HomeMy WebLinkAboutBldg Permit 05-0234
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
33/~O~
~i~~e ~::y I PERMIT NO. O. c _ 073 L1
Yellow Applicant ::;::7 '- ~
ADDRESS
/5385
~/v' e;- ~
ZONING (office use)
Jtf!--I
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 2- ADDITION
WIt/OJ (p p-t
PID zs- 4rz. 0 II. 0
. .
OWNE~ I
(Name) . I'\Y'I f
CCl5-€1
(Phone)
q 5- 2.. - 4 YO- '-18/ tJ
(Address)
I . 3~s
LV
BUILDER .~ i A I' · I I
(Company Name)~.J'(.lL~ VI f\ 1'fV\ I ~
(Contact Name) ~I 1Ze~ c,(~
(Address) jO I q 7"J rrj Ave. 'N:
to /2 - 'j51-~J' 0
(Phone)
(Phone)
o'\~F
TYPE OF WORK 0 New Construction
DAddition OAlter
CODE: oo1.R.c. DI.B.c.
Type ofFstmction: I II
Occupancy Group: A B E F
Division: 1
Deck OPorch ORe-Roofing ORe-Siding OLower Level Finish
on OUtility Connection 0 Misc.
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $
(excluding land)
y y '-'I
o Fireplace
I hereby certifY that I have fl1mished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized agent for the
above-mentIOned properly and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can rev mit fouu t cause FUlthermore, I hereby agree that the Clly3a ~g:ee~a~ent~u9n the property to perform need.';;;T'3ti;nj 05
Signature Contractor's License No. Date
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
#
#
-~ /'
. i :.(..../
4 J{)5
TOTAL DUE
Gas Fireplace Permit Fee
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~;ceiPtNO ~~
~~~?:J;~gPttttUt WbmAWffW,d
Bulidllll! OttlC1a1
Paid
Date
$
$
$
$
$
$
$
$
$
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 conSl1lUles a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /53 B5 Url/l/6 e;:r
TYPE OF WORK D~
USE OF BUILDING /2eI njlf:...
.
PERMIT NO. Os, 0 234- DATE ISSUED 4-. j. OS-
BUILDER DECKS UNf..jl"1lTC,n PHONE # (p/z. 859 84-/0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.-..- I I
.-
I WI- I
I FINAL
/ ,
r;~/o~
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
~~J-
if
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS / S-..J f( S- C c? fl €
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJS- - .2J.y'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
j!1 MECH FI AL ~ 0
?/--e c c-- ft,rl q
L
_ /Ce
//
r6
Inspector:
REINSPECTION BEFORE COVERING
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI