HomeMy WebLinkAboutBldg Permit 05-0863
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ! I
AND UTILITY CONNECTION PERMIT ~ 10 D S-
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ADDRESS \ I '
\ lv3~S V le,furlV
CIJJ V~
LEGAL DESCR.iJ:'uON (office use only)
LOT II BLOCK J./ ADDITION
BUILDER
(Name)
(Contact Name)
TYPE OF WORK
I. White File I PERMIT NO
2. Pink City . Ol.5: 0./ al_ '7
3 . Yellow Applicant - OW":::>
ZONING (office use)
fllSP
PID 3~c;.... ~ 3 '1-0
luL
(Phone) US2 - 4-40- 0q 30
(\J A. .
laSI- ,1<0 - ~30 ~
(Phone)
(Phone)
Dn.
OLower Level Finish
ikfMisc, 3 StJt~ SUJ\.oom a.dd(,h~
o Deck o Porch ORe-Roofing
o Fireplace }(Addition OAlteration
PROJECTCOST/VALUE (excluding land) S 11.000
,
(J~ R ,(4v u--V--
&~~~,n ~ buLl h~L~
(Address) IlD)ltS VIUDIII.v (1LIlt.. ) Prior
JiVtO ~(QQln' (j U~~y;)
\OjV\ Wf.'f' ~I l~
(Address) \q<&~ Slcmn V lt1..u", 11"" f5 } l.ltp~()rJ
o New Construction
SSlt7
I
ORe-Siding
OUtility Connection
I hereby certifY that 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
authon~ze agent for tho e abvt,....e..ntiOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submi a ans. I am awa that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teru on~tA:toP~_Oj eededinspections. 1t - 2{J)ZI~8 7 I J Z.8jJJ~
Signature Contractor's License Nb. I Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I} t1~ " If) (J, () 1)
$ . /1/ · S- 0
$ ,,.."'. 4P
$ S ,00
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~~
Building Official
q /'?~c:;
'-f--Lia~
Park Support Fee #
SAC #
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
I Other _
I TOTAL DUE f:tJ,ttul 'I. 7. OS
I Paid 3ZO. '1 r
I Date C/ ~o5
$
$
$
$
$
$
$
$
$ 3 2,c,. ~/l'"
~~~ H9#J
i"
This is to certify 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
~:.~ 9/7/aS- ~~ ~~/O(~
Planning Director
\
Date Special Conditions, if any
24 hour notice for ail inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
BUILD1NG AND INSPECTION
i
INSPECTION RECORD
SITE ADDRESS I" gtt s V"~oi.J" CLtfl."C J .
NATURE OF WORK '3- S!"J\sO,.. ~...~ M.P'T'~j;I.
USE OF BUILDING S.F:' 0-
PERMIT NO. ~ 08(03 DATE ISSUED ~.r
CONTRACTOR~ ~CA.N"'.ftU) tn..) PHONE "Sf".??'....,',,,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
JDATEJ
I 9/#1/dcr
, v
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
IN~
FRAMING
INSULATION
ELECTRICAL
-'
M
/ /
r/;"7/~)"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.. I
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.
~ ,
1/f/a7~
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DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nilE
/&dr
, .
{h'c ~rJ''q. c;rv ~
ADDRESS
/63~S-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~- e?63
D FOOTING
[J FOUNDATION
D FRAMING
[J INSULATION
/'!!CNAL
[J SITE INSPECTION
D PLUMBING RI
[J MECH RI
D WATER HOOKUP
[J SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
D EXIGRADlFILLlNG
[J COMPLAINT
D FIREPLACE RI
[J FIREPLACE FINAL
[J GASLINE AIR TST
[J
COMMENTS:
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C-/t - -
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hl/ . eo
. ~(.:)J-e/
ilwORK SATISFA
~bORRECT ACTION AND PROCEED
[J CORRECT WOA~' . CA. ,FOd"'REINSPECTION BEFORE COVERING
- / ~1"
Inspector:' Y- Owner/Contr:
~
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CALL 447.9850 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTI