HomeMy WebLinkAboutBldg Permit 05-0882
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
t'/. /'1 {is-
; ~i~:' ~::y I PERMIT NO,O'c ()ao.2- I
3. Yellow Applicant :;/. 1Il/
(Please!'Pe or orint and sign at bottom)
ADDRESS
'$1J~ -f:hfC-P~IIE/.-b 1-1"- St:. , PR.lOfL I-AKtb.rnf'./ --56311.......
LEGAL DESCRIPTION (office use only)
LOTZ3BLOCK I ADDITION 06"6R//G-t...O 2A10
OWNER
(Name)
~A~tZ......, -:T61-11\l,c,m",J
I ZON:~ (office use) I
PIDZS. 372... (J 23.0
(Phone)
.f'-l-'-I- -? - {!lD(YL
,(Address) .!ad.. ~~(ly IEJ.....J::J I-N. sb;.
.1?'GoI1ll' oN. 0-r>N ,c,Tf1 LI/'_ -r / tJAf IAiUPhone)
K u e.... -r ::J,>!JN.. ~ l) ,-../
))Ob 6rJ1'fi;ft--P/-.<? LA,v/; I -OOf-.1JAN. fYIr,./ .5.6 35'J-.-
BUILDER
(Name)
"*
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Perinit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o New Construction
DLower Level Finish
4'l2-rDt'l.. L..AJ<.':;;; inN
.'5S31L
qs1~ 2-bl- tj 1- 2-'1
(Phone)
~eck
DPorch
ORe-Roofing
o Fireplace
DAddition
DAlteration
PROJECTCOST/VALUE (exc1udingJand) $
$
$
$
$
$
$
I $
1.300 ti)
SIUJ
31 IS
.l#S
I hereby certify tlD.at I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent 'for the above-mentioned property and that aU construction will conform to all existing state and 10caIlaws and will proceed in accordance with
submitted plans. I am that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enterupon~~performjeed'n .ons. /
X ~, ~f).C; II () p,:.::z, q J..,.f1J.4
~ ~;=:::-NO
ThIS Mbo@me:ourBuildingpernntWhenApproved
Ifdg~ar
Buildmg OffiCial Date
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
$
$
$
$
$
$
$
I $
J $
II
:~-NO'
tJ'
I,
ORe-Siding
DUtility Connection
Date
ytlt!!
~?!TL
, This is to cenify 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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
#
#
#
#
I Paid
I Date
%<r. JV
4./~t-r
--R..euJ cI ~dc.. Iff,"'/ ~
Date Special Conditions, if any
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
..
PRIOR LAKE DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTION
RECORD
SITE Jt\DDRESS 5ZJ~ 1)E:EJt,P1e;LL) J.JJ.
TYPE'OFWORK ~
USE Ci>F BUILDING /36$ A/It..,
PERMIT NO. 05~Z- "DATE ISSUED t!/./~. ()S-
BUILDER ::rlJH.N;stJAI PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
'FOOTING I ~ I 7//6'~~ l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
d
/1O;j-
, /
I~~S-
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE /~ . /
INSPECTION NOTICE SCHEDULED L1D-t/Or
ADDRESS ..y I ~ dtPt!3rHro/1 ?h
OWNER CONTR.
PHONE NO.
PERMIT NO.
r- FfL
COMMENTS:
D PLUMBING RI
D MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
O;kECH Al;(
/' <=-
, '-
D EXIGRADlFlll.lNG
D COMPLAINT
o FIREPLACE RI
D FIREPLACE FINAL
D GASllNE AIR TST
D
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~Al
D SITE INSPECTION
./': -
/;-/A /' A/
//1/(7 / Vir
--",-
~/
/' ~/
( '/lcn-e
~~R~T~RY:PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CAll FO INSPECTIO
-----.... ~
~/~ ')
~
Inspector:
FORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOn