HomeMy WebLinkAboutBldg Permit 05-0326
(Please type or print and sign at bottom)
ADDRESS
3735
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~, ztR.05
White File I PERMIT N
Pink City O. O'S.O~Z~
Yellow Applicant
FOX
7?1 / t-
/I~
LEGAL DESCRIPTION (office use only)
LOT3"qBLOCK / ADDITION 11IeNJr~/T7J~ '2 ~
OWNER ~
(Name) ,~) l) N' l.\. Le-<.
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
ZONING (office use)
,ez-
PID z:>. 386-' (}.f7 ()
D~
(Phone)
q'S'2 q~~ '7J?"7
(Phone)
(Phone)
- J..?J!I1 ~ (
TYPE OF WORK 0 New Construction .!U>eck OPorch ORe-Roofing
DAddition DAltejltion OUtiJity Connection 0 Misc.
CODE: l'iT.R.C. DI.B.c.
Type of l;struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
PROJECT COST/VALUE $
(excluding land)
D Fireplace
I hereby eertifY that I have hlrnished information on this application which is to the best of my knowledge tn.e and correct. I also certIfY that I am the owner or authonzed agcnt for the
above-menlloned pr erty and that all construction will conform to all existing state and local laws and will proceed in accordance with submilled plans. I am aware that the buildIng
official can revo this rmlt for Just cause Furthermore, I hereby agree thaI the City offiCial or a deSignee may enter upon the property to perform needed InspectIOns
X ~!a! ~ Contractor's LtcenseNo ~~~~e6#~
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
500.00
$ Z~ .0 0
$ 11,.2-5
$ . SlJ
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE ef~ 4-. 7'Z, cC
This Application Becomes Your Building Permit When Approved
Paid
Date
LlI,. / J
E- I '1.- c,
Receipt No?l~/lf (}--'
BYr?
rY
~~
Buildll1g Ofticial
#o17ftS-
Date
$
$
$
$
$
$
$
$
$ 4/. ,5
ThIS IS to certify that the request in the above applicallon 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 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 INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3'733 FoX I HI L I/CA / L-
TYPE OF WORK oet?- S/A./ ~5
USE OF BUILDING eo.s A/If:-
PERMIT NO. 0 5. 03Z 0 DATE ISSUED 4. '2 ft? () ~
BUILDER /Jf:,;V 0 PHONE # 4<f--O. I zo 7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
, FINAL
FOR ALL INSPECTIONS (952) 447-9850
^".,___,,,~__"'__'"~'_''''''' ,_.,._' ~..~._h'_"_,_,>-."_"_,,,,,-_,,,,_,,,,,, ...-"'t"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~
TIME
ADDRESS
3flS")
:r;x - -4 J Tr
PHONE NO.
CONTR.
PERMIT NO. L:::>.... 32-.fL.;
/
OWNER
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o jNSULA TION r. 0 SEWER HOOKUP
"I!JFINAL Oec-l~ <;~~O PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-1U
~
n
\)!~
:9LC~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
lNSNOTl