HomeMy WebLinkAboutBldg Permit 05-0865
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
While
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Yellow
'1)z I 0 <;'
I PERMIT NO,OS 0 BhSl
\
File
City
Applicanl
(Please tv~ or oJtint and si.:n at bottom)
ADDRESS
2'1
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SZ?
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&"~r:1\-'1 I r
ZONING (office use)
12- -I
LEGAL DES~RlPTION (office use only)
LOT
BLOCK
ADDITION
PID"2. '::> - :1,9>Z-0(1- (I
OWNER
(Name)
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~O~
(Phone)
t;( z- - ~C13 - (3 cJO
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
t-l-) \j <; E"
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[C)" ~--
Tb ~\!I<..C<; I j _C (Phone) "1L;l.
'Lf: 10 T 7 _ (Phone) .
'fS<"){~C~ C(i2-C-~
44~ ~ {zen
TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofmg
~ddition DAlteration o Utility Connection
CODE:\a(R.C. DI.B.C.
Type of~ction: I II III IV V A B
Occnpancy Gronp: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding
DLower Level Finish
Fireplace
0AU1b
DMisr
---
PROJECT COST IV ALUE $
(excluding land)
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I hereby certify that: I have furnished information on this application which is to the best of my knowledge true and correct I also certify..tha.tJ--amlhe 'llwncr or iluthol"lzcd agent for the
above-mentIOned pllopcrty and thaI all cunstruction will conform 10 all existing state and local laws and wil1 proceed in accordance with submitted plans. I am aware that the buildmg
~] con "~~m~"" Fmlh"mm'] h",by '.", thot th, "'1' om",] oz.o;~ ;;P7'~pon th, pwp'l1y to p"rmm n's:;;l",,?, 2.JX; 5
( ,/ . Signature contracec~No' Da(e
" '\.1/ _~/
It'ermit Valuation ":)00 t!I , 0 -.:l I Park Support Fee # $
I Permit Fee $ /17.75" I SAC # $
I Plan Check Fee $ 7("',!;;<{ I Water Meter Size 5/8"; I"; $
I State Surcharge $ 2. 'i) 0 I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Fermlt Fee $ I TOTALDUE&tttL 'I. fj-,oS- $ /"1(.."77
lcJ(p '11 I Receipt NOj ") W;r(
. a_ J/L.r-- By Go'
I ,- :.I c7---.....
This Applicatian Becomes Your Building Pennit When Approved
~~
Buildin!!. Ollici;ll
_!i/'7 la ~
Date
Paid
Date
ThiS IS to certify that the request in the above applicatIon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner consl1tutes a temporary Certiticate of Zoning compliance and allows construction to commence Before occupancy. a Certificate of Occupancy must be
i~~
Planning Director
9h~~
, Date
Special Conditions, if any
24 hour notice for all inspections (952) 447~9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
'"
PRIOR LAKE
INSPECTION
RECORD.
SITE ADDRESS ?--'1Sr ~8C'A r rjUf 1(.
TYPE OF WORK IZ. · J(, ...' ~
USE OF BUILDING s: t:: , ·
PERMIT NO. 05, (:605 DATE ISSUED !JI2h.r
BUILDItR ~srbd1L PHONE #~.""S""lZ-'7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~ ~K,..rl,J., I d;;Ec:rOR I )/~z7;'
PLACE NO CO~RETE UNTIL ABOVE HAS BEEn SiGNED
I FRAMING I I
, FINAL
/JA I I
C/h I crfIY/&v
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
7-efU if -J:r- 5 - iflQ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS Z 1 q-g (6s.~ cJ-
OWNER
CONTR,
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o .JMSULA TION
,..cr FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I. A&& C'..Q....:1i:A. 50~ ,;)6,...}-
. I
rj~
TIME
0" - e-)~S
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-J-o J.k-.J< ~
.... 1 (
Vl"- ""fl:> c:...
r 11\ (J(
\ C/ rt- ~""'V' LP
o WORK SATISFACTORY. PROCEED
J!!::ORRECT ACTION AND PROCEED
o CORREtbRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: It Owner/Contc.
CAL! ,,1-98 FOR TI<.E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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