HomeMy WebLinkAboutBldg Permit 05-0976
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Applicant
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. ADDRESS
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LEGAL DESCRIPTION (office use only)
Date Rec' d
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PERMIT NO. OS-. 0 97.0
ZONING (office use)
S-~372..
LOT BLOCK ADDITION PID ?S. IS-I. 6/0.0
OWNER SuScW N.'e I~,J G SJ..-- 4-47...4-:u;~
(Name) (Phone)
(Address) !56 c.,~ k/f-ck. U C-r' f' {J r--/,o (' J.st I<.... I ,t\tJJ $<;37/
BUILDER
(CompanyName) kf~~~..:>r- ~~.'~ *SleJ.'r)
(Contact Name) ~ r~ 9'l ~ ~
. /
(Address) ~/, -:L>~r---.s.o,J ~y ~kl/{').J
(Phone) -, 6 ~ ~ 4::1 7.- q G4!l6
(Phone)
J
ORe-Siding OLower Level Finish
o Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing
OAddition OAlteration OUtility Connection
o Misc.
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group:
Division:
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
36' 0 4~
II
F
I
III IV
H I
2 3
I
E
A
B
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I hereby certify that I have furnished Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mentIOned perty an that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:1iCial can rev lS~se Furthermore. I hereby agree that the City official or a designee may enter upon the property to perform neele~~ect3s. rO~
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Park Support Fee
SAC
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
TOTAL DUE
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
"76,. IIV
/0.3. Or~
Paid
Date
Building Ofticial
Date
# $
# $
$
$
# $
# $
$
$
$ ? ". () ()
//
Receij1(No. ~~/
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ThiS IS to certify that the request in the above application and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
. f OF PRIOR LAKE
INSPECTION NOTICE
DATE
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TIME
SCHEDULED
ADDRESS ~~~ C>-~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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COMMENTS:
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKU/D 0 FIREPLACE FINAL
o PLUMBING FINAL . 0 GAS LINE AIR TST
~CH FINAL _ 0
/4/~&
, - ,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
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~ORKSAT~=Y.P~OCEED' ~
o CORRECT ACTION AND PROCEED
o CORRECT W;;-~L FOR REINSPECTION BEFORE COVERING
Inspector: . / Vt/"'j / Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNon