HomeMy WebLinkAboutBldg Permit 05-0854
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or punt and sizn at bottom)
ADDRESS
Date Rec'd
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0S'-95''f
ZONING (office use)
1~9g /I1/l/VO/1N /We-.
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LEGAL DESCRIPTION (office use only)
LOT 9 BLOCK Z ADDITION .I3~(!I<fVIu.,e:- /flUS Z!J/..(d
PIDZS (JIb. 01,( 0
~
BUILDER
(Company NatTIe)
(Contact Namf)
(Address)
</,Il,"k
"1"17 - ;).4>'17
(Phone)
S;E
(Phone)
(Phone)
TYPE OF WC!>RK
o New Construction ~eck DPorch ORe-Roofing
DAddition DAlter1"o'l1 DUtiIity ConnectIOn
o Mise
CODE: DLR.!C. DLB.c.
Type of Conslrfction:
Occupancy GroUp:
Division:
A
B
ORe-Siding DLower Level Finish
o Fireplace
I
E
II
F
1
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished information on this application which is 10 the best of my knowledge true and correct. I also certify that J am the owner or authOrIZed agcnt for the
above-mentIOned pnllpcny and that all construction will conform to all existing state and locallaw$ and will proceed in accordance with submitted plans. I am ,lware that the buildmg
IltliCi,;,~.Ro~roke this permit for Just lse Furthermore, I hereby agree that the City official or a designee may enter upon the property to pertorm needed inspections
X ~~:::T- '7-"J..-C1-
sl€! Contractor's License No, Date
Permit Valuation
Permit Fee
Plan Check Fee'
State Surcharge
Penalty
Plumbing PermIt Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
13f.:;O. -
~/.-
33.15
, ~c:;
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fec
#
#
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
84.Be?
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace P~rmit fee
Oiv'lt} I . ,
T,ffl iolt _ omes Your Building per~;ved
, BlllJfllng OltiCltll te
TOTAL DUE
/ j
I Rech6t No.
BA-'.
U
fff"iU/
Paid
Date
fi''f' J'V
q,3,or
ThiS IS to certify that the request in the above applicatlon and accompanying documents is in accordance with the City Zoning Ordinance and mJY proceed as requcstcd This document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificatc (If Occupancy must be
issued
Planning Director
Dale
24 hour noticr for all inspections (952) 447~9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /IP 39 ~ I1lf1v'.tJ4A1 ,4vG
TY!PE OF WORK RE<; 4fe
f
USE OF BUILDING DEc-/C- I I
P8RMIT NO. ~'l:" 13')4 DATE ISSUED 9/2-/0")-
BUILDER .~~<:tL7"" JIi2-/y PHONE # '147 -28'11
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
lNSP~;;'/ t).ATE J
, FbOTING I /l'r..y I f//'1 /O~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~.. J. I I
I FINAL )"ff!JD I /D jJ/ ~ S-
Cali between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DA.TE TIME
SCHEDULED ~-
4/;" ~~ d-<-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~, ?9rf
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o J!lSULA TION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
O~;~j
COMMENTS:
./
.G? I
rlr7q
s- )?J~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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r//C
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/
/
( /'>h
/WO~::O~D
Icl ~ORRECT ACTION AND PROCE II
o CORRECT WORK, C EINSPECTION BEFORE COVERING
~
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J~ / \)
// /to_.._ /
~
,-
Inspector:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INV<<>Tl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI