HomeMy WebLinkAboutBldg Permit 05-0277
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4 ~ i..,iJ
I PERMIT NO.
I. White
2 Pink
J Yellow
File
City
Applicant
5-z,7
(Please type or print and siJtll at bottom)
ADDRESS
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ZONING (office use)
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LEGAL DESCRIPTION (office use OnlY). . ~ \. \
LOT ""BLOCK z:s- ADDITION VU I~ ~ \.10~
\
PID t c. 404 .okt>-o
-'
-'
C au\ e~l
Cuvc~o.r ?~ \\r-. NW
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OWNER .
(N ame) =..Do'(\; p \
(Address) '2 q 0 Co
952- 233--0CoY 1
(Phone)
'?(\v(
L-G~
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
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TYPE OF WORK 0 New Construction Jdoeck OPorch ORe-Roofing
, DAddition o Alterron OUtility Connection 0 Misc,
CODE: rl1.R.C. DI.B.C.
Type of Cf;.struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have tl1rnished mformation on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authorized 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 buildmg
offi~oke !his ?,ymit fO~. !se Flllthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspections.
X 'UC' V ( _ ~ 4-fl-o~
Signature ) Contractor's License No, Date
~/
W:z.-=;-
;:;1.:~
''O-,e:>
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$ 1(7./1
Permit Valuation
#
#
$
$
$
$
$
$
$
$
Permit Fee
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
Gas Fireplace Permi} Fee _
I 1J
~ y- B....... p~ : Aro ro;;
Date
TOTAL DUE
Paid J 47~ / I
Date -4./2,0.5:'
ReceiPt No_ +9/0(P
BY~~
1 ---
ThIS tS to certify that thl' request in the above applicalton and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
when signed by the City Planner conslttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certtficate 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 -DEPARTMENTOF
. BUILDING AND INSPECTION
INSPECTION
RECORD
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" RG-S /Tk-
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DATE ISSUED 4-/;z.-k>"
I /
BUILDER bltNi (Iff.- (1Ai/L6-i.I PHONE # 9'~2.-Z3~ ~
- ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
....,IN~ECTOR
J FOOTING I (rl 4.J(. N (
PLACE NO CONCRETE UNTIL ABOVE HAS B"EEN SIGNED
~u"BE I I
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. tf/5-Z,7
DATE
J FINAL
~ A I J
I In!;; I '".)/J?/b
Call between 8:00 and 9:00 A.M~or all inspections' .''/ ..,
FOR ALL INSPECTIONS (952) 447-9850
OA TE TIME
CITY OF PRIOR LAKE IJ~'I
INSPECTION NOTICE SCHEDULED I ~ DS
ADDRESS 2'7OfI OW)Al \P~
OWNER CONTR.
PHONE NO.
PERMIT NO.
~ -0277
o FOOTING
o FOUNDATION
o FRAMING
o INSULA11Q.N l
INAL -~
~ITE INSPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFllLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
...---
" ~ J ()
(1~/~, r;-tA-
(' J
t. If
~RK SATISFACTORY. PROCEED
o CORRECT TION AND PROCEED
o CORRE W RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CA .L .9150 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
VJ
CODE 'EQUlREMENTSARE FOR YOUR PERSONAL HEALTH &: SAFETY!
'NSNOT,