HomeMy WebLinkAboutBldg Permit 05-0796
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF Zu. I..IG COMPLIANCE
AND UTILITY c.u.I.I....CTION PERMIT
Date Rec'd
6. /7. 05
1. While rtlc
2...... City
) Vt!'- ~
I PERMIT NO. 05 () 79tb
f!'!!ue typ .. >rim.... Din at bottom)
ADDRESS
'~M"'^ S+ J:1::-11J
I ZONING (ome:. use)
(!".3
LOT
BLOCK
LEGAL DEsCRIPTION (office use only)
ADDmON
PID Z5" DC I osZ. 0
. .
. OWNE1l
(Name)
,~kP '1h4YJV1
(phone)
(0;';;- '})/-s-l/C/I/?'
. (Address)
BUILDER
(Company Name'
(Contact Name) ~ (J(UfflPVI-R
(Address) f5'1j ,,\-.2 (/Y'd.€
. (Phone)
(phoneLWd-/?'l/-,;?c.N tJ
. ~.&., ~) ,S-S'.3 7 '9
TYPE OF WORK 0 New C~ ODed< 0_ ORc-RoofiDl O~idin& OLo_ LewI Fi...h 0 Fi"Place
OAddition ~A1_tion OUtiIity Connection 0 Misc.
CODE: O~.Il.C. OI.B.C. PIlOJECfCOST/VALUE S l.r'iDo
Type of CcnlStrudion: 1 n m IV V A B (nrlnd'''lland)
Ott'UpIn"Y Group: A B E F HIM Il S U
. DiyiJioD: 1 2 3 4 5
I hcrmy certify ~hat I haft furnished ",.'. ,,, .... on this application wbicb is to the best of my ltnow.IcdaE trUe IIld comet. I al$o mtify lbat I am 1M owner 'If ,......- qcnt for 1M
abow!.~~:CPrty and that aU construction will cmbm to all existina JUlie and local laws and will pror:mI in accordlnce with submitted plans. I am aware that the! bulldinJ
;-1: ~:e;~; _.l"':'........'....city ol!kW c.. ""....' may..", upon "''''''P'''YIO_'-';JJ,:S--
<.______ Signature Contndor's I..icente No. . . Date
I Recei1>tii:o.
(}:.
nus is to mrif't lhal W request ill elk abaft '...~ '. .", ,', and accompanyinl doC\unen.ts is in accordance with the City Zooin. Ordiaanct and may proemS as requested. This ducument
when siBoed by the City PlanMr cons1itun.'$ a kmpOruy Certiftcate of Zonina compliance and allows consbUCtion to comrnentt. BdOre l)OCUpancy, a Certificate of Ottupanc:y must be
issu<d
I PennitVal..non
I Pennit Fee ,
I Plan Check ~ee
I Stare Surchllrge
Penalty
I Plumbing P"""it Fee
I Mechanical'Pennit Fee
Sewer &. Water Permit Fee
I 0.. Firep~ Permit Fee
/ !
..-..~
I Puk Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ h13.S(P
$
$
$
1$
$
$
S
Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water C....__~.._. Fee
I Water Tower Fee
I Builder', Depooit
I Other
I TOTALDUE
#
#
. t
~~~~;.
I Paid
I Date
tPl'Sb
B-/? ,<J'
Dolo S_~1f1llY
14 hoar notict for an iRlJtKdon. (951) 447-9&Q. fax (952) 447-424S
16200 Eagle Creek Avenue Prior Ulke. MN SS372
PfllOR LAKE
INSPECTION
RECORD
(~7250 \~AJ"S" ~\3
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK Dfa"1 \5\.......'-? ~
USE,OF BUILDING \ I~ I\-/(L I t
PERMIT NO. -DS -D1q ~ DATE ISSUED ~ {'1 ItJc
BUIIJDER t:<.a.A,~{.5'Y\-~ PHONE # rph.. 'Lor -2..44=
NOl1E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~,.~~ I I
, PLACE NO CONCRETE UNTIL ABOVEjfAS BEEN SIGNED
I FR4MING I ,PJ- I /d#t/tr
I FINAL
/H/f'
, .
I /a/;~/G~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
c
", ~
INSPEct
---eA-1)$ , 0 ,u~liRMlfN" st-7961
___0 ACCSPTED As SUaMITTEO :'! I ! I i
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'",;r'emeh/s ihclll~in.a tern; no. spdpifichl1~ ~oled in..i.lis r Nie'-I. .,-
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/b;Z2y
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENT~ '
7'~.... L-//' C"t /
~ .;
/~/
DATE TIME
/O~t//o",-
, -1 ...
sf
s- 79/..
o EXIGRAD/FILLING
D COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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ffi,)/e; Su4c>~ ~,;,!_
, a~rn. /~~ ...44'//~ ...
'Y'G/Mt':.V ~ dCJa,-- ,/
49/
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-----
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/ /' /,., (..,o
~OR~TISF:;"ORY. PROCEEp
o CORRECT ACTION AND PROCEED
o CORRECT W~R}5~;>R REINSPECTION BEFORE COVERING
Inspector. r'~ Owner/Conlr:
.---- ,
/-//p_
'~
~)
---
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNO"
7!'ft~s-
r~ /<- e I cSA-,d
/~ n c:.?(L
.
L.- ~ '" ..- ,-i1"'-'C r
/-2P.....-/ dr-Y;~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/6;22JY
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
..a"!'RAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~HRI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /
~,- /hi- /
/C:J.
_?~.
--f'};"-.,./ ~ 9
-../
(3 h--OL/j d"
~":k ,-{j"d _ ~
--
,
DATE TIME
f/Ly4-
S~
OS-~ /7 .9~'
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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,,"n e4c~ {;41.6/~b'~ "'roace
~
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J
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j;/
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~T WORK, C~LL ~c: YINSPECTION BEFORE COVERING
Inspec\or: ftif.----> Owner/Contr:
, ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
--" ar/q~)