HomeMy WebLinkAboutBldg Permit 05-0925
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND l.J IILITY CONNECTION PERMIT
Date Rec' d
9.zl.05
I. White File I PERMIT N
2. 'Pink City O~,.- _0., L.'"
3 Yellow Applicant V .., "f ...., >
(Please type or print and sien at bottom)
ADDRESS
3Z~5 rOX f)Cl1l- 7JU1/L- NW
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I ADDITION
WI/._ oS oSl X 77-/
PID~. 412- _ 00'- 0
OWNER
(Name)
Gr1~ C Ht:,"Lc/V G Ol-/J V
, ,
(Phone)
++ 7 . ~ 4'-1-9
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
ZONING (office use)
/2/
TYPE OF WORK 0 New Construction \lrDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAddition OAlterGn OUtility Connection 0 Misc.
CODE: . OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
ill IV V A
HIM R
2 3 4 5
B
S U
PROJE~. COST IV ALUE $
(excluding land)
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authonzed agent for the
above-m rty and that a uction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:cial can voke this pe it for' st ausee.... ~I ~tebzee that the city official or a designee may enter upon the property to perform needqs:ris. _ O~ /
\, Si,ture ~ l -- v. ~ ) Contractor's License No. Date
. 400-:-
k:.- ·
01.ZC:
4311 f
.. qo
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
...
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
#
#
#
#
$
$
$
$
$
$
$
$
$
{ I i. 6~
~t;
Ii;',
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
;;1-.. ~
~
. ,
I Paid
I Date
Receipt N9t.~lO
By ~ ,.
ThiS IS to certity 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
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 3z-~':::;- Fcnc TA-c.<-- {'LA(~
TYPE OF WORK i)&c.--~
USE OF BUILDING {Z..e.5 1\ I(L I I
PERMIT NO. D~ - qLl DATE ISSUED 1/2 ( /oS-
BUILDER bA-~ 0c'-A-t. PHONE #' 4-41 - ~ 1~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING I V~ I 10-11-0<
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
- . -" , L. -llf f(!" I I
/71) / I
I FINAL Calf between 8:00 and ~:oo k.~ ~~llnspeCll~:j k'J/":)
FOR ALL INSPECTIONS (952) 447-9850
.
CITY OF PRIOR LAKE
INSPEcnON NOTICE
SCHEDULED
ADDRESS 32q~ fix +a.d -r;..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
iil'SNAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
dASi'- A ~0
DATE nilE
I~
5"- ,zs-
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/WORK SATISFACTORY, PROCEED
o CORREct TION AND PROCEED
o CORRE T ALL FOR REINSPECTION BEFORE COVERING
Inspector:
OwnerfContr:
50 FOR THE NEXT INSPEcnON 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI