HomeMy WebLinkAboutBldg Permit 05-0347
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White
2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO.a l) -~ij IJ I
(,
./ l i OV
Vl ~f
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER...-r:- Jr'( _ /i J\ \ '^ h.
(Name) (OM ~Le-C\JV\fllll\W'~~ (Phone)
(AddressJ3~ X j)'r- IVY Wt>>'1> Sf- St.L ]A.,~t' ( 11- (~
t./cf 7 - 21 Lb
tIA. JJ .s -s 3 7 'J-
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction \iiDeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteraafot DUtility Connection 0 Misc. Mell'r(~,J
CODE: ~.R.C. DI.B.c. PROJECT COST/VALUE $
Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I hereby certify that I have Furnished mformation 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 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can r oke th.. is permit for Just c.ause Fmthermore, I h7by agree that the city official or a designee may enter upon the property to perform needed mspcctlOns.
X. pd.. u/.(~~h~__ 4'.;J?t?~
Signature J Contractor's License No. Date
'it!J() I), of)
$ 'II. ZS
$ ~ ,b'/
$ I S'a
$
$
$
$
$
Plumbing Permit Fee
Water Tower Fee
#
$
$
$
$
$
$
$
$
$
b8',5"
Permit Valuation
Park Support Fee
#
Permit Fee
SAC
#
Plan Check Fee
Water Meter
SizeS/8"; I";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Gas Fireplace Permit Fee
Builder's Deposit
I Other
I TOTAL DUE
Mechanical Permit Fee
Sewer & Water Permit Fee
i::: B~"dm' P:;/:D~atee~;'d
Building Otlicial ~ (
Paid 6~:-O,,;) b ReceiPt No.L/KIc;rt]
Date L/ - 6lc?,-.~ B~- ,
~
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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 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 S5372
Special Conditions. if any
PRIOR LAKE'" DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~J'5S "/llfJlt.~d/) $/Rt!T S.E.
TYPE OF WORK ~ OEe"- A/)/Jino~
USE OF BUILDI~""idJ S.F: A, -.-
PERMIT NO. ~ . DATE ISSUED r/2~A..s
BUILDER ~! OVU (1MN1JI~ PHONE HflV}'.. nZ'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
ajA' ~". ~Ec:rOR ,.~
FOOnNG I .~~ I ~~/~s-
PLACE NO CONCRETE UNTIL ABO"VE HAS BEEN SIGNED
r FRAMING I I
Rti... TIS 1>"'-a.~
I FINAL
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FOR ALL INS~ECTIONS (952) 447-9850
DATE nME
CITY OF PRIOR LAKE , /: /
INSPECTION NOTICE SCHEDULED.J' /1/6<;-
ADDRESS 5L'JSO" A~~C&o:1 ~4
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-~~7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: /l /
~~c/c
(~:~~C~~~:)
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----.
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/.- / /-
( ? CdSe
~ORK~Ry.PROCEED
o CORRECT ACTION AND 1-'1{UCEEl)
o CORRECT WOR~. ~L.: ~ 7SPECTION BEFORE COVERING
Inspector: ~~ QwrreflContr:
~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI