HomeMy WebLinkAboutBldg Permit 05-0302
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4.2-0.05'
I. White File
2. Pink City
3 Yellow AppliClnt
PERMIT NO. Os. 030 Z.
(Please type or print and sian at I . .,., ,)
ADDRESS
z'....liI.LJ.~G (office use)
LEGAL DESClLr uON (office use only)
PI- oF' Qo
LOT BLOCK ADDITION
(1950 G/UJP/Yl /d~~jJA 'ru..;J2
()~~
V
&~ ~fa~ ::fAd<l (f\*,-!?,~~)
(Address) ( ~q ~~ 0 (1)/1 0 P.;n /1./ //~ f/(d
JS-+
PID /Od- ()d-C)-('
(Phone)
9 S d- - R-SLf - 7~os-
BUIl.DBIt -. /
(Company Name)h ru -hUA/2-D SOh r7 K&-c)
(Contact Name) tb~ L'rds" i.fr~
(Address)~Q)~ Ii)) J-J..-:. u/Jd kA _ IkJ.LAJ:if C!.-
))l~vrL, tn~S-/09
TYPE OF W6RK 0 New C~nstruction o Deek o Porch ORe. Roofing ORe-Siding
o Addition OAlteration OUtility Connection 0 Mise,
(phone) Jp~C;-/ - )7-f'- C; yqg
(Phone)
OLower Level Fimsh 0 Fireplace
CODE: OJ.R.C. OJ.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
1
mIV
H I
2 3
v
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land) !-- ~
<:.m. -
~
11fC'LI/V
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzcd agent for the
above-mentioned property and that aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;cial~ke.thor~~~ause. Furth......._. I hereby agree that the city official or a desiC(~\ fter upon the property to perform neer; 1tlOJ-
Signature Contractor's License No, / Ibate
Permit Valuation 500, Park Support Fee # $
Permit Fee $ '~IC)"'-- SAC # S
Plan Check Fee $ /0-;)-5 Water Meter Size 5/8"; I"; $
I State Surcharge $ J 5'0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
I Gas Fireplace Permit Fee $ TOTAL DUE $ Lf/ 7S-
I
/J ~, - Receipt No.~;i 1/7
BWYmo;;;p- I Paid f' 7'-"
I Date . ')/\ rL Bv /:"
(/- .J (j--
I ,
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 requL'Sted. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constrllction to commence. Before occupancy. a CLTtificate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-98SO, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3 ~50 G;~ l-l-fJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
,. ~ee Qllt~~~
(\1
~ JOs..e-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-C7~
{'~
TIME
5-StJZ..
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
J I
~ 4/Z2/tf,.;
I I
INSNOTl
I
LO
'--
o WORK SA TISFACTORY, PROCEED
)(.CORRECT ACTION AND PROCEED
o CORRiORK. CALL FOR REINSPECTION BEFORE COVERING
Inspecto:t ~ Owner/Contr:
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
) /) ('\
~\\~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
37'SO ~
\4~.
-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I. Vl'lK1.,,~ ~cc:.g..c;c; k
Qo\MJlJU L_.....~_
DATE
~
CT" ,
TIME
~- 307....
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
{l GASLlNE AIRl..S,r
f- f(/<f. Sp~
~ ~'ru ~
2, R....ViL
~+e.J,.~
Floc.> t~.\.-
3. Preu. ~
.).0
Je~.[;..{. fi.r~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
>\,ORRE RJ<. CALL FOR RElNSPEcnON BEFORE COVERING
Inspector Owner/Contr:
CAU.~ -985 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE '/REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 31SO ~ (..{~
~
OWNER ~V"- J~<;. CONTR.
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FJHAL-- ............
G;!I SITE INSPECTION ,)
COMMENTS:
J, ~Qi (1. ~.~ (~'h~~
r-., u."..C) lJ ~_
OA TE TIME
f2'1/otr
~ - ~dV
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~Q~ ~~ ~
2" R"~ A-~ '"~ tf:.Ule-l t
uo ~<L1b c:;k-.c&~
. -
CAr.p ct...C3- .
:? Fctoll. ~rt-"~~ r.w~w .- uv:>~~ub ~~
a.J'\Q.OS
rIA ~f t"cJ. t'~. c;/L.,.,..kI.......J) ec..k r,..J::sa
h\,l~~ ... tl-,~ <;;fo.eu - efc..
pta\):~ o.n!..~'" ~ F.: CX'" .
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
X ~rr' CALL FOR REINSPECTION BEFORE COVERING
Inspector: W Owner/Contr:
CAL .447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!