HomeMy WebLinkAboutBldg Permit 05-0240
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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(Please type or print and sign at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
White File
Pink City
Yellow Applicant
Date Rec' d
1- /~,f J
PERMIT NO. Os. 024-0
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LOT 35BLOCK i ADDITION WOO DS @.. 7/--te: f1/ ( L,-DJ
OWNER
(Name) ~()VL
(Address) ,3 i, \4
BUILDER
(Company Name)
(Contact Name)
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ZONING (office use)
PliO
PID 2.5"".383 . 03)-. ()
(Phone)
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(Phone)
(Phone) ----1Sl- - 44t> - II S D
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TYPE OF WORK 0 New Construction Irleck o Porch ORe-Roofing ORe-Siding
DAddition OAltera~ o Utility Connection D Misc.
(Address)
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
OLower Level Finish 0 Fireplace
B
S U
PROJECT COST /V ALUE $
(excluding land)
L, I boO
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 authonzed agent for the
above, mentIOned property and that all constructIOn Will conform to all eXlstlOg state and local laws and Will proceed 10 accordance WIth submItted plans I am aware that the bUlldmg
:fiClal can revoke thl\PjIllt :or~ I se FU:h 'more, I hereby agree that the City offiCial or a deStgnee~:;: ,u~ ;h~ p~erty to perform needed m;c:4 -b S
~ ~ Contractor's LIcense No Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
.3 000. -.:;J
$ J' g', .zs'
$ ShJ'
$ /.,f'tJ
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
.#/~ yk~S-
-Building Otlicial ., D~e
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
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Water Meter
Size 5/8"; 1";
ThiS IS to certify that the request in the above applical10n and accompanying 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 Celtificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued
Planning Director
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
TOTALDUE t'RUf:Z) 4 ,~.OS-
,,~
JLI;'I.II _
. '(./- ,;- 06
Paid
Date
Receipt No.
~-
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 32M- 771111~ UJe.
TYPE OF WORK Qe4lt:.
USE OF BUILDING n,e.r ,,/IIi!
PERMIT NO. OGJ) D~E ISSUED +.~ tI4r
BUILDER ~ PHONE # HO. T1.sD
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING u c- I I?l:ECrOff I 7 ! ~i~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG~E'D
I I
FINAL 9/) I .I I~ /J;:. I
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE J / I
INSPECTION NOTICE SCHEDULED 12.1-!tJ""
ADDRESS 3:2~ ~_~l~t.p
OWNER
CONTR.
PHONE NO.
PERMIT NO,
5- - 2..c1 tJ
o FOOTING
o FOUNDATION
o FRAMING
, q)NSULATION
)S... FINAL t':':J-
o SITE INS)'ECT'!brr
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
, 1
(\\~~ \.~
Ji WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORlIRrQ iK, CALL FOR REINSPECTION BEFORE COVERING
I (
Inspecto _ h Owner/Contr:
CALL:~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI