HomeMy WebLinkAboutBldg Permit 04-0273
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sip at bottom)
ADDRESS
/(P050
Date Rec' d
~. ~i~~. ~::y I PERMIT NO. 0'.//./ "'"l/'7I:::?,
3 Yellow Applicant c..;" c;::r /~
,ll/o,e77i IVOO D
/Gt) rtD
NW
ZONING (office use)
RISD
LEGAL DESCRtr nON (office use only)
LOT Z OaLOCK J ADDITION /5L..1'1 NLJ V Ie W 4 rtt
OWNER ~
(Name) , I ~~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Le:; vj)fl.6-j} I ~
PID 25. z+q. 020.0
,(
(Phone) fSd- - LtlfO-a6JJ
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch 'r5(Re-Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conn~n 0 Mise,
CODE: DI.R.C. DI.B.c.
Type of Constroction:
Occupancy Group: A B
Division:
I
E
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
II
F
1
I hereby certifY that I have ftlmished 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 entl d property ~~~ constr~n will conform to all eXlstmg state and local laws and wIll proceed 10 accordance with submiued plans I am aware that the buildmg
offici I can revo e thIS perm( ])ause y~ermore. I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed mspectlOns,
X l~ ~Si~ Wfj\~ Contr_,',Li~No ~ oL
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 Permit Fee
z,50().OO
$ 74'.'15
$
$ 1.25
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
Building Ollicial
Date
I Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ '761.00
Water Meter Size 5/8"; I";
1 Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
Other
#
#
TOTAL DUE
I Paid
I Date
//j> ..-
LI- /~-/il J
{ v .4
" J. .I,{ ,...,
ReceiptNo.H~V~ I
By ~
~~
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
DATE
~J4r
, I
/6oso ~#~~d
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-.2V
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-
;? /J
/-e roo F
/J :I' /
CO~~/e re
/
------
.~~
/..-,/1 .~/ ' )
l I ~QS~ /-//~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~~~JR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH &: SAFETY/
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