HomeMy WebLinkAboutBldg Permit 05-0765
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
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LEGAL DESCRIPTION (office use only)
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ADDITION
(Address)
Date Rec' d
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Yellow
File
City
Applicant
I PERMIT NO. tJ5--rJ tp5f
S E;,
ZONING (office use)
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I BUILDER
I (Company Name)
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I (Contact Name)
(Address)
(Phone)
(Phone)
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TYPE OF WORK 0 New Construction )ZfDeck [JPorch ORe-Roofing
DAddltlOn DAltcration DUtll1ty Connection
/1 ROC 0 Misc.
CODE: lZlu .C. LB..
Type of Construction: I II III IV V A B
Occnp~cyGroup: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding DLower Level Finish
D Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished mformation lm this application which is to the best of my knuwledge true and correct. I aLm certify that I am the owner or authOrIzed agent for the
apovc-mentloncd property and that all construction will conform to all eXisting state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
off an revoke this permit for JWit cause Furthermore, I hereby agree that the City official or a designee may entn upon the property to pertorm necdcd mspcclums
x
Signature
Permit Valuation A S'.3!J. ~
Permit fee $ ge.z.~
Plan Check Fee $ ..s 7. .1'-
State Surcharge $ I. S-
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fce $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
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Buildlllg Otlid,ll
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Contractor's License No. Dale
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1 "; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThIS IS tu n:rtify that the request in the above application and accompanying docummts is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by thl' City Pl.mner constItutes a temporary Cenificiltc of Zoning compliance and allows construction to commence Before occupancy, a CertIficate of Occupancy must be
i.'islIed
Planning Director
Special Conditions, if any
Date
24 hour nohce tor all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
PRIOR LAKE
INSPECTION
DEPARTMENT OF
BUILDING AND INSPECTION
7;1
TYPE OF WORK t::.
USE OF BUILDING
PERMIT NO. ~... 7~ DATE ISSUED
BUILDER ""'~~ ;zJ~.;- PHONE#~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1NM- ~ DATIjf
, FOOTING I _ I Jt?//a5'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL
I yJI/r I jo/3~ 5/
Call between 8:00 and 9:00 A.M. for~J1 inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
;'A.. TEL. TIME
~-
ADDRESS
/7//% {'-</. '/c1~'-..-('C'rr 7//
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,.A!I'1!fNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ME,..,NAL /
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COMMENTS:
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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.kORKSATISFACTOR,
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO EINSPECTION BEFORE COVERING
Inspector:
nor/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IlfS/'lOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI