
OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
msNO"
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH'" SAFETY!