HomeMy WebLinkAboutBldg Permit 05-0985
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Date Rec' d
/0. +. oS
File
City
Applicant
I PERMIT NO. (/5.098 S
(Please type or print and si~n at bottom)
ADDRESS
/fR393//f,395
P/1~ AVe:
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
ADDITION
PID 25. z.7tJ . 0 ~,~ i)
BLOCK
OWNERn l
(Name) ,_)0 ""'-
~J~
/~''5
(Phone) tlz- ~ -~oF3
1~3
(Address)
BUILDER Q L II
(Company Name)JJ..:!../73 ffQh-R :<\
f:'~'.II'\?.e d-.
Af{f\e- U~f{~t ,Af"",
TYPE OF WORK 0 New Construction ODeck o Porch 'ti!'Re-Roofing
OAddition OAlteration OUtility Conn,(ti~n
(Contact Name)D;, \
(Address)
(Phone) (P/7. ,~ ' '11-gq
(Phone) tf2Lz.,. 2:Zfs, -SO ,3.
ORe-Siding OLower Level Finish 0 Fireplace
/'l
RecjijJt No. .5lJoI#8
By II .
{
CODE: DI.R.C. DI.B.c.
Type of ConstnIction:
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 /V ALUE $
(excluding land)
Contractor's License No.
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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 Permit When Approved
7(, .vU
If). 4'. ,~
Paid
Date
Buildlllg Ollicial
Date
$
$
$
$
$
$
$
$
$ 7t,.O()
ThiS IS to certity that the request in the above applicatIon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. 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
isslIed
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
ADDRESS
DATE
..ORLAKE _ L... /
..ON NOTICE SCHEDULED ~.fi"'~;r--
/6.J~S> 4v-/c '~~
/? ..:r ~, CONTR.
TIME
OWNER
PHONE NO.
PERMIT NO.
s-:- 9' ~5-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.,...g-r:mAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ ~H FINAL /7
/~Yb (;> 'f
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F EINSPECTION BEFORE COVERING
Inspector:
/;
t/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTI