HomeMy WebLinkAboutBldg Permit 05-0789
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(./~-.OS-
(Please type or print and si~ at bottom)
ADDRESS
White File I PERMIT NO I
3 ~~~I~w ;:~';licant . OS, 0 7&9
:3///
.5/'4#6 Lrtle6
ea
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
BLOCK
ADDITION
PIDZJ-: Ie /. oo~ 0
OWNER
(Name)
(Phone)
G\ S7. ~ 4'-\ 0 "2. QG\?,
G\ <<5-2. 1-\1.1' Q (.".~~
~~ \\;'",
~ . ....,. \.. .a.I' ""'-2-
~..,............
(Address)
BUILDER
(Company Name)
(Contact Name)
m~,,~........ '-__4.-,. - L.~.".c.
~ . ~ 1
G - ~~ \_ -.Js,.....-\..
(p'4~ ~"'2-\'-<-~
. J -,
TYPE OF WORK 0 New Construction ODeck o Porch ~Je.RoOfing
DAdditlOn DAlteration DUtiIity Con~'
o Misc.
(Phone)
(Phone)
-S~v~~
(Address)
t>.r~ ~
ORe-Siding
OLower Level Finish
CODE: OJ.R.C. OI.B.C.
Type of Constnlction:
Occupancy Group:
Division:
III IV
H I
2 3
V
M
4
A
R
5
B
S U
II
F
I
J
E
PROJECT COST IV ALUE $
(excluding land)
A
B
Y'V'\N
o Fireplace
I hereby certify that I have filrnlShed mfmmation 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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans I am aware that the buildmg
~licial can revok~st ca~ermore. I hereby agree that the CIty official o:e~n~m:;:nter upon the propelty to perform n~e; msp~~ 0,,"
\ Signature Contractor's License No. Date ~ -
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
7('~ QV
YI.J.()J
J
Recejt No.
B7~" } .
I
Paid
Date
Building Otllclal
Date
$
$
$
$
$
$
$
$
$ 7(,. t/V
~?1Z-
ThIS IS to certify that the request 10 the above applicalton and accompanying documents is 10 accordance with the City Zoning Ordinance ~ may proceed as requested. TillS documcnt
when signed by the City Planner constttutes 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
DATE TIME
SCHEDULED ~~~~
3/// ~h~q ~k/ /2./
~TR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~INSU TION
AL
o SITE INSPECTION
COMMENTS:
PERMIT NO. -8S--- 7~7
l
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~;~~
,
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
--- / /'
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e:y , L ,./ clt9 r-
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KORK SATISFACTORY, PROCEED
/d-- ~~RRECT ACTION AND PROCEED
o CORRECT W~R~ C}W'pEINSPECTION BEFORE COVERING
Inspector: /~~ Owner/Contr:
or
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl