HomeMy WebLinkAboutBldg Permit 05-0951
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Pink Cily
Yellow Applicant
(Please type or print and siRD at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT d-BLOCK I ADDITION
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(Address) <-II-If
~c~~~: Name) ~ e t tlv ecof/Il t1
(Contact Name) ~ .f f/LI'n1 ~f' '-'
(Address) ~l ( -vo ~X( 'Pi <' , 0 Y' 13e- II A
OWNER
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Date Rec' d
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PERMIT NOtl?........ Lls/
ZONING (office use)
PID ,.;2-41- gO~
~7 77 /
(Phone) ~ 'J... ~ 4 0 _~ { ~ R'
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(Phone) QL'?_ c( ':2.1 < ~~
(Phone)~ / 2..<-' q 0 -; q':2.. ("
TYPE OF WORK 0 New Construction ODeck OPorch )21Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Gronp: A B
Division:
I
E
B
S U
PROJECTCOST/VALUE $tf ~ 0 0
(excluding land)
II
F
1
IIIIVVA
HIM R
2 3 4 5
I hereby certifY Ihat I have lhrnished mformation on this application which is to the best of my knowledge true and correct. I also cerufY that I am the owner or authof!zed agent for the
above-mentlOned 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
official can revoke this permit for Just cause. FlIlthermore, I hereby agree that the CIty off1cial or a designee may enter upon the property to perform needed mspectIOns.
x~/~_- ! ~n~cto~icenseNo. q- ~t: ~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~ 57Jo.- I
$ '7lf. -{~ I
$ l
$ I/&>-SI
$
$
$
$
$
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
Paid
Date
rj II? ,-
q-~9--r
Building Oflicial
Date
# $
# $
$
$
# $
# $
$
$
$ -J~ .'--
Receipt No. SOU ctIo
By r:;-
d
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 requested. This document
when signed by the City Planner conSl1lutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ceruficate 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
.IOR LAKE
I'ON NOTICE
DATIi. TIME
SCHEDULED ~~~ r--
;' I
~4' #Rd
ADDRESS /.57J ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ ~~TION
~~~...
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
0--- - 9j-/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ..~. H FINAL /J
/eerO(;) r-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~CT WORK. ~'NSPECTION .EFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
_011
DATE TillE
.tOR LAKE
"ON NOTICE
SCHEDULED
4A# 1(.,).. -or
ADDRESS
/(731 Fish ;?~ 0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
. \'-1:5-/
- ,
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
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: r C-~
~-- ~
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( (.-1I) Y'- I~( ~ /
\ - ~
'-- .---------
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ;oyr. 9't#R REINSPECTION BEFORE COVERING
Inspector: /I / / r Owner/Contr:
~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
_OTl