HomeMy WebLinkAboutBldg Permit 05-0135
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1, White File
2 Pink City
3 Yellow Applicant
(Please type or print and si~ at b , :: " d")
ADDRESS
/7~// Obbl2-P/~ Oil--.
LEGAL DESCRIPTION (office use only)
LOT ZSBLOCK , ADDITION DEl3; P1GLJ:)
97Jt:
OWNER
(Name)
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,
/ :?'-I/ I b&1"f:i Id {Jr-/;,.e . ,t'. E.
Wln.
(Phone)
Prl av. f...-a, 1J"...
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Date Rec' d
z, 2"!,,. oS'
PERMIT NO. OS, O/:Sf"
ZONING (office use)
te2-
PID ZS-.4--00. OZS.O
9~Cl- '/'/6 ~ iP/Cf,/
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAltera~ OUtility Connection 0 Misc.
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CODE: I.R.C. OI.B.C. 7' PROJECT COST IV ALUE S
Type of onstroction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I hereby certifY that I have lttrnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzcd agent for the
above-menuoned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware thatthc building
:ficial can r ke this erm~ore, I hereby agree that the city official or a designee may enter upon the property to perform nec;~e;/~ ~_
Signature Contractor's License No. Date
I Permit Valuation 4(/30t), fJ1) Park Support Fee
I Permit Fee $ 5/.tJlJ SAC
I Plan Check Fee $ 3~,(~ Water Meter Size5/S"; 1";
I State Surcharge $ , (o~ Pressure Reducer
I Penalty $ Sewer/Water Connection Fee
I Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
This Application Becomes Your Building Permit When Approved
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Paid
Date
Buildlllg Otlicial
Date
$
$
$
$
$
$
$
$
$ B~. ~O
Receipt NoI-!f{'()'/S
By Ct' -
0-
#
#
#
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ThIS IS to certifY that thc 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 constltutcs 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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /7~// 06ElZHe:lO 0/2..
TYPE OF WORK Ot/~
USE OF BUILDING /Z6f ~//L
PERMIT NO. Oil. 0/3 S- DATE ISSUED 2" ZZ ,.oS
BUILDER 1//1$1"1/ /UJ:7 PHONE # 44'0. (P194-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING Ce:xIs-r-i,JG, \ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
, FINAL
.'
#0/
/ I'
5/1'.10$
....
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE ...-/. /
INSPECTION NOTICE SCHEDULED.J'7~ A>5--
ADDRESS /77/'// 4erMd~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
./J .MECH ~L
//~c/c
, .
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
./ /
~ /
/OO/GS
CONTR.
PERMIT NO.
/1"~ -/SS--
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~ORK SATISF RY. PROCEED
h\~ORRECT ACTION AND PRO cc:u
o CORRECT WOR~~ YINSPECTION BEFORE COVERING
Inspector: f/V- ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cf SAFETYI
/NSIiOTl