HomeMy WebLinkAboutBldg Permit 04-0863
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sip at bottom)
ADDRESS
Io/j I ()
Date Rec' d
I. White File
l. Pink City
3 Yellow Applicant
PERMIT NO.Ot{ - fh~
RU4/~- Rd
ZONING (office use)
LEGAL DESCRIPTION (office use OnIY)_ A1 1..- .1_ /J... d ~ _.
LOT ~ BLOCK I ADDITION f{ /(.Lr~ ~
~~
b
PID';>S" /liD - Ck7f-d
OWNER
(Name)
(Address)
(Phone)
-
, /
BUILDER lJ' .- \.. 1'Prt~ I " I (1.''0 ~-
(Company Name) . JA)~IU.\lVV ULJ .5'0. (Phone) 4-74-4t65
(Contact Name), ~:b.X H.\~. . (Phone)~,-.-'l?.I- 3~
(Address) J1f)-2.~ ~\ r~/ ~OOD, ~~ 7:J~331 ~U-
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ~ng OLower Level Finish 0 Fireplace
o Addition DAlteration DUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
-."..-..-
II
F
1
ill IV V A
HIM R
2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
B
S U
x
I
I
I Permit taluat~
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 Permit Fee
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
wiu onform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
r , I hereby agree that the city official Or a desii :;:;;:::.property to perform neede~;;/ 04-
Contractor's License No. Date I
$
$
$
$
$
$
$
$
I
7t1,75""' I
I ,. c?~
I
1
I
I
I
This Application Becomes Your Building Permit When Approved
Paid
Date
$
$
$
$
$
$
$
$
$
/ ~ (ff4.-.h'.~ I
"70.-::- I I R.eceiPt No. ~'/...,-.;;jJ /
fe-.;1l1~Lf By ~
Buildinl! Ollicial
Park Support Fee
#
~oc,...--
SAC
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
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 constitutes 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
. SCHEDULED
ADDRESS
67/& La ~ c
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)d"'FJNAL
o SITE INSPECTION
COMMENTS:
.y4 ,/
/~S/ de
~
/'"
(
'--
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
TIllE
ex/- c?6~~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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cVWORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT wo~' ~~OR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
10'
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
INSNOn