HomeMy WebLinkAboutBldg Permit 05-0724
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Fil"
City
Applicant
I PERMIT NO. 06 -rJJ-tj I
(Please type or print and siJ!:n at bottom)
ADDRESS
04Cd i?1.tP re-
I
fr.
3;;) '70
LEGAL DESCRIPTION (office use only)
W~LOCK I ADDITION U~ ~
(Address)
;I l/~/Q ~'-It;'hDl/
.302,:{t' !;,':fe~mu;f)v Tf2~
\1
c'w
Date Rec'd
ZONING (office use)
jPlStJ
PID 1!/-COd.-
OWNER .
(Name) I~el
(Phone) (9!i.z) ,1;47 -6b'6J.
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing
DAddition DAlteration OUtility Connection
ORe-Siding
fLow; Le;;;;~
CODE: DI.R.C. DI.B.c. o Mise
Type of ConstI!Uction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
o Fireplace
shed mformatiun on this application whIch is to the best of my knuwledge true and corn~cl. I also certify that [ am the owner or ;J.ulhonzcd agent for the
od that all cunstruction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
'm~tV:;i'k;;;;m' 'h",by 'Wcc thot th, nty om,,,, Ot, d"'g"cc m,y em" npo" th, p",p,rty to p,t1mm ""d~;~'l: 110.6-
Signature Contractor's License No I ~ate '/ l
x
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Permit Valuation
Permit Fee
10 ()(), 00 Park Support Fee
$ 3Lf- 75" SAC
$ .~ Water Meter SizeS/S"; I";
$ - ")0 Pressure Reducer
$ Sewer/Water Connection Fee
$ L/O.- Water Tower Fee
$ Builder's Deposit
$ Other -e-I ec-
$ TOTAL DUE
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee&/-t/41er
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fec
~A
:J~d~ngB:~li'i';lhY,
Paid
Date
'7C,,0/.--:;-- ./ I
-(- ::.7 /1 -oS
#
#
#
#
$
$
$
$
$
$
$
$ 1,00
$ $11 -,~'J
-
Receipt Nrl-ltl/l ~'(
By G; .
d-
This IS to certify that the request in the above application and Jccompanymg documents is in accordance with the City Zoning Ordinance and milY proceed as requested. This document
when signed by the City Planner COnstltutcs a temporalY Certiticate of Zonmg compliance and alluws construction to commence Before occupancy, a Certlftcate 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
!'~A~~~CT!2~~ ~~~9A
NATURE OF WORK L.-. L t' (J
USE OF BUILDING ,! _ J
PERMIT NO. {J ,']..... 'I r:J-Lf DATE ISSUED
CONTRACTOR f PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUI~DING AND INSPECTION
INSPECTOR
DATE
,____ I
I
I ftg.. ...dJ~ \rll'" ,- _RIIII, I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
RAMING
INSULATION
eLECTRICAL
PLUMBING
MEATING (if required)
.... .8E
~'l L..._..... .LII
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
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SIGNED
$UILD1NG
ELECTRICAL
PLUMBING
HEATING
DO NOT
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.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
~i~-
Sv cq/#~re-
/'
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~?2 7b
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ ~LATION
~~L
o SITE INSPECTION
SCHEDULED
PERMIT NO.
o PLUMBING RI
o IIlECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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,
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
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CALL ~7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSJWTI