HomeMy WebLinkAboutBldg Permit 05-0779
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~n at bottom)
ADDRESS
/7090
White
Pink
Yellow
File
City
Applicant
JtllV~Je:-
/?V6
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
(Phone)
BUILDER /l C' --r: .
(CompanyNameL~reSI C-X /~r{1'JrS'
(Contact Name) ml/L /}1ee./o,//,? .
(Address) ;;z.:i3R~. ~L?tV1da~ 0(/<-
TYPE OF WORK 0 New Construction ODeck OPorch MJe-ROofing
OAddition OAlteration DUtiJity Conne/it~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
Date Rec' d
8' 12/OJ
, PERMIT NO. OS o?f9
ZONING (office use)
PID z.~ /72-. aSS-: 0
(Phone) U/ ~.b'cr - 6/5'/
(Phone)
~/.mrnc~J'O"7
/
/?I "1 5~~
ORe-Siding OLower Level Finish 0 Fireplace
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST/VALUE $
(excluding land)
I hcreby certily that I have lbrmshed Information 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.menl1oned 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 buildIng
~fIcial can ~~~ore. I hereby agree that the CIty ;;;'3/i;:;-;i upon the property to perform needed?J// ~0-
- Signature Contractor's License No. ' Dati
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
I $
Park Support 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
Paid
Date
7tR. t/U
rJ!! jY-
Buildlllg Otlicinl
Date
# $
# $
$
$
# $
# $
I $
I $
I $ 11 (" . oV
Rcce;r '~i-
By ___
C
ThiS IS to certify that the request in the above applicatIOn and accompanying documents is in 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
isslIed
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
ADDRESS
/7CJ?C7
0.... TE TIME
SCHEDULED 7 ~As
&~;,;se ~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
CONTR.
PERMIT NO. 6>S" - ? ? r
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~7NSPECTlON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
O)PfH FINAL /1
COMMENTS: /~~,rO" f-/
/'<- tLy~-S J J,~ &.1
LJy~ f~c~/h___1 ~k~r- ~~-
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~ ~~ /)(I~t/ -fifo~ fL ~~-r)-' V
I /' . /
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
A ~ ~
~ f- I a ~,:J~.yS o/{c
,.I!}o~. 7~/ Q"Q(./~-d
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/C/0c 7:/l')
~K~ACTORY,P~
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAL~7EINSPECTION BEFORE COVERING
Inspector: p'.r-- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
_on