HomeMy WebLinkAboutBldg Permit 05-0974
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I Wllite File
2_ Pink City
J Yellow Applilcant
(Please tvDe or 1Irint and sian at bottom)
ADDRESS 15 4&l::L / ~ t.-a-rJcf V" e w t1 w
LEGAL DESCRo: .. ...ON (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
f1J.. yl / F7- t /,- e---
/5 qe-./ ?--. /~ t-cu101 V I? 1//1 vJ
(Phone)
BUR.vr.A
(Company Name)
(Contact Name) _ {!x,.e>>
(Address) {
Date Rec' d
p~
I PERMIT NO. {)5 .ot?74--1
ZONING (office use)
PID z,G. 22.15. 005.0
SEl.A ROOFING & REMODELING, INC
4100 t:X(;t:U:iIUH ~lVU.
m-. LOUIS PAnI<, MN ::;541 C
10 t0001050
(phone) c:e ( 2- t{7-.3~()c..(~
(Phone) te I 2- Z 'f 0 7 ~Z-S-
TYPE OF WORK 0 New Construction DDeck DPorch ~.Roofing ORe.Siding DLower Level Fimsh 0 Fireplace
OAddition OAlteration DUtility Connection 0 Misc,
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
n
F
1
m IV V A B
HIM R S U
2 3 4 5
PROJECT COST IV ALUE
(excluding land)
I
E
s tJ.'3 00
.
I hereby certify that I have furnished information on this application which is to the best of my knowledge we and corm:t, J also certify that I am the Ownlor or authonzl-d agent for the
above-mentioned r'"r __ '" and that all conswction will conform to aU existing state and local laws and will proceed in accordance with submitted plans, I am aware that the building
Oftici~al can rev.oke this permit for just cause, Furthermore, J hereby agree that the City official or a designee may enter upon the <'"r _",'to perform needed inspections. _
X, . /1J~ /.0 < n ct-J.-...q-5
. 'Signature . Contractor's License No, Date
I Permit Valuation
I Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Pennit Fee $
Sewer & Water Permit Fee $
I Gas Fireplace Pennit Fee $
I Park Support Fee
I SAC
I WaterMeter SizeS/S"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application r ..,',. zs Your BuRdinl Pennit When Approved
Paid 7~ · Ut./..
Date /0 ..1... OS-
Buildin!!. Official
Date
# ' $
# $
S
$
# S
# $
$
$
S
7f,.()CJ
SDO~I
"
R,eceilt No.
Bv/L.
()
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'Stcd, This document
when signl-d by the City Planner constitutes a temporary Certilicate of Zoning compliance and aUows construction to commence. Before occupancy, a Cl'ttiflCate of Occupancy must be
issued
Planning r. ~,. .... .
Date Special Conditions. if IIIIY
24 hour notice for an inspections (~2) 447-98!'O. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
I
SCHEDULED II \'" ~
ADDRESS ) 58Q,,--
J ~\~i. _U"~__J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
!5" - ']7 Cf
o FOOTING
o FOUNDATION
o FRAMING
~NSULA T~ \.....,../
INAL J
o E INS 'E ON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
_, . N,t) r-nof tAr,. o.-~ a.-
/'"
2. frt~uk ~/)~ -l(~L-j
-
/1 nIl) f\./
lL l~~ ~ -1, f.p
?\ /JIJ () ()" J _ J
~ V/vt,,\, IClC\.Ce('
o WORK SATISFACTORY. PROCEED
;;. CORRECT ACTION AND PROCEED
o CORREC~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: I ./ Ii Owner/Contr:
CAL 7 9850 FiR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
r
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNon