HomeMy WebLinkAboutBldg Permit 05-0341
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERuJlICATE OF ZONING COMPLIANCE '
AND IJ. ~ITY CONNE\..IION PERMIT
Date Rec'd
4-. 25.05"
~:::- ~y PERMIT NO. 05.03 L I
) ytllDw AppIIcanl ~
01./2(,7
crs- tne or DriDt and lip at bottom)
ADDRESS j; 11 UMLc...
'fuv~ c;1-":~(Qr- ~. fO)n~537~
, ZONING (alike lIIC)
,e/~.o
LEGAL DESCllu nON (office use only)
LOT0 BLOCK / ADDmON ;1/P~j1IP7JtJ ~/t/~ 2r1~ PID Z-:;: 3/1. OO(p. 6
. ~ .AlIUJL6 t;.IfiZ,7tJ7. S7#1Sf?
~~: ~ rrv (~ l'"'Y\; \ ) ~ (phone) ~ 51- --'185 -(, 5/7 -w
(Address) ~11 U11Ct ~ c..r 1:PY (' (J)r ~(, . vn't) 55 3/-r q<) 1- -<-j <I c)- 2.cJ 3~ - - J+-
==- Name) r J~t U \'(\ ~1YwJi on
(Contact Name) ~,\.~ ~~{ l../rJ ~/
(Address) il)~ 14 )tVVUWt,.J0u& J/)v'lr~ Wfh'r/f,
(phone) Cf1J -- 9<// - 7 WI
(Phone)~. A1 kh (/)f~
h\(1 tJtJ ?; Ll1
TYPE OP WORK 0 New CODStl'UCtion ~ Dporch ORe.Roofiq ORe-Sidiq DLower Level Finish 0 Fireplace
OAcldition DAlteration DUtility Connection 0 Misc.
~ 0 10, (j::i).00
,CODE: I.R.C. I.B.C. PROJECTCOST/VALUE $
Type of C '08: I n m IV V A B (exdwIiD.land)
Oc:aapaacy Group: A B E FBI M R S U
DiYiliom 1 2 3 4 5
I bcn:by ecnilY that I haw fumishcd information on this applic:adon whidl iI to the best or my knowJcdae tnae and c:orrec:t. I allo mtil'y that I am the owner Ill' IUtI1ori%ed qent for the
~.meaUoncd ., ','" '. and ~t aU., ,..., ," ;,." wW conform to aU exiltina .lIte and .IocaIIaWl ,and wW ".. '" J In I... . . ,nee willi .ubmlned ~#ware that die bulldin.
~ ~;;J7nse~ 7 ~ hereby 11Ift thatthecuy oIIIcia1or a deIipee may enter upon the '" . '..' topafmn Lj />,1/0 l
'Sipalure ContraclDr'1 Lic:eDse No. Daile
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gu Fireplace Permit Fee
..
11 Co~(JO, 00
s (3 z.. S'CJ
s 8(g.r~
s 3. Do
s
s
s
S
$
Park S\.u ... Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
#
#
Builder's Deposit
Other
TOTALDUE ~ 4-,l0,iJ5
~~
Buildina Oft'k:ial
'I'bia Application B .. , .. .1 YOIII' B1aiItUq Pemdt WIIca A, 1 ,I' ,. '"
~7h,:S:-
Date'
I Paid 7--7(."7
I Date ,. J.~ Qf'"
Receipt No. ~Af/r3
Bv /U-
I
s
s
s
s
s
s
s
S
$ 2...2... ( , ~ .3
TIuI iI to catiIy tbat the reqllClt In the above IpJl ,",., ,:, lad I .. ,!" ,,', I documeDtI II In aa:onIance with the City Zonlq Ordinance IIId may. ... .111 requClled. ThiI document
when 'ilned by the City Planner COIIItitutcs a I.. .", "".. CertillI:are of Zoninl compliance IIId aIIowI cOllltnlCtion to commence. Before . .., .".ncy, a Ccnillcale orOceupll\cy must be
illued,
I'IuIIIDI r.." . '"
Date SpeNlC, ,.." . if my
24 1I0.r notice for all In.pectionl (952) 447-98.... rax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKe DEPARTIIENTOF
~. . . BUILDING AND INSPE" . ION
INSPECTION
RECORD
SITE ADDRESS ~7' L.A~ ~V~ C-Q1A1.,..
TYPE OF WORK ~ ~c.~
USE OF BUILDING S.r:D ~ _
PERMIT NO. 05.o3<f/ qATE ISSUED ~ Z1/tJS
BUILDER J:,,&E, t.O~~"A.) PHONER1D-CkI- 700'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR J . pATE
FOOTING I 14;# I ~~~s
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ FRAMING I I
C ~ 'D~ i50AAJU' k.E PLAct;-o
I FINAL I 1/15 I IIPy'/"""
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 301l
w..J~ ""'"
- -
L~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;tJ- FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE
H~
rrl,
T'IIE
5" -3<//
o EXIGRAD/FIWNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Qk
.\..0 c:.. \ ~
~ t~ La
fioRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: V V Owner/Contr:
CALL ..47.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lN8NOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI