HomeMy WebLinkAboutBldg Permit 05-0734
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sixn at bottom)
ADDRESS
Date Rec' d
'1. Z,1. ()S
I. White File
2 Pink City
3 Yellow Applicanr
PERMIT NO. OS.()?.34--
/14-~O oeb~e:z-o OIL.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PID 2.5,4t:JtJ. 0 ~7" tJ
fi//Gt/Jr ' ,M(/,e,'Gl- F/flt/t..-JoJ
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck DPorch DRe-Roofing DRe-Siding~L';WC;";:~ F.inish 0 Fireplace
DAddition DAlteration DUtility Connection If' .;> ,." '/~
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
ill IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I have fi..mished 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 aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
omcl~n revoke thiS permit for Just cause Furthermore, I hereby agree that the CIty offiCIal or a deSIgnee may enter upon the property to perform needed InspectIOns
X LdJ/AuA 1-f], (Y~ ~<-f)~ ~ I. -z-tg..r-
--~. L~ignature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee dv IIV#eMJ
Mechanical Permit Fee' $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
7? 75
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $ I,Ob
TOTAL DUE $ //7.2S
Paid /nZ~ Receipt No. ~8.:Yi
Date -7 7..- t. t7 r ~. /
,
/.SV
~, ()()
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 aUows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslled
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
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPEcnON
INSPECTION RECORD
SITE ADDRESS /7~O LJb~6t-O tJlf-.
NATURE OF WORK ?~WG:lC- t..eVez-
USE OF BUILDING ;2eJ /I /L
PERMIT NO. 0 S. 0 734- DATE ISSUED 7. :2 9. os-
CONTRACTOR' P/IlIU'O A/ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
... EC'I'OR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I ,
FRAMING
INSULA nON
ELE~ I "leAL
PLUMBING
HEAnNG (If required)
~
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~
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
8~ING
EL~, ...ICAL
PLUMBING
HEAnNG
DO NOT
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.
y~
j/'~
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12/~/~
/;i / 1/" /~
" ..
SIGNED
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
This card must be posted neer an eiectrIcIIl service cabinet prior to rougtHn Inspections
and maintained until all Inspections have been approved. On buildings and additions
where no eervlce cabinet Is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS
/7 $/00
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
q.~LATION
~~~L
o SITE INSPECTION
DATE TIME
SCHEDULED qy~
#-eer4//4
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~o S R HOOKUP
. LING FINAL
ECH FINAL
COMMI;NTS: ~
"'-7't!-6 ft-~~ /
.~
/F~ t'
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/v1/t., ~/6';7 ~k/
A; _ -"'" ~
p,ud~ ~~/
/> /'
/'7~{
..;?
c:!9 ((
~-~v
r
o EXlGRADlFIWNG
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLlNE AIR TST
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/ ~/ 1!~
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~
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r I'~S-.p
~RK SAT~YI PROCEED
~RRECT ACTION AND PI<V~a::ar-
[J CORRECT 17r.ff;:'? REINSPECTION BEFORE COVERING
Inspector: Y--/" ---OW;;r/Contr:
CALL 447.9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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