HomeMy WebLinkAboutBldg Permit 05-0826
CITY OF PRIOR LAKE BOILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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(Please type or print and sign at bottom)
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'Applicant
I PERMIT NO. 05.082-0 I
ADDRESS
15lJ9~JCfF6K..-S
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LEGAL DES~RlPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
W //(1/1/ elL
(Phone)
(Address)
Date Rec' d
8.25.05
ZONING (office use)
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BUILDER ~ '--.../
(CompanYN~mer---::~~S' /~~. .:;,.. .(<2J-"1-r~
(Contact Nanle) /A_".,;_ 7~/ --
(Address) ?7q) W?//~ c/ <.:..J- P 1.
(Phone)
(Phone) -6,/7 - 5('ri 'J- -:l '7 q 7
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TYPE OF W~RK D New Construction v:J.eCk DPorch DRe-Roofmg ORe-Siding DLower Level Finish D Fireplace /
! DAddltion DAlter~v o Utility ConnectIOn
CODE: !I.~.C. DI.B.C. o Misc.
Type of onstIjuction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Gr\,up: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
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I hereby certify tha~ I have hlmished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or alllhoflzed agent for tht'
aboVl'-mt'ntlOned ptopt'l"ty and that all construction will conform to all existing state and local laws and will proceed in accordance with submined plans. I am aware that the buildmg
otllcial can revokt' t is rmit for Just cause Furthermore, I hereby agree that the Clty official or a designee may enter upon the property to perform needed mspectlOns
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7.ooJ.:rOQq
Contractor's License No.
Signature
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Permit Valuatic;m "'3DOO, (JS
Permit Fee $ 'EV,2S
Plan Check Fe~ $ 57. sa:.
State Surchargtt $ 1,5'0
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Wateti Permit Fee $
Gas Fireplace fermit Fee $
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
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Date
$
$
$
$
$
$
S
$
$ /~?,//
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This Application Becomes Your Building Pennit When Approved
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I RecelPr No. ,:;iur://7
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Buildlni!. Ollicial
If'/2-fD/e ~
Date
Paid
Date
ThIS IS to certily tha.t the reqllest in the above applicatIOn and accompanying documents is in accOldance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City PlJnner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certlticatc of Occupancy must bc
issued
Planning Director
Date
24 hour notice for all inspections (9:"2) 447-98:"0. fax (9:"2) 447-424:"
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
______~---_._----I-----_.".-
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PRIOR LAKE DEPARTMENT OF
~ BUILDING AND INSPECTION
INSPECTION
RECORD
SITE A~DRESS /509C? J&F;::ER:S PASS
TYPE dF WORK J)E C-K-
USE oft BUILDING /2eS /l lie-
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PERMIl(" NO. 05 082-& DATE ISSUED Z1. 25. OS
BUILDEIR T 77f()/vJPSCJN PHONE # c./Z-. g" 7.3797
NOTE: [THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
!THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTl~G I IHSPE~ I> I r... i~
P~ACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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FOR ALL INSPECTIONS (952) 447-9850
, FINAL
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
w:;
TIME
ADDRESS J SCf'lll1 ..I " s;t tl'<-. \M >>S'.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.J4"1'INAL 1b.,. b
o SITE INS~ECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
c - 87-(..
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
I. KulA. ~ ~\
+6 k""ttc- + hOAt a
ok-k
A /. (),
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o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORg <, CALL FOR REINSPECTION BEFORE COVERING
Inspector:!) Owner/Contr:
CAL~7.J.5~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C99E.fttrrtf;;:EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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