HomeMy WebLinkAboutBldg Permit 05-0684
(Please tvne or orint and SiLW at bottom)
ADDRESS
1'1/7 t
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I While
2 Pink
3 Yellow
File
City
Applic~nt
1 PERMIT NO. 0500&4-1
3ad~U"
eire-/(.
LEGAL DESCRIPTION (office use only)
LOT S- BLOCK 4- ADDITION
OWNER
(Name)
R,el,
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
WIL-OS- IVOrCTl-l
PlD2~ C;04-. 050.0
TrLrYl(Vl t/
Date Rec'd
7. Ie. ~~
ZONING (office use)
RI
(Phone)
(52) '1~S- 0575
Mov5" (
f'-4.1d II LUlh...
I3obccd.
(Phone)
(Phone)
IIIN
5537 L
15311
1:>r.
LLC
(toll.) 7'13- uS,vt C.
~Mvlc(<)
1X.
Cvclt
PdQ;
o Fireplace
I hereby certify that 1 have furnished mformation on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner Dr ,lllthoHzcd agcnt for the
above-mentIOned pt10perty and that all construction will conform to all existing state and local laws and will proceed in aCctJrdance with submitted plam_ I am aware lhat the buildlllg
:""1 con "VOkr~m" '7'" c",,, ,rth mmr, I h",by ",." th" the cny offi,i,1 at' 2D'3 ;'; ;::;p~ the pmperty to p,,'otm n"d1~';~~""1 ~, 20D 5
~ SIgnature Contractor's License No. ' Date
TYPE OF WORK 0 New Construction "mDeck OPorch ORe-Roofing
OAdditlon OAltera~ DUtility ConnectIOn
CODE: l'I4'.R.C. OLB.C.
Type of ~strUction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Penn it Fee
Gas Fireplace Permit Fee
L.a.h
ORe-Siding o Lower Level Finish
DMisc.
PROJECT COST IV ALUE $
(excluding land)
~ 5t9ot) I ~
$ "83,2.S
$ ~'"). &"
$ 1.50
$
$
$
$
$
Park Support Fee
#
#
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
$
$
$
$
$
$
$
$
s /'/'7.//
This Application Becomes Your Building Permit When Approved
~~o~ ~(os
Paid
Date
/l.{'j. (/
lJ
_ ,_^......-"'l
Receipt No, 4 7 ' (' 17
By '7~ If~7;
ThiS IS to certify thatlhe request in the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the City Planner constlllltes a lemporary Certificate of Zoning compliance and allows construction tt) commence Before occupancy, a Certificate of Occupancy must be
i~sucd
Planning Director
Date
24 hour noticc for all inspcctions (952) 447.9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
..,
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 1""/7/ 4//0tle,Je. e/~
TYPE OF WORK ~
USE OF BUILDING A!:6J 1IJt..
PERMIT NO. ---'JS. ~II' tl- DATE ISSUED "Z I B.es-
BUILDER HtJt/.r6 Oil. PHONE # ~/Z. 7~:r
- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
\; \ THE PERMIT IS BY SEPARATE DOCUMENT
V INSP:':=:Or:r 9"T~
rt~O~ING I #U.! I tf"# /6~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'...... I I
, FINAL
/J.1f
I (--$)
~
18-Cf~
J
I
I
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I L.\ ,,\
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
_ 0 )NSULA TION I
;g..FINAL u.a..( <..
o SITE INS1ECTlON
COMMENTS:
CL \D? ~
DATE TIME
SCHEDULED 8-Cf-u...,
1=..J.vu- ~ r-
\.f
CONTR.
PERMIT NO.
-.5'- (r;;fJ\./
I
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
tJo <lccecn
/
~ I~'
/ ; 1A.... *' ~
r
\
tl
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO T WORK, CALL FOR REINSPECTION BEFORE COVERING
Inope ~ Owner/Contr:
l A 447-9810 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~ RElIGREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY!
~--- IN$NOTI