HomeMy WebLinkAboutBldg Permit 05-0985
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0. +, oS
White File I PERMIT N
Pink City O. tJ5.00D S
Yellow Applicant 70
(Please type or print and si~n at bottom)
ADDRESS
/fR393//f,395
P/!~ AVe:
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25'. z 'JtJ . 0 (J /" ()
OWNERn- l
(Name) ,_Jo .......
1lJ13
~J~
I~'~
(Phone) t/7- ~ '-5O/"3
(Address)
BUILDER '72 L / /
(Company Name) I).d.rT3 HoVv...e :<;
F''''(I.~'~~fU~1 J;I--
TYPE OF WORK 0 New Construction ODeck o Porch bl(Re-Roofing
OAddition OAlteration OUtility Conn,lt~n
(Phone) fR.L7- ~n ' tf.1gr:(
(Phone) {pf7 ,. 2:Zls, -So ,3-
(Contact Name)13;, \
(Address)
ORe-Siding OLower Level Finish 0 Fireplace
CODE: OI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby cerny that I have tlirnished nformation on this application which is to the best of my knowledgc trllc and COlTect. I also ccrtify that I am the owner or authorized agent for the
above-me ned opetTy and tl 11 construction wil onfo 0 a xis g state and local laws and will proceed in accordance with submitted plans. I am aw e thatthc buildmg
official ; rs permit JUs use Furthe' r ere a re the Ctty official or a designee may enter upon the property to perform /O~tl~ ~
/ Contractor's License No. / r Date
Perl'l'f1t Valuation I Park Support Fee # $
I SAC # $
I Water Meter Size5/8";l"; $
I Pressure Reducer $
I Sewer/Water Connection Fee # $
I Water Tower Fee # $
I-Blll1der's Deposit $
I Other $
I TOTAL DUE $ 7(,. ~ 0
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
This Application Becomes Your Building Permit When Approved
Paid
Date
7'.VU
//). .,....,~
/l
I Rec/iPt No. ~8
I ByV .
f
Buildlllg OffiCial
Date
ThiS IS to certify that the request m the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate 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
DATE TIME
..OR LAKE
.ION NOTICE
SCHEDULED ~/~.s--
/b_{/5> 4v--/c. '~-(.
/ ~ ..! ~ ~ CONTR.
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
s-:- 9'~5-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o "H FINAL /J
//~YOC> I .
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.
/J /
/~c#rC'5
, 7-. JC~
- ?
0~o'(,(_/
/:7", ~
,;z , r~S-
~Tc~~~
,/ // /
if~~ T ,/~e>#~~.r5 C),J.
fflp-L. ~/ Q/~C/--Z-C
, v/-
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F EINSPECTION BEFORE COVERING
Inspector: /;
ti
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
_on