HomeMy WebLinkAboutBldg Permit 04-0875
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
3 Yellow Applicant
I PERMIT NO.4 -f375
(Please tvoe or orint and si~ at bottom)
ADDRESS
ZONING (office use)
tZ., ~b
3l ",-z.. L'~~N C(1l- lJ_w
LEGAL DESCRtr uON (office use only)
LOT S1LOCK ADDITION
?Jo/Z.rlr~
PID Zs ..tAft e>~4-o
OWNER
(Name)
~N5.rr-Ll.FY
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) 1& ~lJ
XYf~ l!j(X)hti, krK-
- lAl ~Q') tIt.)f I.ltJ ri:la /1
- -
'I q ), - -1 Y'I:l..
(Phone)
(Phone)
ml() 55'?S~
TYPE OF WORK 0 New Construction ODeck OPorch ~Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAddition DAlteration DUtiIity Connection 0 Misc.
3~&. aJ
CODE: OI.R.C. OI.B.C.
Type of ConstIUction:
Occupancy Group: A B
Division:
PROJECTCOST/VALUE $
(excluding land)
I
E
II
F
1
ill IV V A
HIM R
2 3 4 5
B
S U
I ht'feby cenil'y that I have furnished information on this application which is to the best of my knowledge trUe and correct. I also cenil'y that I am the owner or authorized agent for the
above-menl1oned 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
;cial calf;;,;u;::se F~~ee that the ci~ officia~inam3/t70? property to perform need?J3dld y
Signature Contractor's License No. Date ./
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Pe it Fee
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
I ~~~ lrio~f[
$
$
$
$
$
$
$
$
$
#
#
z,<)C!'J()., -
$ ., ~,"1-S-
$
$ ( .. '2--~
$
$
$
$
$
#
#
7~.J -
ReceiptNo:..~
By ~_-
This
Buil..ihl!~1 ~
-- .,
ThiS IS to cenil'y that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a$ requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Celtificate 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
-.. rTE nilE
-7~--
ADDRESS ~/6.2- .c:::;;.,/e~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~.y- P?,-.r-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)il'"'FlRAL
o SITE INSPECTION
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:
/J /7
/C(!rI!'JO /-.
. -
.-? ,,/
L.t:7~ /e rE:-
-------_.~~_.._-- .
/ ....-J /'
(
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ffiORK SATISFACTORY, PRU\#~~U
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _ Owner/Contr:
==--~
-- ~. )
(' -~S<- /? /p /'
-----
--
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
_I