HomeMy WebLinkAboutBdlg Permit 05-0257
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and silUl at bottom)
ADDRESS
/lJ~~;J /11/8
14-3Z!
White
Pink
Yellow
File
Cily
Applicant
PERMIT NOoC!'S-2S7
;JE
LEGAL DESCRIPTION (office use only)
LOT 2-BLOCK 7 ADDITION SI1N{) p/: 2tJi:J
OWNER
(Name)
to,Ii'a AA 0 A~(' I~A/
As;Oe AI 41./ e
/
(Address) /4:Ja/
BUILDER
(Company Name)
(Contact Name)
(Address)
m IV
H I
2 3
(!jl)
M
4
Date Rec' d
ZONING (office use)
pr)O
PID -z.5: 205. 04>7. 0
#E
(Phone) told}. -7~f- 96.3 7-
(Phone)
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
.# q.5?-
$ '-612/J
~tf6l
5
PROJECT COST IV ALUE
(excluding land)
I hereby certifY that I have filmished 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-menttoned property and that all constr tion will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the building
:flcial can revok this permit or Just ca urth ore, I hereby agree that the city official or a designee may enter upon the property to perform ne~~n~
Signature Contractor's License No. / / Date
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
~ddition DAlteration DUtility Connection 0 Misc.
_/ \0 ~1l6O
CODE: DI.R.C. ~.B.C.
Type of Construction: I II
Occupancy Group: A B E F
Division: I
Permit Valuation tt:;" (J c.9, -
Permit Fee $ Jl.f;.-
Plan Check Fee $ I ~ :L~
State Surcharge $ .~O
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee /1 $
,. ,
dW'P;;;1;'N
rt1te
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid A\~ l~
Date -+f~~
. .
#
#
$
$
$
$
$
$
$
$
$
1-f. 7 '>
#
#
ReceiQ.t~R~
By ~ .
ThIS IS to certifY that the request in the above applicatton 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
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 ,DEPARTMENTOF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS \ "T~'Z.-I A~pEtJ Ave. "5": E .
TYPE OF WORK taloA:./ry. ~~ ~I_);~
USE OF BUILDING RE~ A-/FL
PERMIT NO. t1s,.. Z S 1 DATE ISSUED 4 / ~ 1t:1 ~
BUILDER W\c..t-vIW\ A~b'-5--N PHONE # '",; "14 3 -~fc73\
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,.... ~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
H J:l1L - -16 I I
I FINAL
ftbt
r/
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"
FOR ALL INSPECTIONS (952) 447-9850
DATE
~~-
/Y3..2/ +.e~ de
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTlON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~ /' - ,..,. - /' //' /
n A /D /~dcl~) 'h. ~~
- P//S7/~9 (?A~ rl
7r~ ,eeh...u~(.)s e ') --
L-.~ ---'
~-=; /
_/
C/rC
TIME
Q<;- -2)/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,;
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----- .~
~/"' ~~/ ~
/ r~~J'--e t~ (~ )
~ORKSATIS~'PROCEED ~
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!