HomeMy WebLinkAboutBldg Permit 05-0931
08/22/2005 13:24
19524409405
PAGE 02
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONlNG COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
9. ZI. 05:
(Please: tyDc Of Jnnt NUliim at bottoll'A,)
ADDIU:SS .
'? J Rto J &fh. f'~......'++ (12 n w j7,";"r L..lI:..
LEGAL D~ClUPTION (office use only)
i '$f:. ~::".." \ PERMIT NO. OS. 0 r3 / I
ZONING (o{flrl:\l$(':)
f!./SO
LOT:3 ( B~OCK
'OWNER ! I
(Name) =-4-h....L;~- ()u<;+tlACle. . (Phone)
(Addres<) ~; l\'~ p,~~ "'iI'+,j- I. \7 '\1\ U J P r;-d.{' 1...0.\::,..
ADDITION
/VtlR-nffVCllt:)
PID 25". 14-1 .0 (3.0
"0- Ll't7 -iJa2.-
BtJU,DER i
(CompanyNjame) 'f7'".,., "5"f</I.('Z<U& Cd'/K'Jf.. (Phone) 1'1. ~'t!7.7""-$'''d lo
(Contact N'lnc) ...::::r:;- -"'" "ik 1"''2-41--''- K - (Phone) ,c.. ~., - ::]<l, - tf)" "
(Address) : '-I/.~fi! Y)e,..,' P:-clty c...+ Vl,",-, )."/VlU)""J",.4')Y) -r.,-"",,'
TYl'E OF WORK 0 New Construction lSlPock oPorch oRe.Roofing ~e.Siding oLower Level Pim.h 0 Pirepi'cc
[JAddltiOn OAlu:ration OUtility Connection
Iia'Mi,e, 14 Jd r\!..v Pusf S (A VlJ S-feJ. ~ r-w..Jq, <-{
'j-/J e..~ s .'f':^:l yJ tc,C
PROJECT COST/VALUE S
(exduding land)
i
CODE: or.lt.c. oLB.C.
Type of Constru<tio",
Occupancy C'*"up:
Division:
A
B
I
E
II
F
I
III IV
H I
2 3
V A-
M R
4 5
B
S U
I
I ht.nby certiJY rn~ll have l\lmisl'led information lJl'J. dl/s application whicb is to thlt best of my l<nollfledge true and correct. I a.ho co~i,y (\'le.t I am lhe I)'Nfl~t l)f aUtnom:cd agl:Ol fut tlll1
:l.hovIHl.'lCntlont:(1 ~"(lfoefty and that III coomuction wi!( confo,m to all existing state and. locotllaws lnd will pI'occcd in. .c(ol'4~nC1! with ..l.lbmitted plans. r 01.m. ~warc that the: builrling
I,lf'fioll can rt.'Vok~ Ibis p~mit For Jusr C.<lUK'. Funhcrtli<lJ~, l hereby l81tt tha.t tll~ city officlo1l or a desipll:e. ma.y tnter upon the propc:rtY to pertorm ne.r.:dcd \D.:Ipc."I.11~'ru.
X ~ <)fl",,-.~/A_.
;~~ture
:;J. (f Lid 'i7" J
- " ContrJCtOr>sl.icemL! No.
...
_q~,). ; -d~
Da'"
I Permit Valuation /,700.0() I Park Support Pcc # S
I Permit Fee $ (g4.0t) I SAC # $
I Plan Check F~e I $ 4-1. " 0 I Water Meter Si2e 5/8"; 1", $
I State Sureharr S _ tJS I 'P"e~!lute Reducer S
I Penalry I $ I Sewer/Water Connection Fee # S
I Plumbing pe*"it Pee S I Water Tower Fee # S
I Mechanical f1crmil Fee S I Buildet', Depo,it S
I Sewer & W,*r Permit Pee S I Other S
I l TOTAL DUE tJtUb.d $ /tJf.? ~6
I Gas Fireplae4 Permir Pee S 1- Zt..IIS
I
~1t B~CO"'" Your Building Petltll1 Wh... App1Ove4 I Paid /of.,. '1J I Rccei~o, "'r'lb I I
q-U,-tlI' I Date q,-,v'lI.I Bv _ .-.-J
J
Bu"1 dUll? Otl"Lclal Onte
Tl:u1 is 10 c~rtify ~ha.l m(' rt"U~$! in the <lbo'll!: Jt>pllcatlon I1nd aCCOlllp.l1/'1ying documents is in ~<<ordance wttb the CUY Zonlng Ordinanc-I: ~r'ld. may pfoc:~r:d il.,~ I"l!'~ue~ted. This d.x:l.Imcl'l!
when ~isnt.>(I ~y ~ CilY ploI.nnl;r tl.llUllllLlc$ II t~II'lPOl'.lI''Y C!l\'fil'lcatt of Zoning l:Clmpli.l\(l!: and tlli'lWS l:Qn$I1"\l~j"n to COl1\rl:1('nc('. Rdhrc ,v:eupancy, a CI..':l1~tic:;\~ Ilf O~uD<'\ncy musl ~
\sS\ltd
Plllnnins DIrectOr
Date C~;J r ~)l:Q-.J s~t.'Jr":,r
24 Il.O\lr notice for all inspections (952) "<l7-9S~O, fn (9~) 447.4245 .
t6'200 Eagle Creek Ave"". Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
l{/jA;-
,?/%,( A'u&ruu ~ (;,;-
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
, \-9'J/
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
~AL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: /1 / /? /
//-eC /G /- /40 l-oI~
/) / ./
r;uc; / 0;1
/I /
.(/'-f"'C je-
/~, f/'de
'---7
/';:'#0:; /
'"
0<<
..---------::.--- ----
.,..-' -~~.'''~ - -._~,.,-,.---"""
///'/ '\~
- - ---- '/ )
/'"'/os~ /~/ /""" ./
/~RKSATISF PROCEED ~
o CORRECT ACTION AND PROCEED
o CORRECT WORK. C~L~RrPECTION BEFORE COVERING
Inspector: /~ ~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
lNSNOrJ
~
PRIOR LAKE
INSPECTION
RECORD
SITij ADDRESS 3/f3fc !J{///t;:.,KAIt/; C!-t'/c-
,
TYPIE OF WORK Oa-K-
USE OF BUILDING /Z(3.J /9//C-
PE8MIT NO. ()5. (/13/ DATE ISSUED 9. Z Z JJ~
BUI\..DERTlI<-J St:::.~ ucnU7::- PHONE # .5U7. Zt/I ()(~
NOrE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FqOTING I INSPjM I / tJJ;~ft;
, PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SiGNED
I I
I FINAL
~
It' ;: /;S--
FOR ALL INSPECTIONS (952) 447-9850