HomeMy WebLinkAboutBldg Permit 04-0876
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~. ~~~e ~:~y I PERMIT N04 _ S '1{1
3 Yenow Applican. '"
(Please tvDe or urint and sic at b, ,......)
ADDRESS
ZONING (office use)
Av~ N.€:.
AsPti1-N
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.Pu~
LEGAL DESCRIPTION (office use only)
5' A'-i) Pc:>(~ 21'{1
PID 1.. 5 _ZOSO~O -0
LOT 't.--BLOCK 1, ADDITION
OWNER <::::"_
(Name) W'!A4tv .J\~ ~~(o
(Phone)
(Address)
J1yWS({
M,ke
3Co5u
BUll.DER
(Company Name)
(Contact Name)
(Address)
f2vo (jf1C,
95;- f'lA '.:1)%'1'.::2
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(Phone)
(Phone)
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TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding
DAddition DAlteration DUtility Connection 0 Misc.
CODE: ~.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
DLower Level Finish
o Fireplace
3700.00
PROJECT COST /V ALUE $
(excluding land)
ill IV
H I
2 3
V
M
4
A
R
5
I
E
II
F
I
B
S U
B
A
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 authorized agent for the
above-mentioned 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 that the building
:fficialcan~ Furth~;:tthecityOffic~lor~iO/~nt3i7rertytopcrform1r301 (J Y
Signature Contractor's License No. Date '
I Park Support Fee
SAC
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fe;
$
$
$
$
$
$
$
$
$
#
#
~S-oO _ -
74p'i ~
$
$
$
$
$
$
$
$
Water Meter
Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
Other
\.2.~
#
#
TOTAL DUE
'''..-
Receipt No. .4 ( n0
~
I
lJfl:;;.:t-"'m.gp:;;:;:W;"
Bu~ Otlicial '\. I Dllte
~
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 I
when signed by the City Planner consl1tutes a temporary CertIficate of Zomng compliance and a\1ows conSlruCl1on to commence. Before occupancy, a Certificate of Occupancy must be
issued
I Paid 1~. I
I Date ~/"+
/'
By
Planning Director
~ate 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE Tille
J~d;-
ADDRESS / Y" // 0 ~r-
OWNER CONTR.
PHONE NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
~INAL
[J SITE INSPECTION
COMMENTS:
4 /)
/C-e/ool
~--
/ -;/
( ,/,Z6S~
"--=-.
PERMIT NO.
dL/- J>?b
[J PLUMBING RI
[J MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
[J MECH FINAL
o EXIGRADIFILLlNG
[J COMPLAINT
[J FIREPLACE RI
o FIREPLACE FINAL
[J GASLlNE AIR TST
[J
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A WORK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
[J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IJISNOTl