HomeMy WebLinkAboutBldg Permit 05-0932
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2ll at bottom)
ADDRESS
150 d-- \ fY)o n ,-tot!\..
RD
LOT 9 BLOCK
LEGAL DESCRIPTION (office use only)
Date Rec' d
9-/2 _ oS'
I. White
2 Pink
3 YeHow
File
City
Applicant
I PERMIT NO. OS. 0932-
N~l
ZONING (office use)
;el.s.o
ADDITION j:::LJPP5 ~/iY
OWNER
(Name)
m\kr
-
j50 d-\
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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LtA+z
tnC{"h~Lt P-D
----............-.'".-
TYPE OF WORK g.New Construction ODeck OPorch ORe-Roofing ORe-Siding
~Addition o Alteration OUtility Connection 0 Misc.
~
CODE: DI.R.C. DI.B.c.
Type of Construction: I
Occupancy Group: A B E
Division:
II
F
1
III IV
H I
2 3
V
M
4
~f:'
f . PID zs: OSlo DO? 0
("LU) IR'? ..:lizfG ~7
(Phone) q Sd- ..4-lfl. 37(P:A..
PL- mrJ ~/~
(Phone)
(Phone)
DLower Level Finish
o Fireplace
A
R
5
PROJECT COST IV ALUE $
(excluding land)
1.so0
B
S U
mformati n 0 is application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
ermore, I hereby agree that the City official or a designee may enter upon the property to perform necded mspecl1ons.
i a.-t" ,oll
Contractor's License No. Dat~
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
2/S'rJ{)
8"8'fJ.S"""
S7 . :3,
( . S-o
comes Your Building Permit When Approved
w-()\"
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTALDUE tAtteJ? ~ZZ.().s $ /47.1/
Paid /i.J.~'7~; i .r Receipt t{06 tX)ij~
Date U'" ;:;. fJ..r(\'h By ,..,
I v("v- 0
ThIS IS to certify that the requcst in the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccrtlficate 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
INSPECTION
RECORD
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II. (,..,.~ ~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. ()5.093Z- DATE ISSUED
BUILDER f/J1~ I' -..JI- '"L PHONE # l.f!{].. n.L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
-- I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING I I
~ FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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INSPECTOR ~ k J ;'JII'ti,~~ J, , . '., .... ..."..... _ "-\ '''i;, nlll,' ,'...... ..!" '&
. ~"" r q-. l-J.,-Oj I '\'~~ 'I f-)/st-,i~l.''":.-r.;-..!l1!t., .~::'- :re-- \0 . -, "'~If3., " ,
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[J ~gg~~i~P AS ~f; ~) .
[J NOT AC> i:;SUBMIT .
These COlT'" .on.AU~lh8nbedone
In futl co building' JDnfng code re- '- ;,' -L
Quirerr,cificaUynotecUn this review ( 10 J
, JI\I SITE AT AL~ TIMES.
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I. c:: OJ.., ( f\1'Hd ./y. J ~.
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION /' .
p-FINAL ~ >A-
D SITE INSPECTION
COMMENTS:
-'
~-~--
/
(
'"
""--
/
/
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
D WATER HOOKUP
o SEWER HOOKUP
D PLUMBING FINAL
o MECH FINAL
/ .
{(KiP
---
DATE TIME
J /- t;-r:J{'
.
s- - '(3 L..
D EXIGRADIFILLlNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
----
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Vi le
~ORK SATISFACTORY. PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: , ~ Owner/Contr:
f
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI