HomeMy WebLinkAboutBldg Permit 05-0811
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
I PERMIT NO. os-. Of!; II
(Please type or print and si2fl at bottom)
ADDRESS
SSg- ~ LA... -ly LtJ(,t ~
17:.1
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK
t!/t1Voy UJt.lc
PID2s.02.7 /'JfJ7 z..
ADDITION
OWNER I J
(Name) X-ev,'",-
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Date Rec'd
tJ. 2Z- ,oS
ZONING (office use)
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(Phone)
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(Address)
BUILDER .A 1
(Company Name) f I t!..J -'A 9 ......
(Contact Name) M fJ,/ ... <:;', <oJ
(Address) J7 ~~ LS.f~Y' I;~....
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(Phon:f 9 s-)t. - '-F ~ <i. -<'.- o<F /
(Phone)
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TYPE OF WORK D New Construction DDeck DPorch ORe. Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAddition DAlteration DUtility Connection
CODE: ~LR.C. OLB.C. o Mis'"
Type of onstruction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 S
x
1 hereby certify that I have furnished mformation on this application which is to the best of my knowkdge true and correct I also certify that I am the owner or i1uthonzed agent for the
Jbuvr-mcntlOncd proprrty and that all construction will conform to all existing statc and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
I)fficial c n e~ this pel for Just cause F 1hnmore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspections
"'O-:l.I<('t~<':'
Signature
Contractor's License No.
Permit Valuation
"
.1'I20oo.QCl
#
#
Park Support Fee
SAC
Permit Fee $ 73.75
Plan Check Fee $ '17. "1<1
State Surcharge $ 1,00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter
Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
t!flUO;J
13.?S_CS-
-
This Application Becomes Your Building Pennit When Approved
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,
Receipt No.
By t?
0'
Paid
Date
--"
BuildingOfticial
Date
q-:J't.-O ~
Date
$
$
$
$
$
$
$
$
$ /22... ~'1
. -0bu7>>
ThiS IS to certIfy that the request in the above applicatIon and accompanymg 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 Ccrtificate of Zoning compliance and allows constmction \0 commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447~9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 5386 (!/tNoy 601/6 77C-
TYPE OF WORK _ Ot;:;UC
USE OF BUILDING If?-6J- /l~,-
PERMIT NO. GJ.F 0[;/ / DATE ISSUED Y Z J_ 0s-"
BUILDER !1IDl/ 1/'//166 PHONE # feet-. &tJ-f-/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I IN7/W/ I q;~~/ 0>)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
4/0fA
I FINAL 411 /J/ (lI' II
/I ~ Il-'is,iJ)
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
It -~-OS
ADDRESS
C381f LCMJ~I C ~
r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1: - [sIt
o FOOTING
o FOUNDATION
o FRAMING
o I.WlULA TION
Clf"'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Vl/
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI