HomeMy WebLinkAboutBldg Permit 05-0953
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
q. z8. OS
~. ~~;~e ~:~y I PERMIT NO. (j.'S.OQS3
3 Yellow Applicant I '
(Please type or llrint and si~n at bottom)
ADDRESS ~:, 75' C<Z.Jt1..~OO 0(
5+.
LEGAL DESCRIPTION (office use only)
LOT 9 BLOCK 3 ADDITION SI'INO POINT S7H
,
ZONING (office use)
PtJo
PID 2.5. 2-39. 0+3.0
OWNER
(N ame)
a+
,
.<;,' rC V j'
(Phone)
(Address)
BUILDER r I C", 1
(Company Name) Co....q (! .), d1,I~, IT Y\. c: .
(Contact Name) R ,^-~k: c '^ V'''~ff Y\ S<?-..,
(Address) 2.00 1 I?,'q ()~ Ie ~R I,A".A 5v: f(F
/ ...
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ~e-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiIity Connection
(Phone) ~ I 2 . l./ I '( - S-lf'l G.
(Phone)
[ hereby ccrtify that I have flirmshed 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 thc
abovc-mcnl1oned property and that all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildIng
:licia~it fo JUs cause Furthermore, I hereby agree that the CIty ofdr a ;~; "5- ;;t;;;:~e property to perform neede,?/;iY/65
- ./ . Signature Contractor's License No. Date
/
Permit Valuation
..J1A", 553 ~ 7
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise
III IV V
HIM
234
A
R
5
B
S U
I
E
II
F
1
PROJECT COSTlY ALUE $
(excluding land)
Zt O<<J. 00
Park Support Fee
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
l~rp-
" .
~
Rece~ No,
.~.
Paid
Date
Building OIlicial
Date
~ 000
$
$
$
$
$
$
$
$
$ ~~~()CJ
/
~""/
ThiS IS to certify that the request in the above applicatlon and accompanying 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 ZOnIng compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslled
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
DATE TIME
/tJP~-
,
)S?S Cd~/t..c/()Od s/
, OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEC. H FINAL /
~S-,; Q/(?
COMMENTS:
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~V-;;.. t/ / S; 'c/~A~
/ -t
~/ ,;
//.-/4,.... r h,,' ~c; /
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/7/
C// (C
s-....9s-3
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
- ,.
CA'v//C/h?
~
~ORK SATISFACTORY. PROCEED
~60RRECT ACTION AND PROCEED
o CORRECT WORK, CALL OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
-v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQU/REMENl"SARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNon