HomeMy WebLinkAboutBldg Permit 05-1064
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY \"'1!J1\.lu'lCATE OF ZONING COMPLIANCE.
AND L. .....ITY CONNE",. .ON PERMIT
CPIeue me 01' IIriDt .... sian at bottom)
ADDRESS
30 q 6 ~ t t f{ iAI-4... c'uv 1-
Date Rec'd
I WIrile File I
2: JIInk CiIy PERMIT NO.
) Yellow ApplIcIM
/ Vi 19" ~k "U(pI'
Ul)- /0 ~7'l
ZONING (oftb_)
LEGAL DESCRu uON (office use only) .) ~ A&tJ j4to ~
LCYIt 3 BLOCK \ ADDmON }/o \t-tl.t W~& dt.t4- ,f"sf-rv~ PID R ~S 3 '1-L tJ 130
OWNEll
(Name)
/lad
30Qg
(Address)
K t!~ /J t.ffr- t
4k' f{~
BUILv'J:U( + I
(Company Name) ~e.. w ~G",
(Contact Name)
~r
(phone)
fJV(O\r ~
Cf~J ~-)j'{Cq-
(Address)
TYPE OF WORIC. 0 New Co~ ODeclt OPordl ORe.RoofiDa '~-idiDa OLower Level FiniSh 0 Fireplace
OAddition J'L~tion OUtllity Connection 0 Misc.~
t:-.2.- W ,""'~uJS
. CODE: OI.R..C. OI.B.C. PR.oJECTCOST/VALUE S
Type of Ccmstnu:tion: I n m IV V A B (ellcludiaa Ian.)
Oc:cupaacy Group: A B E FBI M R. S U
Dimon: 1 2 3 4 5
(phone)
(phone)
I befeby certifY tutl haw furnished information on this applicalioll whicb is 10 lhc: 11m of my knowleder 1I'Ue IJld .." .... . ... I also mtitY lIIat I am lhc: uwner Ill' aulhorized IIClll tor lhc:
aboYc.mmUoned . '".. .J and that aU constrUction will alOIbrm 10 all ....:,.. I. stale IJld local laws and wiD .... ... J in I....,.. .~ ~ submitted plus. I am aWIle thatlhe buildinl
oftlcialc: this,..... ,:, forjustc:ause. F1. :.. .." I ~thec:ilYoftIc:ia1ora clcsiiID<<maycmerupon lhc:,.. ...,.'10.. .J... needed ''',. ...1lI15.
X Q ~/u.~
Contra..,... L" ."" . No. Dale
P._....it Valuation
Permit Fee
Plan Checlt Fee
State Surcharge
Penalty
Plumbing P~.,,~:. Fee
Mechanical Permit Fee
Sewer I: Water Pennit Fee
Gu Fireplace Permit Fee
.~ SOo. --
s 7 t.r Z'J
s
s ( . ;)..1':)
S
S
S
S
$
T1da AppIkatiaa B .. . . . ... Your BuiIdina Permit WIleD A I,' ., ..
~~
Buildina omcial
/apIAK
. D8~
ParkSl'n ...the
SAC
Water Meter Size 5/8"; I";
r _ ......are Reducer
Sewer/Water C..........;':on Pee
Wafl!t Tower Pee
Builder's Deposit
Other
TOTAL DUB
I Paid
I Date
/ /G, . /'
I @ - ;;2 I~ - S
t#
t#
t#
t#
s
s
s
s
s
s
s
s
s 7 (P.."---
R...'...~ No. t:7 0(') '1''/
By
~
ThIs is to certIty thatlhc: request in lhc: above appiic:ation and 1 . . . . . '.'.' ",iDs documents is in accordanee with the City Zonins 0rcIiaanc:e and may", .. . .1 as reqUl.'Slil.'d. This document
wIIm siprd by the City P\anna' .......,..,Jlc:S a,.... ""0' CertiIIc:ate of Zonina tomplianc:e and allows ." ..".. ~ to c:ommenc:e. IIefuR OCCIJPIIICY, a Certificate ofOc:alplnc:y mUlt be
issued
I'laIuIiD& D:.. . ... .
DIlle SpecWl 0IaditiclIlI. If lIlY
:z4 hoar lIOIiee for an IBlpectlOll1 (952) 447-9858, fill em) 447...24S
16200 Eagle Creek Avenue Prior Lake, MN 55372
.JR LAKE
IN NOTICE
.DDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
/
/ /
( (
~
-
--
DATE TIME
SCHEDULED
11~4~~
2d~5r 14~!~
CONTR.
PERMIT NO.
5- (0& "I
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
>~d~~
-#
I .'
.) Ux-
f --........
7:/ )
ttlC
./
.------
-
~ORK SATISFACTORY, PROCEED
~ b~RRECT ACTION AND CEEO
o CORRECT WO K L R REINSPECTION BEFORE COVERING
Inspector.
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
_on
/0- 4.c:.s-
so q Y L-ultl Ih~ c::.r-
.-<IOR LAKE
, (ION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
~~MING
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
~v1d~
COMMENTS:
1P (~)L Q) Li2J/~
DATE TIME
S{d~(.../
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
,/-WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RK~ ~OR REINSPECTION BEFORE COVERING
Inspector: (vr,/ Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!