HomeMy WebLinkAboutBldg Permit 05-0317
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Applicant
PERMIT NO. 05,03/"7
(Please type or print and si2l1 at bottom)
ADDRESS
Iyqd-O Lol-l Ril S~
LEGAL DESCRIPTION (office use only)
LOT~LOCK ADDITION e~cc1
Date Rec' d
1/zrf5
ZONING (office use)
R/5LJ
PID~~-- 1/1')- 0;:;- I
OWNER ^
(Name) G~ L.
Cf
V Oftll1( Cf)
K,&~
(Phone) 4Lf7 -58)~
c..atJ if- QS2 - 2tJO-7(PLfV
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction rXDeck o Porch ORe. Roofing ORe.Siding OLower Level Finish 0 Fireplace
OAddition OAlterat~ OUtility Connection 0 Misc.
CODE: tl.R,C, OI.B.C. PROJECT COST IV ALUE $
Type of ( ~onstnlction: I II III IV V A B (excluding land)
Occupan :y Group: A B E F H I M R S u eKcU-f- trejJ/aL/'P ;neft,./-r-
Division: 1 2 3 4 5
I hereby certify that I have hlrnished 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.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
:fficial (a)~ ~or JUJl:use~.;ji~rebY agree that the c,ty official or a designee may enter upon the property to perform needed '1e~~~ -o!;;
Signatu& Contractor's License No, Date
Permit Valuation
Permit Fee
rq 3000,00
$ 8O.2.S;
$ S-?.3 G,
$ t ( '5"0
$
$
$
$
$
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE t/nz,tt:-V y. Z<;,t)J,-
Park Support Fee #
SAC #
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
. s Application Becomes Your Building Pennit When Approved
Paid /4'/. 1/
Date ' <1-.2&. OJ-
Re=reiPt.N :-
By "
/.
~
#ZzAs
f / Da,t€
Building Otlicial
$
$
$
$
$
$
$
$
$/~7,//
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--
ThIS IS to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner conSl1tutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447.9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
"
INSPECTION
SITE ADDRESS ,J! ~?'l D
TYPE OF WORK EXAf:r .r
USE OF BUILDING ~D. ~
PERMIT NO. ,~- 3 ~f DATE ISSUED f"h z../4f ~
BUILDER1)uAMC t ~8IMJ.c~ ~ PHONE~"Zt>>-~l.f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
f FOOTING I ill/(/ I fv,~~
PLACE NO CONCRETE UNTIL ABOVIlE HAS BEEN SIGNED
I I
, FINAL
1fI)f;
/" ,
7/6/~s-
. I<
FOR ALL INSPECTIONS (952) 447-9850
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/y??.z()
4r, .,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
....-r:rNAL
o SITE INSPECTION
COMMENTS:
/'
,L)
J: n~
,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
D.HHFINAY
?/ ~ c /c...
~
/
I
DATE TIME
7AAs-
4
C?.5--S/ /'
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~/
VA-
---- ---
o . CORRECT ACTION AND PROCEED
o CORRECT Wr.J' ~FOR REINSPECTION BEFORE COVERING
Inspector: y~ / ~ Owner/Contr:
- r
CALL 447.98~<<:' FQR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl