HomeMy WebLinkAboutBldg Permit 05-0934
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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File
City
Applicant
PERMIT NO. Os. 0931-
3 Z8CJ r u 00 fUJ.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID 2-5". ztPf. 0(//. 0
OWNER
(Name)
- / J4-r/B
.3 ~8'O
(Address)
Date Rec' d
9. z z - 0 s:-
ZONING (office use)
.I' /.:2::./ 'p,:<p _
'/ l')j\D ~
(Phone)
9~2-- LlI./7-'-1iz/2-
BUILDER
(Company Name) . <;b~"7"'"-,,/bP/7
~ ~ -
(Contact Name) ~.L----
(Address) Ph .BO;>< GbB
~~~. LJ.(1
(Phone)
(Phone)
9C2 -q~L1-/99 7
95')'--7-1 ~~L/7 L/
. - - /'
TYPE OF WORK 0 New Construction ODeck OPorch Ila'nlRoofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conn~'
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized 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
~-ficial can revoke this permit for Just call Furthermore, ereby ;:: the CIty om;;; a ;i~e;~e:;;;:.r;.;e property to perform neede9~n~ /t7~
/./t A a~ ~ /Contractor's Licen~ No. . Date
y V
Permit Valuation
B
S U
A
R
5
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
2(!SbO.OO
$
$
$
$
$
$
$
$
Park Support Fee
$
$
$
$
$
I $
I $
I $
I $
/J
Recei~v'No.
By 4-
iJ"
#
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
Paid 7(,- t.P
Date '1. z. z.,-,()r-
Buildll1g Otlicial
Date
'It,. oJ
H?7~
ThIS IS to certiiY that the request in the above applical10n 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
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~r-
ADDRESS
J;2J-'O
H//' /2/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
<- - 9..i' c:/
COMMENTS:
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o ~~INAL /} 0
/Le r&/C' r
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-ta-FlNAL
o SITE INSPECTION
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( ~/C:;j-€. ~//e- J
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o CORRECT WOR~'7~INSPECTION BEFORE COVERING
Inspector: ~f~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY I
INSNOTl
..;ITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J.2Y8
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED I~~~r'
7;// 4 ~
,
CONTR.
PERMIT NO.
~ \- 5??9'
,
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ". FINAL /)
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pORt/ . ~.,t:.,,L.I" V c:J Ve,..- h~.k 0/
./ --.(
~ /i
C~/r (//~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~WORK, CALL FOR NSPECTION BEFORE COVERING
Inspector: b Owner/Contr:
V ()'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~..? I'? /'
/<R"" s: p? e.~7 / a,-
/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI